I have wanted to post about something, but I have been hesitant. I have always been a pretty modest person and I really don’t like sharing certain details of my life. Anything that I consider embarrassing I have trouble talking about, so really talking about some of the more unpleasant aspects of my auto immune diseases has been off the table. With this post, I want to sort of come clean about them and lay it all bare because autoimmune diseases are, for the most part, hidden diseases that are not necessarily well understood by those unaffected. In this post I am going to talk about fun things like bodily functions so if that makes you uncomfortable, I would recommend stopping here and going back to sunshine and rainbows.
First, I would like to explain what autoimmunity is. Basically, your body detects something normal and confuses it for a foreign invader. To fight off this foreign invader, your body sends out antibodies to attack the body or a specific part of your body. With my first autoimmune disease, Hashimoto’s Disease (also known as chronic Lymphocytic Thyroiditis) my body sees my thyroid as the foreign invader. It attacks the thyroid which causes a whole slew of problems since the thyroid is responsible for some very important functions, which I will address a bit later. The second disease is Celiac Disease. With this affliction, the body detects any gluten (a single crumb of bread can set off the autoimmune reaction) and the antibodies are sent to the small intestine to attack it, resulting in a lot of unpleasant and painful reactions. There is no cure for an autoimmune disease. With the Hashimoto’s, I take hormones to replace what the thyroid is not producing or not producing enough of. With celiac disease, there really is no treatment, only a dietary overhaul removing ALL gluten. Both are unpleasant, but things are what they are and we live with what we are given. I mean, what choice do we really have?
Thirteen years ago, when my youngest was about 8 or 9 months old, I started to have some issues. Some of them are the same for depression but I was already on Prozac for post partum depression, so I was pretty sure they were not depression related. The first one was fatigue. I was so tired all the time. I was the mother of a teenager, a toddler and an infant so being tired would be expected to I dismissed it as motherhood. But, I would be so tired that it felt impossible to even get off the couch. Not really just “mom” tired. Then came the cold. I could never get warm. One of the symptoms of Hashi’s is an intolerance to cold but this went way beyond intolerance of cold. It would be 80 degrees and I would be in sweatpants, a t-shirt and a hoodie and be wrapped up in a fleece blanket and I would still be shivering and my teeth would be chattering. The thyroid is responsible for your internal thermostat and your metabolism so when it underperforming, those things go a bit wonky. Even with those things being very obvious indicators that something was wrong, I denied that there was. After Aidan was born, I was doing well at losing the pregnancy weight and then at about 6 months weight loss came to a screeching halt and the gaining started. My hair was dry and my skin was so dry and itchy, I would scratch until I bled. I have scars all over from all the damage done from trying to relieve the itching. My monthly cycle got really bad. I would bleed for 3 1/2 weeks out of every 4. I would bleed so much I thought I would bleed to death. The biggest tampons I could find and I would use pads as back up at the same time and I would change about every hour or two and I would bleed so much that it would necessitate changing my pants and underwear at least once or twice a day. I did a lot of laundry. That still didn’t send me into the doctor. Want to know what did finally get me into the doctor? My hair. It started falling out in chunks, similar to but not quite as bad as a chemo patient. I have always had amazing, thick hair and so much of it. When it started falling out, there was no denying that something was wrong with me so I finally went to the doctor.
With a list of symptoms, I went into the doctor and he knew exactly what it was–hypothyroidism. If I had gotten a more definitive diagnosis I might have never found out about the Celiac disease. You see, 90% of hypothyroid cases are the autoimmune disease, the other 10% are dietary, and with most, if not all, autoimmune diseases, gluten is a huge factor. But, all I got was a prescription and the suggestion to cut some carbs out of my diet. Within a few weeks I started feeling a bit more normal and that felt amazing.
In 2014, around the time farmers market was starting in April, some unpleasant issues were starting again. My marriage was falling apart so I felt, and so did my family, that I was just a bundle of nerves. Again, there were some smaller symptoms that I brushed off–more headaches than normal (and normally I had them several times a week), depression settling in again (I have been medicated several times for bouts of it), fatigue. All of it could have been me as an emotional mess, but the biggest and most obvious symptom was the diarrhea. Normally, I would be somewhat constipated (also a symptom of Celiac disease), going 2-4 times a week, but when the diarrhea showed up, it was all day every day and not just that, it was always an emergency. When the urge hit, I would need to bolt for the nearest restroom immediately. It go so bad that I would need to know every single public restroom between point A and point B whenever I stepped out of the house because I never knew when the urge would hit and the urgency was crazy bad. I went from less than every day to 20 or more times per day. There were times I was in between public restrooms or between the last one and home, and I would be in tears in my car, afraid I wouldn’t make it to the bathroom. And with that diarrhea came the pain. Abdominal pain like I was being stabbed. It. Was. Awful. Another problem was abdominal gas. My gut was always making noise, ungodly, loud and gross. At times it was uncontrollable. And–bodily function warning–the smell. With undiagnosed/untreated Celiac disease the smell is like you are rotting on the inside. My kids can always tell when I am in the middle of a Celiac flare. When I am in the middle of a flare, I need my own bathroom. Not only do I spend an inordinate amount of time in there, but nothing covers or stifles the smell and it is unpleasant.
When I finally went into the doctor, after 8 months of suffering, she knew what it was immediately. A simple blood test confirmed that I did, in fact, have the antibodies for not only Celiac disease, but also Hashimoto’s disease. I immediately cut gluten out of my diet and let me tell you, cold turkey is a difficult way to do it. My first shopping trip ended up with me in tears with no groceries. Trying to find things that were gluten free was hard. No pasta, no bread, no crackers, no cookies, nothing breaded or batter dipped and many things like processed meats contain wheat. I cannot eat anything that is processed on the same equipment as items containing wheat or gluten (that includes rye or barley) which eliminates just about everything in Walmart that is the Great Value brand. Something I was not aware of when I went cold turkey is that removing gluten is a lot like going off a drug. You are basically detoxing your system. For about 3 or so days, I was angry, agitated and irritated. My anger scared me. I wanted to smash things, punch walls and rip people’s heads off. I am not an angry person and it was completely out of character for me to feel or respond that way.
There are so many symptoms that are random and I can trace them back to my 20’s. Things like headaches/migraines, dental issues, being lightheaded, fatigue, muscle and joint pain, bruising, depression, brittle nails and lots of other issues, as illustrated in the above poster. From my research, I have found that stress can activate symptoms of both diseases which is just awesome because we are in the middle of a pandemic right now and because of it I may be furloughed from my job come October. Nope, no stress there.
These diseases, especially the Celiac disease, effect other aspects of my life. I can’t just get together with friends for lunch. I first have to find out if the restaurant serves gluten free/celiac safe food. After that I have to worry about what the kitchen looks like, did they clean and sanitize the surface of where they are preparing my food, did they use a new/clean pan and new/clean utensils. Did the cook wash his hands or change his gloves. Did anyone accidentally touch the food with a utensil that touched something containing gluten. Does the staff understand that Celiac disease is not a trendy food elimination, but an actual medical condition? At work there are reminders that there are people have peanut allergies and avocado allergies and to please be mindful of them when eating lunch. Most people can contain those things but don’t think twice about leaving bread and cracker crumbs all over the tables.
Dating is another area that is impacted by Celiac disease. Sacrifice is hard and dating someone with Celiac disease requires sacrifice. It means you also have to be careful of all those food and contamination concerns. I am up front about having it when I am getting to know someone. It saves some awkward conversation that has to take place before the first date happens. Kissing someone that has eaten anything containing gluten can result in a flare. If they have a tiny particle of gluten on their lips, mustache, tongue or teeth and you kiss them, that particle could transfer to my body and set off the autoimmune response and it can mean up to two weeks of digestive hell. Gluten has to be off limits when you are dating someone with Celiac disease and you are spending time with them. Being gluten free sucks and having to be so careful sucks so it is easier for people to just ghost you than sacrifice anything for you. Why bother investing time and effort if it requires that you eliminate beer, pretzels, pasta, etc? I may be worth it, but they don’t stick around long enough to find out.
These things are not made up. It is not a trendy diet. They are not fun. I would love to go back to normal and eat what everyone else takes for granted: real pizza, regular pasta, fish and chips and a freaking Big Mac. God, I miss having a Big Mac. I would kill for one right now. But it would get me back a little later.
I would encourage anyone reading this to ask questions. I am happy to answer any questions you might have. This is very basic information and there is so much more to these things. I encourage anyone reading to do some research to find out more about autoimmune disease. There are many more than just the two in this post: asthma, type 1 diabetes, MS, Rheumatoid arthritis, lupus, fibromyalgia, etc. There are a lot and I would be willing to bet that at least a few people in your circle of friends has one or more they don’t talk about.