Colitis Flare-ups Might be Temporary Sensitivity to Gluten Foods

Growing evidence that some gluten sensitivity is actually sensitivity to the carbohydrates in Gluten Foods rather than to gluten. None the less, avoiding gluten foods during colitis flareups, helps suggesting a temporary sensitivity.

Scand J Gastroenterol. 2018 Feb;53(2):147-151.
doi: 10.1080/00365521.2017.1409364
Prevalence and factors associated with gluten sensitivity in inflammatory bowel
disease.
Limketkai BN et al.
https://www.ncbi.nlm.nih.gov/pubmed/29216767

• make mention of study:
  “A double-blind cross-over trial of 37 patients with non-celiac GS [gluten sensitivity] previously showed a significant reduction in gastrointestinal symptoms with a diet low in fermentable carbohydrates, but no dose-dependent effect with a gluten challenge.”
  Biesiekierski JR, Peters SL, Newnham ED, et al. No effects of gluten in patients with self-reported non-celiac gluten sensitivity after dietary reduction of fermentable, poorly absorbed, short-chain carbohydrates. Gastroenterology. 2013;145:320–328.
• Analysis found  Gluten sensitivity in  23.6% of those with Crohn’s Disease and
  27.3% of those with Ulcerative colitis. Those affected were younger than those not (35 vs 42.5)
• the gluten sensitive had more symptoms of flareup with fatigue (34.3%), diarrhea (34.3%), abdominal pain(32.4%) and hematochezia (blood in stool) (19.6%)
• Authors felt the gluten food sensitivity could vary and be more predominant during flares

Comment -crohn’s and ulcerative colitis is anti-immune and gluten sensitivity is also an immune derangement so not surprising they go together. Avoiding gluten foods during flareups could be helpful as sensitivity to gluten could vary in those disorders.