{"id":610,"date":"2016-10-07T21:53:50","date_gmt":"2016-10-08T01:53:50","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=610"},"modified":"2020-07-11T10:38:19","modified_gmt":"2020-07-11T14:38:19","slug":"muscle-spasm-and-muscle-cramps-3","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/muscle-spasm-and-muscle-cramps-3\/","title":{"rendered":"Muscle Spasm And Muscle Cramps\u00a0"},"content":{"rendered":"<h2><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/iStock_000027743614Small.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9445\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/iStock_000027743614Small-199x300.jpg\" alt=\"Muscle spasm and cramping in celiac disease and gluten sensitivity symptom\" width=\"199\" height=\"300\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/iStock_000027743614Small-199x300.jpg 199w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/iStock_000027743614Small.jpg 565w\" sizes=\"auto, (max-width: 199px) 100vw, 199px\" \/><\/a>What Are Muscle Spasm, Muscle Cramps?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">M<\/span>uscle spasm and muscle cramps are \u00a0disorders of muscle function caused by painful involuntary contractions of affected skeletal muscles characterized by limited movement.<\/p>\n<p style=\"text-align: justify\"><strong>Q<\/strong>: What is the difference between muscle spasm and cramps?<\/p>\n<p style=\"text-align: justify\"><strong>A<\/strong>: Cramps are stronger and more painful than spasms, occurring while the muscle is in its most shortened state.<\/p>\n<p style=\"text-align: justify\">Skeletal muscles are those that move the body skeleton to do work as we choose. Examples are muscles that move the mouth, arms, \u00a0hands, legs, and feet.<\/p>\n<h2>What Are Muscle Spasm, Muscle Cramps In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps in celiac disease.<\/strong> Muscle spasm and muscle cramps are well-recognized features of multiple vitamin and mineral deficiencies in celiac disease.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps and thiamin (vitamin B1). <\/strong>Thiamin plays a vital role in muscle tone and nerve health and provides energy for muscles through its essential effect on metabolism of carbohydrates.<strong>\u00a0<\/strong>Inadequate levels of thiamin lead to spasm of calf muscles in the lower legs especially brought on by walking.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps and vitamin E. <\/strong>Adequate levels of \u00a0vitamin E helps to thin the blood and dilate blood vessels which in turn improve circulation to muscles. Inadequate vitamin E can cause leg cramps especially at night.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps and potassium.\u00a0<\/strong>Inadequate levels of the\u00a0electrolyte potassium causes muscles to become too sensitive. Electrolytes are minerals in blood and other body fluids that are ionized, meaning they carry an electric charge, either positive or negative. Potassium normally resides in fluid surrounding muscle cells while sodium resides within muscle cells. When a muscle is activated to contract, potassium moves into muscle cells while sodium moves out. In the reverse, the movement of sodium back into the cell and potassium out of the cell results in muscle relaxation. An imbalance or deficiency in these electrolytes causes weakness that can be extreme to the inability to stand and spasm.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps and calcium.<\/strong>\u00a0The electrolyte calcium triggers the contraction of a muscle cell.\u00a0Inadequate levels of calcium impair the ability of a muscle to properly contract. Spasm is often felt\u00a0in legs and feet usually at night. Severe deficiency can be fatal, being the cause of laryngospasm (spasms of the larynx) which blocks the passage of air into and out of the lungs.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between muscle spasm and muscle cramps and magnesium.<\/strong>\u00a0The electrolyte magnesium triggers relaxation of a muscle cell after contraction.\u00a0Inadequate levels of magnesium impair the ability of a muscle to properly relax. Spasm is especially felt\u00a0in the feet, shoulder, jaw and neck muscles. Spasm of digestive muscles causes constipation and irritable bowel symptoms.<\/li>\n<\/ul>\n<h2>How Prevalent Are Muscle Spasm, Muscle Cramps In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Muscle spasm and muscle cramps are common in untreated celiac disease. 6%\u00a0of patients diagnosed with celiac disease at a hospital endocrinology department in India had carpopedal spasm.<a href=\"#footnote_1_610\" id=\"identifier_1_610\" class=\"footnote-link footnote-identifier-link\" title=\"Philip R, Patidar P, Saran S, Agarwal P, Gupta K. Endocrine manifestations of celiac disease.&nbsp;Indian J Endocrinol Metab. 2012 December; 16(Suppl 2): S506&ndash;S508.\">1<\/a><\/p>\n<p style=\"text-align: justify\">The effect of gluten-free diet was evaluated by comparing the prevalence of signs and symptoms among patients adhering to a gluten-free diet and patients on an unrestricted diet. The occurrence of cramps was significantly higher in patients with celiac disease than in control subjects.<a href=\"#footnote_2_610\" id=\"identifier_2_610\" class=\"footnote-link footnote-identifier-link\" title=\"Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease. Neurol Sci. 2003 Dec;24(5):311-7.\">2<\/a><\/p>\n<h2>What Are The Symptoms Of Muscle Spasm, Muscle Cramps?<\/h2>\n<ul class=\"cp_bullet red\">\n<li>Muscle spasm and muscle cramps are marked by pain and limited movement.<\/li>\n<\/ul>\n<h2>How Do Muscle Spasm, Muscle Cramps Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Muscle spasm and muscle cramps result from malabsorption which leads to:<\/li>\n<\/ul>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Inadequate levels of the\u00a0electrolytes potassium, magnesium, \u00a0and calcium directly impact muscle function. Importantly, potassium helps the absorption of calcium and magnesium from the small intestine.<\/li>\n<li style=\"text-align: justify\">Inadequate levels of the vitamins thiamin and vitamin E.<a href=\"#footnote_3_610\" id=\"identifier_3_610\" class=\"footnote-link footnote-identifier-link\" title=\"Krause&rsquo;s Food, Nutrition, &amp; Diet Therapy. 10th Edition. Kathleen Mahan, Sylvia Escott-Stump. 2000. W.B. Saunders Company.\">3<\/a><\/li>\n<\/ul>\n<h2>Do Muscle Spasm, Muscle Cramps Respond To Gluten-Free Diet?<\/h2>\n<p>Yes. Celiac disease-related muscle spasms\/cramps resolve on gluten free diet containing deficient nutrients.<\/p>\n<h2>6 Steps To Improve Muscle Spasms, Muscle Cramps In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both muscle and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li>Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_4_610\" id=\"identifier_4_610\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">4<\/a><\/li>\n<li>The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory).<\/p>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\" style=\"text-align: justify\">\n<li><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_5_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a><\/li>\n<li><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_6_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a> Most importantly, preservatives make it hard for your stomach to digest such unhealthy food <strong>precisely because<\/strong> they act to keep such foodstuffs from deteriorating in the store AND they result in poor absorption of nutrients which adds to malnutrition.<\/li>\n<li><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_7_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a>.<\/li>\n<li><strong>Fat binding substances.<\/strong> NEVER eat foods containing Olestra because it\u00a0doesn&#8217;t just bind fat, it also binds fat-soluble vitamins (vitamins A, D, E, K) and interferes with vitamin B12 which will absolutely cause you not to be able to absorb these crucial nutrients.<\/li>\n<li><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_8_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a><\/li>\n<li><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup. Please note that excess sugar of any kind feeds the overgrowth of\u00a0harmful microbes such as candida (yeast), which ruin digestive health.<\/li>\n<li><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_9_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a><\/li>\n<li><strong>Alcohol<\/strong>. Disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_10_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a><\/li>\n<li><strong>Caffeine<\/strong>. Disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_5_610\" id=\"identifier_11_610\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">5<\/a> Caffeine (largely found in coffee, tea, caffeinated sodas, and to some extent chocolate) contracts muscles thereby aggravating muscle spasms and cramps.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens. In particular, pineapple\u00a0(fresh, canned, or juice), is especially helpful to reduce muscle pain from spasms and greatly improve digestion due to the action of\u00a0the enzyme bromalein, which is most concentrated in the core.<\/li>\n<li><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals for opitmum muscle health and function. Examples are lettuce, kale, collards, turnip greens, Swiss chard, green beans, spinach, onion, broccoli, cauliflower, squash, and garlic.<\/li>\n<li><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li><strong>Probiotics.\u00a0<\/strong>Supply normal living microbes needed for colon health and health of the body such as these fermented foods: plain yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.<\/li>\n<li><strong>Green tea<\/strong>. This is shown by many studies to act against inflammation.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Click here.<\/p>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">Certain medications deplete magnesium, calcium, thiamin (vitamin B1) and vitamin E that can cause muscle spasms and muscle cramps when inadequate. Ask your doctor or pharmacist about this possible adverse effect if you are taking any of the drugs listed below.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p>\u00a0This is not a complete listing.<\/p>\n<p style=\"text-align: justify\"><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Calcium, Magnesium.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Calcium, Magnesium.<\/li>\n<li>Alka Seltzer\u00ae, Baking Soda deplete Magnesium.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTIBIOTICS\u00a0<\/strong>disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>\u00a0Tetracyclines deplete Calcium, Magnesium.<\/li>\n<li>Cipro depletes Zinc.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete Calcium, Magnesium.<\/li>\n<li>Aspirin and Salicylates deplete\u00a0Calcium.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete\u00a0Calcium, Vitamin B1.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTIVIRAL AGENTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Foscanet depletes Calcium, Magnesium.<strong>\u00a0<\/strong><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>CARDIOVASCULAR DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Antihypertensives (Catapres\u00ae, Aldomet) deplete Vitamin B1.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin E.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>DIURETICS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Thiazide Diuretics (Hydrochlorothiazide, Enduron\u00ae, Diuril\u00ae, Lozol\u00ae, Zaroxolyn\u00ae, Hygroton\u00ae and others) deplete Magnesium.<\/li>\n<li>Loop Diuretics (Lasix\u00ae, Bumex\u00ae, Edecrin\u00ae) depletes\u00a0Calcium, Magnesium, Vitamin B1.<\/li>\n<li>Potassium Sparing Diuretics (Midamor\u00ae, Aldactone\u00ae, Dyrenium\u00ae and others) deplete\u00a0Calcium.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>FEMALE HORMONES<\/strong>\u00a0disrupt intestinal permeability which complicate celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Oral Contraceptives (Norinyl\u00ae, Ortho-Novum\u00ae, Triphasil\u00ae, and others) deplete Magnesium.<\/li>\n<li>Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others) deplete Magnesium.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">The type and quantity of nutritional supplements that may be needed depend on which nutrients are deficient.<\/p>\n<ul class=\"cp_bullet orange\" style=\"text-align: justify\">\n<li>Multivitamin\/mineral combination once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications. Contains thiamin.<\/li>\n<li>Calcium citrate is the best absorbed of calcium supplements. Calcium carbonate is a poor choice.<\/li>\n<li>Vitamin E as prescribed following blood test for status.\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/vitamin-e-deficiency-3\/\">Vitamin E<\/a>\u00a0is available in many different formulations, either natural or synthetic\u2026choose natural.\u00a0The biologically active form of the vitamin is the d- form (d-alpha-tocopherol) and it is recommended for supplementation over the dl- (synthetic) forms because synthetic forms are half as active as the natural d- form.<\/li>\n<li>Chelated magnesium\u00a0\u00a0as prescribed but do not take at same time as calcium because they compete for absorption.<\/li>\n<li>Probiotic of high quality, not killed in your stomach, and able to arrive live upon entering your intestine where they will improve gut health.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Adequate water intake is especially important for removal and excretion of toxins that build up due to muscle spasms and cramps.<\/li>\n<li>Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li>If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li>Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li>What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p style=\"text-align: justify\"><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p style=\"text-align: justify\">Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2 style=\"text-align: justify\">What Do Medical Research Studies Tell About Muscle Spasm, Muscle Cramps\u00a0In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4 style=\"text-align: justify\"><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cEndocrine manifestations of celiac disease.&#8221;<\/strong> \u00a0This study investigating the presentations of patients diagnosed with celiac disease from an endocrine department and to study the prevalence of endocrinopathies in celiac disease verified that celiac disease is an endocrine disrupter as well as having varied presentations. Carpopedal spasm was found in 6% of patients on examination.<\/p>\n<p style=\"text-align: justify\">A total of 36 patients from the endocrinology department (LLRM Medical College, Meerut) between January 2011 and July 2012 and who were diagnosed to have celiac disease were included in the study.<\/p>\n<p style=\"text-align: justify\">Short stature was the commonest presentation (25%), other presentations included short stature and delayed puberty (20%), delayed puberty (11%), screening for celiac disease in type-1 DM patients (17%), rickets (6%), anemia not responding to oral therapy (6%), type-1 DM with recurrent hypoglycemia (6%), and osteomalacia (3%).<\/p>\n<p style=\"text-align: justify\">The endocrine manifestations include after complete evaluation short stature (58%), delayed puberty (31%), elevated alkaline phosphatase (67%), low calcium (22%), X-rays suggestive of osteomalacia or rickets (8%), carpopedal spasm (6%), and night blindness (6%). Anti-TPO antibody positivity was found in 53%, hypothyroidism in 28%, subclinical hypothyroidism in 17%, and type-1 DM in 25% of the patients. A total of 14% patients had no gastrointestinal symptoms.<a href=\"#footnote_6_610\" id=\"identifier_12_610\" class=\"footnote-link footnote-identifier-link\" title=\"Philip R, Patidar P, Saran S, Agarwal P, Arya T, Gupta K. Endocrine manifestations of celiac disease. Indian J Endocrinol Metab. 2012 Dec;16(Suppl 2):S506-8. doi: 10.4103\/2230-8210.104149.\">6<\/a><\/p>\n<p style=\"text-align: justify\">&#8220;<strong>Clinical and neurological abnormalities in adult celiac disease<\/strong>.&#8221; This study investigating the occurrence of neurological signs and symptoms in adult patients with celiac disease and evaluating the correlation between neurological features and diet found that adherence to a strict gluten-free diet was associated with a significant reduction of cramps.<\/p>\n<p style=\"text-align: justify\">A total of 176 patients and 52 age-matched controls underwent a semi-structural interview and a neurologic examination. The effect of gluten-free diet was evaluated by comparing the prevalence of signs and symptoms among patients adhering to a gluten-free diet and patients on an unrestricted diet. The occurrence of cramps was significantly higher in patients with celiac disease than in control subjects.<a href=\"#footnote_2_610\" id=\"identifier_13_610\" class=\"footnote-link footnote-identifier-link\" title=\"Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease. Neurol Sci. 2003 Dec;24(5):311-7.\">2<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cCarpopedal spasm in an elderly man: an unusual presentation of coeliac disease.\u201d<\/strong> This case report describes diagnosis of celiac disease in a 68-year-old single Caucasian man admitted to the hospital with a 24-hour history of carpopedal spasm of both hands. Apart from generalized weakness, he reported no other symptoms. Physical examination revealed carpopedal spasm, clubbing of fingers and cachexia (body mass index 14 kg\/m2). This patient was found to have several unusual features of celiac disease, including the advanced age at presentation, severe hypocalcemia and electrolyte disturbances as the initial manifestations, minimal gastrointestinal symptoms, and negative tTG-antibodies.<\/p>\n<p style=\"text-align: justify\">Blood tests showed severe hypocalcemia, with a total serum calcium of 1.06 mmol\/L (normal range [NR] 2.05-2.55 mmol\/L). He also had low serum potassium (2.8 mmol\/L; NR 3.5-5.5 mmol\/L) and magnesium (0.36 mmol\/L; NR 0.65-1.05 mmol\/L). Other significant results included hemoglobin 10.6 g\/dL (NR 13-18 g\/dL), mean corpuscular volume 98.1 fl (NR 82-98 fl), vitamin B12 157 ng\/L (NR &gt; 165 ng\/L), folate 2.8 g\/L (NR 3.1-17.5 \u03bcg\/L), ferritin 252 \u03bcg\/L (NR 30-250 \u03bcg\/L), prothrombin time 20 s (NR 11-14 s), thyroid stimulating hormone 0.87 mu\/L (NR 0.35-4.5 mu\/L), phosphate 0.57 mmol\/L (NR 0.8-1.45 mmol\/L), albumin 32 g\/L (NR 34-48 g\/L) and alkaline phosphatase 313 IU\/L (NR 47-141 IU\/L). \u00a0Subsequent results revealed vitamin D deficiency with a low serum 25-OH vitamin D of &lt; 7 \u03bcg\/L (NR 7-40 \u03bcg\/L), a low 24-hour urinary calcium excretion of 0.9 mmol (NR 2.5-7.5 mmol) and a raised serum parathyroid hormone of 22.7 pmol\/L (NR 1.6-6.9 pmol\/L).<\/p>\n<p style=\"text-align: justify\">Serology for tissue transglutaminase (tTG) antibodies was negative, and a serum IgA level of 4.95 g\/L (NR 0.8-4.0 g\/L) excluded selective IgA deficiency.<\/p>\n<p style=\"text-align: justify\">Barium meal and follow through showed dilated proximal bowel loops and absence of normal feathery pattern of the jejunum, features suggestive of a malabsorptive state. Upper gastroscopic examination was normal; however, the duodenal biopsy showed partial and subtotal villous atrophy with increased intra-epithelial lymphocyte infiltration, consistent with the diagnosis of celiac disease.<a href=\"#footnote_7_610\" id=\"identifier_14_610\" class=\"footnote-link footnote-identifier-link\" title=\"Schmidt K, Powari M, Shirazi T, Vaidya B. Carpopedal spasm in an elderly man: an unusual presentation of coeliac disease. J R Soc Med. 2007 Nov;100(11):524-5.\">7<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_610\" class=\"footnote\">Philip R, Patidar P, Saran S, Agarwal P, Gupta K. Endocrine manifestations of celiac disease.\u00a0<em>Indian J Endocrinol Metab<\/em>. 2012 December; 16(Suppl 2): S506\u2013S508.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_610\" class=\"footnote\">Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease.<em> Neurol Sci<\/em>. 2003 Dec;24(5):311-7.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_610\" class=\"footnote\">Krause&#8217;s Food, Nutrition, &amp; Diet Therapy. 10th Edition. Kathleen Mahan, Sylvia Escott-Stump. 2000. W.B. Saunders Company.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_610\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_610\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.\u00a0<em>Journal of Gastroenterology and Hepatology<\/em>. 2003;18:479-91.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_610\" class=\"footnote\">Philip R, Patidar P, Saran S, Agarwal P, Arya T, Gupta K. Endocrine manifestations of celiac disease. <em>Indian J Endocrinol Metab<\/em>. 2012 Dec;16(Suppl 2):S506-8. doi: 10.4103\/2230-8210.104149.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_610\" class=\"footnote\">Schmidt K, Powari M, Shirazi T, Vaidya B. Carpopedal spasm in an elderly man: an unusual presentation of coeliac disease. <em>J R Soc Med<\/em>. 2007 Nov;100(11):524-5.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_610\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Are Muscle Spasm, Muscle Cramps? Muscle spasm and muscle cramps are \u00a0disorders of muscle function caused by painful involuntary contractions of affected skeletal muscles characterized by limited movement. Q: What is the difference between muscle spasm and cramps? A: Cramps are stronger and more painful than spasms, occurring while the muscle is in its &#8230;<\/p>\n","protected":false},"author":29,"featured_media":9445,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[4,102,192,117,1682,191,24,115,974,1367,127,123],"tags":[1632,1901,1957,2009,776,2094,1912,319,1956,683,1047,2093,100,981,1918],"class_list":["post-610","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-calcium","category-electrolytes","category-magnesium","category-malabsorption-disorders","category-muscles","category-nutrient-deficiency-symptoms","category-potassium","category-symptoms","category-muscle-system-body-system","category-thiamin","category-vitamin-e","tag-caffeine","tag-calcium","tag-electrolytes","tag-green-tea","tag-health-conditions","tag-low-potassium","tag-magnesium","tag-malabsorption","tag-muscles","tag-muscle-spasm-and-muscle-cramps","tag-nutritional-deficiencies","tag-pineapple","tag-symptom","tag-vitamin-b1-thiamin","tag-vitamin-e"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/610","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=610"}],"version-history":[{"count":29,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/610\/revisions"}],"predecessor-version":[{"id":17850,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/610\/revisions\/17850"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/9445"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}