{"id":620,"date":"2014-12-29T21:56:16","date_gmt":"2014-12-30T02:56:16","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=620"},"modified":"2020-07-11T10:50:39","modified_gmt":"2020-07-11T14:50:39","slug":"tetany-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/tetany-2\/","title":{"rendered":"Tetany"},"content":{"rendered":"<div id=\"attachment_9364\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/tetany.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9364\" class=\"size-medium wp-image-9364\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/tetany-300x225.jpg\" alt=\"Trouseau Testing For Tetany. \" width=\"300\" height=\"225\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/tetany-300x225.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/tetany.jpg 480w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-9364\" class=\"wp-caption-text\">Trouseau Testing For Tetany. <em>Courtesy Digplanet<\/em>.<\/p><\/div>\n<h2>What Is Tetany?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">T<\/span>etany is a painful feature of low blood calcium or low blood magnesium causing hyperexcitability of all\u00a0nerves which in turn stimulates involuntary\u00a0sudden, intermittent and\u00a0repetitious tonic spasms of muscles. Tonic spasms are steady rather than jerky.<\/p>\n<p style=\"text-align: justify\">Causes include low function of the\u00a0parathyroid glands which regulate calcium blood levels,\u00a0vitamin D deficiency which inhibits calcium absorption from the gut that leads to calcium deficiency, and alkalosis.<\/p>\n<p style=\"text-align: justify\">In alkalosis, the chemical pH (acid\/alkaline measure) of blood is too high, or alkaline, which inhibits adequate free calcium ions from being available for cell use.<\/p>\n<p style=\"text-align: justify\"><strong>Q:<\/strong> Why do low blood levels of calcium or magnesium cause muscles to spasm?<\/p>\n<p style=\"text-align: justify\"><strong>A:<\/strong> Calcium controls the readiness of muscle to respond to nerve stimulation. In muscle action, calcium and magnesium are minerals that oppose each other. Calcium allows a muscle to contract while magnesium allows it to relax. Inadequate levels of these opposing minerals affect the ability of muscles to properly function.<\/p>\n<p style=\"text-align: justify\">A simple test for tetany is called Trouseau&#8217;s named after the doctor who developed it. A blood pressure cuff is placed on an upper arm as usual and pumped up to a pressure sufficient to stop blood flow. \u00a0The pressure must be held for 3 minutes. A positive result is shown in the above photo of carpopedal spasm: the wrist and hand flexes inward while the fingers extend (opposite of wrist and hand) and the thumb goes against the palm.<\/p>\n<h2>What Is Tetany 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 tetany and celiac disease<\/strong>. Tetany is a feature of multiple deficiencies involving contraction and relaxation of muscles.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between tetany and features.\u00a0<\/strong>A study investigating the presentations of patients diagnosed with celiac disease from an endocrine department and the prevalence of endocrine disorders 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, low calcium in 22%, and elevated alkaline phosphatase in 67% of patients. A total of 14% of patients had no gastrointestinal symptoms.<a href=\"#footnote_1_620\" id=\"identifier_1_620\" 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.\">1<\/a> Elevated alkaline phosphatase indicate the body is drawing calcium from bone to normalize low blood calcium levels which cause tetany.<\/li>\n<\/ul>\n<h2>How Prevalent Is Tetany In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Tetany is a rare form of presentation in celiac disease.<a href=\"#footnote_2_620\" id=\"identifier_2_620\" class=\"footnote-link footnote-identifier-link\" title=\"Cano Ruiz A, Barbado Hernandez FJ, Martin Scapa MA, Gomez-Cerezo J, Vazquez Rodriguez JJ. Adult celiac disease presenting as tetany. Anales de Medicina Interna: Organo Oficial de la Sociedad Espanola de Medicina Interna. Dec 1996;13(12):592-4.\">2<\/a><\/p>\n<h2>What Are The Symptoms of Tetany In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p>Tetany is marked by these symptoms:<\/p>\n<ul class=\"cp_bullet red\">\n<li>Nervousness.<\/li>\n<li>Irritability.<\/li>\n<li>Apprehension.<\/li>\n<li>Numbness and tingling of the extremities.<\/li>\n<li>Painful muscle spasms, especially hands and feet.<\/li>\n<\/ul>\n<p>Other signs of \u00a0low blood calcium may likely occur such as convulsions, laryngospasm with difficulty breathing.<\/p>\n<h2>How Does Tetany Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Tetany results from malabsorption of magnesium and calcium due to lack of vitamin D in gluten sensitive enteropathy, and steatorrhea, if present. In steatorrhea, fat binds calcium within the small intestine, thus preventing it from being absorbed.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Does Tetany Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Yes. Tetany resolves on gluten free diet.<a href=\"#footnote_2_620\" id=\"identifier_3_620\" class=\"footnote-link footnote-identifier-link\" title=\"Cano Ruiz A, Barbado Hernandez FJ, Martin Scapa MA, Gomez-Cerezo J, Vazquez Rodriguez JJ. Adult celiac disease presenting as tetany. Anales de Medicina Interna: Organo Oficial de la Sociedad Espanola de Medicina Interna. Dec 1996;13(12):592-4.\">2<\/a>,<a href=\"#footnote_3_620\" id=\"identifier_4_620\" class=\"footnote-link footnote-identifier-link\" title=\"Rubinstein A, Liron M, Bodner G, Gefel A. Bilateral femoral neck fractures as a result of celiac disease. Postgraduate Medical Journal. Jan 1982;58(675):61-2.\">3<\/a>,<a href=\"#footnote_4_620\" id=\"identifier_5_620\" class=\"footnote-link footnote-identifier-link\" title=\"Moltu SJ, Bentsen BS. Tetany &ndash; a first symptom of celiac disease. Tidsskrift for den Norske Laegeforening. Mar 30, 2000;120(9):1034-6.\">4<\/a><\/p>\n<h2>6 Steps To Improve Tetany 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 tetany 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_5_620\" id=\"identifier_6_620\" 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.\">5<\/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_6_620\" id=\"identifier_7_620\" 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.\">6<\/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_6_620\" id=\"identifier_8_620\" 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.\">6<\/a><\/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_6_620\" id=\"identifier_9_620\" 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.\">6<\/a>.<\/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_6_620\" id=\"identifier_10_620\" 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.\">6<\/a><\/li>\n<li><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_620\" id=\"identifier_11_620\" 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.\">6<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_620\" id=\"identifier_12_620\" 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.\">6<\/a>\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.<\/li>\n<li><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes green leafy vegetables such as lettuce and kale, also onion, broccoli, garlic, and others.<\/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 microbes needed for colon health and health of the body such as these fermented foods: 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.\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 one or more of these nutrients that can cause tetany: calcium, magnesium and vitamin D. 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, Vitamin D, Magnesium.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Calcium, Vitamin D, 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<\/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, Vitamin D, 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 D.<\/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>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin D.<\/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.<\/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 \u00a0Magnesium.<\/li>\n<\/ul>\n<p><strong>WEIGHT LOSS DRUGS THAT BIND FAT\u00a0<\/strong>also interfere with absorption of some nutrients.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Zenicol (Orlistat\u00ae) depletes Vitamin D.<\/li>\n<\/ul>\n<p><span style=\"text-align: justify\">\n\t\t\t<\/div><\/div><\/span><\/p>\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.<\/li>\n<li>Calcium citrate is the best absorbed of calcium supplements. Calcium carbonate is a poor choice.<\/li>\n<li>Vitamin D3 as prescribed following blood test for status.<\/li>\n<li>Chelated magnesium\u00a0\u00a0as prescribed but do not take at same time as calcium because they compete for absorption.<\/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>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\">\n<li style=\"text-align: justify\">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 style=\"text-align: justify\">Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li style=\"text-align: justify\">Parsley also relieves indigestion.<\/li>\n<li style=\"text-align: justify\">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 style=\"text-align: justify\">Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\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<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>Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\">\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><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>Medical Research Findings On Tetany\u00a0In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<h4><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 endocrine disorders 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 and low calcium in 22%.<\/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\">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_1_620\" id=\"identifier_13_620\" 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.\">1<\/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_7_620\" id=\"identifier_14_620\" 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.\">7<\/a><\/p>\n<h4><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cTetany \u2013 a first symptom of celiac disease.\u201d<\/strong> This case report describes hypocalcemic tetany (low blood level of calcium) with hypovitaminosis D (vitamin D deficiency) in an 8 month old baby subsequently diagnosed with celiac disease.<a href=\"#footnote_4_620\" id=\"identifier_15_620\" class=\"footnote-link footnote-identifier-link\" title=\"Moltu SJ, Bentsen BS. Tetany &ndash; a first symptom of celiac disease. Tidsskrift for den Norske Laegeforening. Mar 30, 2000;120(9):1034-6.\">4<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cAdult celiac disease presenting as tetany.\u201d<\/strong> This case report describes origin of tetany as severe hypocalcemia and hyopmagnesemia treated with intravenous calcium and gluten free diet with supplements. In the presence of isolated tetany, celiac disease must be disclosed.<a href=\"#footnote_8_620\" id=\"identifier_16_620\" class=\"footnote-link footnote-identifier-link\" title=\"Cano Ruiz A, Barbado Hernandez FJ, Martin Scapa MA, Gomez-Cerezo J, Vazquez Rodriguez JJ. Adult celiac disease presenting as tetany. Anales de Medicina Interna: Organo Oficial de la Sociedad Espanola de Medicina Interna. Dec 1996;13(12):592-4.\">8<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cBilateral femoral neck fractures as a result of celiac disease.&#8221;<\/strong>\u00a0This case report describes severe tetany secondary to hypocalcemia causing bilateral fractures of the femoral necks (fractures of both femors, or thigh bones at the hip end). Severe muscle pains, an organic mental syndrome, and personality changes are rare complications of celiac disease and are reversible on gluten free diet.<a href=\"#footnote_3_620\" id=\"identifier_17_620\" class=\"footnote-link footnote-identifier-link\" title=\"Rubinstein A, Liron M, Bodner G, Gefel A. Bilateral femoral neck fractures as a result of celiac disease. Postgraduate Medical Journal. Jan 1982;58(675):61-2.\">3<\/a><\/p>\n<p style=\"text-align: justify\">\n<ol class=\"footnotes\"><li id=\"footnote_1_620\" 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_1_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_620\" class=\"footnote\">Cano Ruiz A, Barbado Hernandez FJ, Martin Scapa MA, Gomez-Cerezo J, Vazquez Rodriguez JJ. Adult celiac disease presenting as tetany. <em>Anales de Medicina Interna: Organo Oficial de la Sociedad Espanola de Medicina Interna.<\/em> Dec 1996;13(12):592-4.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_620\" class=\"footnote\">Rubinstein A, Liron M, Bodner G, Gefel A. Bilateral femoral neck fractures as a result of celiac disease. <em>Postgraduate Medical Journal<\/em>. Jan 1982;58(675):61-2.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_620\" class=\"footnote\">Moltu SJ, Bentsen BS. Tetany \u2013 a first symptom of celiac disease. <em>Tidsskrift for den Norske Laegeforening<\/em>. Mar 30, 2000;120(9):1034-6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_620\" 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_6_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_620\" 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_7_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_620\" 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_14_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_620\" class=\"footnote\">Cano Ruiz A, Barbado Hernandez FJ, Martin Scapa MA, Gomez-Cerezo J, Vazquez Rodriguez JJ. Adult celiac disease presenting as tetany. <em>Anales de Medicina Interna: Organo Oficial de la Sociedad Espanola de Medicina Interna<\/em>. Dec 1996;13(12):592-4.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_620\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Tetany? Tetany is a painful feature of low blood calcium or low blood magnesium causing hyperexcitability of all\u00a0nerves which in turn stimulates involuntary\u00a0sudden, intermittent and\u00a0repetitious tonic spasms of muscles. Tonic spasms are steady rather than jerky. Causes include low function of the\u00a0parathyroid glands which regulate calcium blood levels,\u00a0vitamin D deficiency which inhibits calcium &#8230;<\/p>\n","protected":false},"author":29,"featured_media":9364,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,102,117,1682,191,170,974,49,111],"tags":[1547,281,776,384,303,1956,1096,465,1160,676,100,1887,379,323],"class_list":["post-620","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-calcium","category-magnesium","category-malabsorption-disorders","category-muscles","category-parathyroid","category-symptoms","category-nervous-2","category-vitamin-d","tag-apprehension","tag-calcium-deficiency","tag-health-conditions","tag-irritability","tag-magnesium-deficiency","tag-muscles","tag-muscle-pain","tag-muscle-spasm","tag-nervousness","tag-numbness","tag-symptom","tag-nervous-2","tag-tetany","tag-vitamin-d-deficiency"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/620","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=620"}],"version-history":[{"count":25,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/620\/revisions"}],"predecessor-version":[{"id":15389,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/620\/revisions\/15389"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/9364"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}