{"id":782,"date":"2014-11-20T19:41:10","date_gmt":"2014-11-21T00:41:10","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=782"},"modified":"2020-07-11T10:41:40","modified_gmt":"2020-07-11T14:41:40","slug":"enteropathic-arthritis-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/enteropathic-arthritis-2\/","title":{"rendered":"Arthritis, Enteropathic"},"content":{"rendered":"<h2><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/DSCN4748a.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7026\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/DSCN4748a-300x245.jpg\" alt=\"DSCN4748a\" width=\"300\" height=\"245\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/DSCN4748a-300x245.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/DSCN4748a.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>What Is Enteropathic Arthritis?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">E<\/span>nteropathic arthritis is a form of inflammatory arthritis characterized by peripheral joint disease that also involves the attachments sites for tendons at joints, called entheses, and is characterized by\u00a0joint stiffness, swelling and loss of motion.<\/p>\n<p style=\"text-align: justify\"><strong>Q<\/strong>: How is enteropathic arthritis classified?<\/p>\n<p style=\"text-align: justify\"><strong>A<\/strong>:\u00a0Enteropathic arthritis is a form of arthritis classified as one of the group of seronegative spondyloarthropathies, which also includes psoriatic arthritis, reactive arthritis, and idiopathic ankylosing spondylitis.<\/p>\n<p style=\"text-align: justify\">Enteropathic arthritis is associated with the chronic inflammatory bowel diseases, ulcerative colitis, and Crohn&#8217;s disease. \u00a0Joint involvement also occurs with other gastrointestinal diseases such as Whipple&#8217;s disease, celiac disease, and following intestinal bypass surgery for morbid obesity.<a href=\"#footnote_1_782\" id=\"identifier_1_782\" class=\"footnote-link footnote-identifier-link\" title=\"Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. Rheumatic Diseases Clinics of North America. Aug 2003;29(3):513-30,viii.\">1<\/a><\/p>\n<h2>What Is Enteropathic Arthritis 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 enteropathic arthritis and celiac disease.<\/strong> Enteropathic arthritis is an atypical symptom of celiac disease and an inflammatory condition associated with celiac disease.\u00a0Enteropathic\u00a0arthritis is an extraintestinal manifestation that can be very disabling.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between enteropathic arthritis and leaky gut.\u00a0<\/strong>Abnormal bowel permeability and immunologic and genetic influences are probably involved in the pathogenesis of the joint disease in celiac disease, although the exact mechanisms remain uncertain.<a href=\"#footnote_2_782\" id=\"identifier_2_782\" class=\"footnote-link footnote-identifier-link\" title=\"Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. Rheumatic Diseases Clinics of North America. Aug 2003;29(3):513-30,viii.\">2<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Relationship between enteropathic arthritis and immune complexes.\u00a0<\/strong>Celiac disease exemplifies the interplay between antigen entrance through the gastrointestinal tract and genetic host factors such as HLA B27 (gene). In most cases such an interplay results in formation of circulating immune complexes causing the development of peripheral joint disease.<a href=\"#footnote_3_782\" id=\"identifier_3_782\" class=\"footnote-link footnote-identifier-link\" title=\"Gran JT, Husby G. Joint manifestations in gastrointestinal diseases. 2. Whipples&rsquo;s disease, enteric infections, intestinal bypass operations, gluten-sensitive enteropathy, pseudomembranous colitis and collagenous colitis. Digestive Diseases. 1992;10(5):295-312.\">3<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Relationship between enteropathic arthritis and collagenous colitis.\u00a0<\/strong>Enteropathic arthritis is reported in association with collagenous colitis which is a complication of celiac disease.<a href=\"#footnote_4_782\" id=\"identifier_4_782\" class=\"footnote-link footnote-identifier-link\" title=\"Zunino A, Morera G, Mian M, Paira S. Enteropathic arthritis in association with collagenous colitis.&nbsp;Clin Rheumatol. 1998;17(3):253-5.\">4<\/a><\/li>\n<\/ul>\n<h2>How Prevalent Is Enteropathic Arthritis In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Enteropathic arthritis has increased frequency in celiac disease.<a href=\"#footnote_1_782\" id=\"identifier_5_782\" class=\"footnote-link footnote-identifier-link\" title=\"Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. Rheumatic Diseases Clinics of North America. Aug 2003;29(3):513-30,viii.\">1<\/a><\/p>\n<p style=\"text-align: justify\">In a group of 119 patients with inflammatory intestinal diseases that included 32 patients with celiac sprue researchers found peripheral arthritis\u00a0in 11 (9.2%) patients.<a href=\"#footnote_5_782\" id=\"identifier_6_782\" class=\"footnote-link footnote-identifier-link\" title=\"Zitov&aacute; V, Streda A. Changes in the locomotor system in inflammatory intestinal diseases. III. Clinical aspects of seronegative spondyloarthritis.&nbsp;Sb Lek. 1989 Mar;91(2-3):67-72.\">5<\/a><\/p>\n<h2 style=\"text-align: justify\">What Are The Symptoms Of Enteropathic Arthritis?<\/h2>\n<p style=\"text-align: justify\">Enteropathic arthritis is marked by peripheral joint pain, chronic inflammation and swelling.<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Firmly swollen finger joints prevent making a fist and impair the ability to open jars, thread needles, or write with a pen.<\/li>\n<li style=\"text-align: justify\">Sore joints in the feet interfere with standing, walking, or wearing shoes.<\/li>\n<li style=\"text-align: justify\">Sore hips make it difficult to sit, walk, bend over or climb steps.<\/li>\n<\/ul>\n<h2>How Does Enteropathic Arthritis Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Enteropathic arthritis results from uncertain autoimmune mechanism involving formation of circulating immune complexes and abnormal bowel permeability.<a href=\"#footnote_6_782\" id=\"identifier_7_782\" class=\"footnote-link footnote-identifier-link\" title=\"Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. Rheumatic Diseases Clinics of North America. Aug 2003;29(3):513-30,viii.\">6<\/a><\/li>\n<li style=\"text-align: justify\">Patients with vitamin D deficiency may have an increased risk of developing enteropathic arthritis.<a href=\"#footnote_7_782\" id=\"identifier_8_782\" class=\"footnote-link footnote-identifier-link\" title=\"Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies.&nbsp;BMC Med. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.\">7<\/a><\/li>\n<\/ul>\n<h2>Does Enteropathic Arthritis Respond To Gluten-Free Diet?<\/h2>\n<p>Yes. Celiac disease-related enteropathic arthritis responds to gluten free diet.<\/p>\n<h2>6 Steps To Improve\u00a0Enteropathic Arthritis\u00a0In 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 enteropathic arthritis 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_8_782\" id=\"identifier_9_782\" 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.\">8<\/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_9_782\" id=\"identifier_10_782\" 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.\">9<\/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_9_782\" id=\"identifier_11_782\" 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.\">9<\/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_9_782\" id=\"identifier_12_782\" 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.\">9<\/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_9_782\" id=\"identifier_13_782\" 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.\">9<\/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_9_782\" id=\"identifier_14_782\" 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.\">9<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_9_782\" id=\"identifier_15_782\" 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.\">9<\/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 vitamin D that promotes enteropathic arthritis. \u00a0Ask 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 style=\"text-align: justify\">This 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\u00a0Vitamin D.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Vitamin D.<\/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\u00a0Vitamin D.<\/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\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>BRONCHODILATORS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Inhaled corticosteroid inhalers (Flovent, Pulmicort and others) that are breathed in on a daily basis\u00a0as a long term therapy to reduce inflammation in airways deplete\u00a0Vitamin D.<\/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\u00a0Coenzyme Q10, Vitamin B6, Vitamin B1 Zinc.<\/li>\n<li>ACE Inhibitors (Capoten\u00ae, Vasotec\u00ae, Monopril\u00ae and others) deplete Zinc.<\/li>\n<li>Beta blockers (Inderol\u00ae, Lopressor\u00ae, Corgard\u00ae, Atenolol\u00ae) deplete Coenzyme Q10, Melatonin.<\/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\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>WEIGHT LOSS DRUGS THAT BIND FAT <\/strong>also interfere with absorption of some nutrients.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Zenicol (Orlistat\u00ae) depletes\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\n\t\t\t<\/div><\/div>\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 that provides 100% 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>Vitamin D3 as prescribed following blood test for status.<\/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\" 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 Enteropathic Arthritis In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>&#8220;Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies.&#8221;<\/strong>\u00a0This study investigating the reported association between vitamin D deficiency and the risk of developing immune-mediated diseases showed that \u00a0patients with vitamin D deficiency may have an increased risk of developing some immune-mediated diseases, including ankylosing spondylitis (enteropathic arthritis), although \u00a0reverse causality or confounding cannot \u00a0be ruled out.<\/p>\n<p style=\"text-align: justify\">Researchers analyzed a database of linked statistical records of hospital admissions and death registrations for the whole of England (from 1999 to 2011). Rate ratios for immune-mediated disease were determined, comparing vitamin D deficient cohorts (individuals admitted for vitamin D deficiency or markers of vitamin D deficiency) with comparison cohorts.<\/p>\n<p style=\"text-align: justify\">After hospital admission for either vitamin D deficiency, osteomalacia or rickets, there were significantly elevated rates of Addison&#8217;s disease, ankylosing spondylitis, autoimmune hemolytic anemia, chronic active hepatitis,\u00a0celiac\u00a0disease, Crohn&#8217;s disease, diabetes mellitus, pemphigoid, pernicious anemia, primary biliary cirrhosis, rheumatoid\u00a0arthritis, Sjogren&#8217;s syndrome, systemic lupus erythematosus, thyrotoxicosis, and significantly reduced risks for asthma and myxoedema.<a href=\"#footnote_10_782\" id=\"identifier_16_782\" class=\"footnote-link footnote-identifier-link\" title=\"Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies. BMC Med. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.\">10<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cMultiple Disease Associations in Autoimmune Polyglandular Syndrome Type II. \u201c<\/strong> This case report describes the course of a 25 year old female with a history of ulcerative colitis, celiac disease and type 1 diabetes who presented with mental status changes. She was diagnosed with Hashimoto&#8217;s encephalopathy and treated with high dose steroids and intravenous immunoglobulin. She recovered well from her encephalopathy but her post-hospitalization course was complicated due to the development of sero-negative arthritis and also Addison&#8217;s disease, vitiligo, and hypothyroidism.<\/p>\n<p style=\"text-align: justify\">This patient had a dramatic development of eight autoimmune diseases over the course of ten years. She developed Addison&#8217;s disease, hypothyroidism, type 1 diabetes, Hashimoto&#8217;s encephalopathy, vitiligo, celiac disease, sero-negative arthritis, and ulcerative colitis. This represents a particularly aggressive course of APS II and this combination of autoimmune diseases has not been previously reported. It highlights the potential complexity and severity of the clinical course of APS II.<a href=\"#footnote_11_782\" id=\"identifier_17_782\" class=\"footnote-link footnote-identifier-link\" title=\"Maturu A, Michels A, Draznin B. Multiple Disease Associations in Autoimmune Polyglandular Syndrome Type II. with autoimmune polyglandular syndrome type II (APS II).&nbsp;Endocr Pract. 2014 Aug 22:1-13.\">11<\/a><\/p>\n<p style=\"text-align: justify\"><strong>&#8220;Enteropathic arthritis in association with collagenous colitis.&#8221;<\/strong>\u00a0A 46-year-old man simultaneously developed chronic seronegative non destructive oligoarthritis and chronic watery diarrhoea. Biopsies from the colorectal mucosa showed a thickened subepithelial collagen layer consistent with collagenous colitis. Collagenous colitis should be added to the list of causes of\u00a0enteropathic\u00a0arthritis.<a href=\"#footnote_12_782\" id=\"identifier_18_782\" class=\"footnote-link footnote-identifier-link\" title=\"Zunino A, Morera G, Mian M, Paira S. Enteropathic arthritis in association with collagenous colitis. Clin Rheumatol. 1998;17(3):253-5.\">12<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_782\" class=\"footnote\">Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. <em>Rheumatic Diseases Clinics of North America<\/em>. Aug 2003;29(3):513-30,viii.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_782\" class=\"footnote\">Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. <em>Rheumatic Diseases Clinics of North America.<\/em> Aug 2003;29(3):513-30,viii.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_782\" class=\"footnote\">Gran JT, Husby G. Joint manifestations in gastrointestinal diseases. 2. Whipples\u2019s disease, enteric infections, intestinal bypass operations, gluten-sensitive enteropathy, pseudomembranous colitis and collagenous colitis. <em>Digestive Diseases<\/em>. 1992;10(5):295-312.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_782\" class=\"footnote\">Zunino A, Morera G, Mian M, Paira S. Enteropathic arthritis in association with collagenous colitis.\u00a0<em>Clin Rheumatol<\/em>. 1998;17(3):253-5.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_782\" class=\"footnote\">Zitov\u00e1 V, Streda A. Changes in the locomotor system in inflammatory intestinal diseases. III. Clinical aspects of seronegative spondyloarthritis.\u00a0<em>Sb Lek<\/em>. 1989 Mar;91(2-3):67-72.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_782\" class=\"footnote\">Holden W, Orchard T, Wordsworth P. Enteropathic arthritis. Rheumatic Diseases Clinics of North America. Aug 2003;29(3):513-30,viii.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_782\" class=\"footnote\">Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies.\u00a0<em>BMC Med<\/em>. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_782\" 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_9_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_782\" 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_10_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_782\" class=\"footnote\">Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies. <em>BMC Med<\/em>. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_11_782\" class=\"footnote\">Maturu A, Michels A, Draznin B. Multiple Disease Associations in Autoimmune Polyglandular Syndrome Type II. with autoimmune polyglandular syndrome type II (APS II).\u00a0<em>Endocr Pract<\/em>. 2014 Aug 22:1-13.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_12_782\" class=\"footnote\"> Zunino A, Morera G, Mian M, Paira S. Enteropathic arthritis in association with collagenous colitis. <em>Clin Rheumatol<\/em>. 1998;17(3):253-5.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_18_782\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Enteropathic Arthritis? Enteropathic arthritis is a form of inflammatory arthritis characterized by peripheral joint disease that also involves the attachments sites for tendons at joints, called entheses, and is characterized by\u00a0joint stiffness, swelling and loss of motion. Q: How is enteropathic arthritis classified? A:\u00a0Enteropathic arthritis is a form of arthritis classified as one &#8230;<\/p>\n","protected":false},"author":29,"featured_media":7026,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[4,779,218,782,51,111],"tags":[101,1059,905,776,1970,1056,1889],"class_list":["post-782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-associated-disorder","category-joints","category-atypical-symptom","category-skeletal-2","category-vitamin-d","tag-associated-disorders","tag-atypical","tag-enteropathic-arthritis","tag-health-conditions","tag-joints","tag-symptoms-2","tag-skeletal-2"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/782","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=782"}],"version-history":[{"count":20,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/782\/revisions"}],"predecessor-version":[{"id":18818,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/782\/revisions\/18818"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/7026"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=782"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=782"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}