Celiac Disease Constipation


If you suspect you may be suffering from celiac disease constipation, I encourage you to consult a physician as soon as possible. While I will address the symptoms and treatments for celiac disease constipation on my site, you should always seek personal care from a medical professional.

Celiac Disease and Constipation

One of the most common symptoms of gluten intolerance and celiac disease is constipation (along with celiac disease bloating or gluten intolerance bloating). Before we address constipation directly, you need to understand why celiac disease causes you to become constipated. Gluten intolerance symptoms are among the most serious constipation causes.

You also should understand why exactly it isn’t good for you to be constipated (besides that it can be unpleasant). Celiac disease constipation is a serious issue which you should take the time to understand.

How Celiac Disease Causes Constipation

While we don’t have a real clear and undisputed understanding of the causes of celiac disease, we do now better understand the changes your body experiences as a result of being or becoming a coeliac patient.

In celiac disease (sometimes spelled coeliac disease), gluten catalyzes your immune system to produce certain high levels of unusual antibodies. These antibodies then attack the lining of your small intestine. This lining absorbs nutrients and vitamins from food as it is digested and passes through your bowel.

Celiac Disease Constipation

Celiac Disease Constipation

The lining of your small intestine contains villi, which are like little fingers reaching out from the walls of your bowel. They’re so tiny they can only be seen under a microscope. They densely populate the lining of your small bowel so that they create a large surface area over which digesting food moves. As food moves across this surface area the villi help grab and absorb vitamins and minerals into your blood stream.

When the antibodies created by gluten attack these villi, the villi slowly wear down over time, often eventually being completely destroyed.

As the villi are reduced or destroyed, the food slides through your gut less digested and with far fewer of the nutrients absorbed along the way.

The further the food proceeds, the more the small intestine expects the food to be digested and the nutrients absorbed. When the parts of your bowel, expecting the food to be digested to a certain degree, tries to process this food, this later area of your small intestines instead either pass the food completely without further digesting or it absorbs what little it can — often only the moisture and water.

This leads to dark, firm stools and eventually to celiac disease constipation.

Why Constipation Is Not Just Uncomfortable But Unhealthy

Constipation isn’t just gut pain, fewer bowel movements or the many other related symptoms such as bloating and constipation. Experiencing constipation symptoms indicates a dysfunction in your body’s ability to digest nutrients and eliminate toxins.

Not unlike bad traffic, celiac disease constipation represents slow transit time and thus leads to back-ups. When your colon becomes backed up, then eventually your small intestine will become backed-up. This then leads to delayed gastric emptying in your stomach. (Now you may understand why some people experience reflux and heartburn when they are constipated.) This also begins a domino effect of gluten allergy symptoms.

This gastric delay reduces absorption of nutrients at all points in the digestive system. This keeps toxins your body normally eliminates in your system for a longer period, taxing your immune system even further as some of these toxins may be reabsorbed.

How Do You Treat Celiac Disease Constipation?

The most important step is to completely eliminate gluten from your diet. This means no more wheat, rye or barley or foods that might contain ingredients derived from wheat, rye or barley (or spelt, for that matter). You should also avoid oats. While oats aren’t inherently bad for celiac disease, they are commonly farmed and processed along side gluten-containing grains. Please see my gluten free pantry to help you get started.

However, this is a long-term solution, and even after remaining strictly gluten-free for a long time, you still may suffer some permanent celiac disease symptoms from going undiagnosed for many years. So how do we more rapidly address constipation?

My favorite approach to celiac disease constipation, and a general natural remedy for constipation which has helped many people, involves combining the following series of constipation treatments (Amazon links provided for your convenience):

  1. Every morning before you eat anything else, drink a tall glass of warm water with a natural fiber supplement, such as one which uses psyllium. You can take it either as a powder mixed in with the water or a psyllium capsule, whichever you prefer.
  2. With this fiber or right after consuming it, I strongly suggest a supplement (or more than one supplement if you can’t find a single one with these in it) containing slippery elm bark, flax seed and L-Glutamine (often listed as just glutamine).
  3. At any point in the day, take a probiotic supplement which comes in an enteric covered capsule or pearl. A quality probiotic contains multiple strains of friendly bacteria (such as lactobacillus acidophilus, which is used in most yogurts). The enteric coating protects the friendly bacteria from your stomach so that it is not killed too early in your digestive tract. This helps it reach and flourish within your small intestine. I really like Nature’s Way Reuteri pearls.
  4. Take a flax oil supplement in the later part of the day. This is different than taking a ground seed or a supplement with flax in it. You need the lubricating quality of a flax oil supplement.
  5. Be sure to drink plenty of water throughout the day — soda-pop, coffee and alcoholic beverages do NOT count. You REALLY need to increase your water intake if you’re constipated.
  6. You knew this one was coming: you really need to get regular exercise every single day. This can mean different things to different people so I won’t go into detail here, but at least try to get in a brisk walk every single day.

If you do these every day for a week to two weeks while integrating better foods for constipation, you should start to experience a significant improvement in your regularity and comfort. Constipation from celiac disease can be tough, so I urge you to remain discipline and motivated.

If you feel comfortable using herbs for constipation read my article on Herbal Remedies For Constipation.

Stay Positive and Stay Vigilant

While this list may appear intimidating at first, with some focus and a positive attitude you can make these points part of your daily routine. And before you know it — as long you’re being smart and disciplined with your gluten-free diet — you’ll find yourself eliminating celiac disease constipation and enjoying both the greater comfort of regularity and the benefits of greater nutritional absorption.

Thank you for reading and I really hope this helps. Please visit Gluten Intolerance School regularly as I add and refine my website during the coming months.