2

votes

Mysterious reaction from a slice of bread

Answered on August 19, 2014
Created April 06, 2012 at 10:41 PM

I was just at a resta rant with a bunch of friends and they dared me to eat a slice of bread, because they reckon im overreacting and that bread doesn't do any harm.

So I did, and 1 minute later I get uncomfortable chest pains.

The look on their faces!

So, I understand it probably had to do with the Gluten, but, please elaborate if you could, of how it caused the chest pain, really curious! And so i can tell them =P

A1774fb1fcb6c7a072a5e424544ef62e

(255)

on September 07, 2013
at 01:28 AM

(Sorry if I sound obnoxious! Just practising my differential diagnosis skills. Don't take what I've said as medical advice xD)

A1774fb1fcb6c7a072a5e424544ef62e

(255)

on May 22, 2012
at 11:30 AM

If it was indeed an anaphylactic reaction, GrockingAround would probably have experienced choking sensations (laryngeal obstruction) as well as difficulty in drawing breaths (bronchospasm). Other symptoms include a very fast heart rate,hives, and a rapid deterioration overall without intervention. It could have been a mild sensitivity to the gluten or something else in the bread (which may or may not progress to a full-blown allergy in the future), but based on what GrockingAround has described, I would say that eosinophilic esophagitis and anaphylaxis are unlikely diagnoses.

Aaa8bc1a8b5a43b92b6f308d654c043a

(0)

on April 07, 2012
at 08:41 AM

For me eating grains (esp wheat) triggers an astma attack fairly quickly. It makes my chest feel "tight" and constricted but I wouldn´t call it painful.

3ebf870a193febb7c6f21c56cf8df368

on April 07, 2012
at 01:32 AM

But I wasn't expecting anything bad to happen, and it wasn't exactly a dare, it was so show them that im not a tight ass

6120c989fd5b69f42a0834b69b87955b

(24553)

on April 07, 2012
at 12:58 AM

Yeah, what Melissa said.

518bce04b12cd77741237e1f61075194

(11577)

on April 07, 2012
at 12:47 AM

It's not that you can "imagine" the nocebo effect- you can have a physical, negative reaction if you are prepared to feel something uncomfortable or bad. It can be very painful, or the opposite would be a very pleasurable placebo (which can cause physical responses, like lowered blood pressure and heart rate).

9d43f6873107e17ca4d1a5055aa7a2ad

on April 06, 2012
at 11:46 PM

http://en.wikipedia.org/wiki/Eosinophilic_esophagitis it's one of the few gluten-related conditions that would provoke such a quick reaction

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 11:28 PM

what is Eosinophilic esophagitis?

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 11:25 PM

well my stool afterwards was not exactly how it usually is. I have never had a problem with gluten in the past, i did take a blood test for celiac and i do have the gene that carries it.

9d43f6873107e17ca4d1a5055aa7a2ad

on April 06, 2012
at 11:23 PM

Eosinophilic esophagitis is a possibility. Get thee to the doctor.

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 10:57 PM

nocebo ?. Definately was not imagining this, i was in quite a bit of pain actually. I honestly didnt expect anything to happen...

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 10:54 PM

nocebo? ^-^ I dont think I was imagining it, my brother who also does Paleo had a similar experience a week ago. I was in pain

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3 Answers

6
32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on April 06, 2012
at 10:50 PM

My money is on the nocebo effect.

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 10:54 PM

nocebo? ^-^ I dont think I was imagining it, my brother who also does Paleo had a similar experience a week ago. I was in pain

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 10:57 PM

nocebo ?. Definately was not imagining this, i was in quite a bit of pain actually. I honestly didnt expect anything to happen...

3ebf870a193febb7c6f21c56cf8df368

on April 07, 2012
at 01:32 AM

But I wasn't expecting anything bad to happen, and it wasn't exactly a dare, it was so show them that im not a tight ass

518bce04b12cd77741237e1f61075194

(11577)

on April 07, 2012
at 12:47 AM

It's not that you can "imagine" the nocebo effect- you can have a physical, negative reaction if you are prepared to feel something uncomfortable or bad. It can be very painful, or the opposite would be a very pleasurable placebo (which can cause physical responses, like lowered blood pressure and heart rate).

3
6120c989fd5b69f42a0834b69b87955b

(24553)

on April 06, 2012
at 11:17 PM

Anxiety causes constriction of chest muscles, and could cause this.

But if you have a real gluten allergy, that could also be the beginning of anaphylactic shock, so maybe don't give in to dumb dares that could kill you if you suspect this.

If you have a wheat sensitivity or celiac disease invite them all over for your next bowel movement, the proof will be in the explosive pudding.

9d43f6873107e17ca4d1a5055aa7a2ad

on April 06, 2012
at 11:23 PM

Eosinophilic esophagitis is a possibility. Get thee to the doctor.

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 11:25 PM

well my stool afterwards was not exactly how it usually is. I have never had a problem with gluten in the past, i did take a blood test for celiac and i do have the gene that carries it.

3ebf870a193febb7c6f21c56cf8df368

on April 06, 2012
at 11:28 PM

what is Eosinophilic esophagitis?

6120c989fd5b69f42a0834b69b87955b

(24553)

on April 07, 2012
at 12:58 AM

Yeah, what Melissa said.

9d43f6873107e17ca4d1a5055aa7a2ad

on April 06, 2012
at 11:46 PM

http://en.wikipedia.org/wiki/Eosinophilic_esophagitis it's one of the few gluten-related conditions that would provoke such a quick reaction

Aaa8bc1a8b5a43b92b6f308d654c043a

(0)

on April 07, 2012
at 08:41 AM

For me eating grains (esp wheat) triggers an astma attack fairly quickly. It makes my chest feel "tight" and constricted but I wouldn´t call it painful.

A1774fb1fcb6c7a072a5e424544ef62e

(255)

on September 07, 2013
at 01:28 AM

(Sorry if I sound obnoxious! Just practising my differential diagnosis skills. Don't take what I've said as medical advice xD)

A1774fb1fcb6c7a072a5e424544ef62e

(255)

on May 22, 2012
at 11:30 AM

If it was indeed an anaphylactic reaction, GrockingAround would probably have experienced choking sensations (laryngeal obstruction) as well as difficulty in drawing breaths (bronchospasm). Other symptoms include a very fast heart rate,hives, and a rapid deterioration overall without intervention. It could have been a mild sensitivity to the gluten or something else in the bread (which may or may not progress to a full-blown allergy in the future), but based on what GrockingAround has described, I would say that eosinophilic esophagitis and anaphylaxis are unlikely diagnoses.

0
A1774fb1fcb6c7a072a5e424544ef62e

(255)

on May 22, 2012
at 11:15 AM

How would you describe the pain? If it was a sharp, stabbing sensation felt right behind your sternum, it could simply be a case of gastroesophageal reflux. Have you experienced anything similar before? Do you have GORD/GERD, or is there any history of GORD/GERD in your family? How long did the pain last for, and did anything make it better?

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