Some allergic diseases are common with Hashimoto’s disease. Allergic rhinitis, called urticaria (hives), manifested by skin swelling and itching, and nasal congestion, and frequent sneezing and runny nose, are more common in patients with high thyroid antibodies (anti-TPO). It is not yet known why allergic diseases are more in thyroid patients.
In patients with allergic rhinitis, overwork of the thyroid gland, sometimes called Graves hyperthyroidism, may occur. The reason for this is not fully known. However, it is interesting that both diseases are seasonal.
Especially in people with the disease, which is manifested by red swelling and itching on the skin called urticaria, changes in thyroid hormones or high anti-TPO antibody levels in 5-35% of them occur together. Patients with high antibody levels have 40-54% thyroid gland failure or only TSH elevation.
Some of those with Graves hyperthyroidism also have urticaria.
Therefore, it is necessary to measure thyroid hormone tests and anti-TPO and anti-thyroglobulin antibodies in patients with urticaria and to follow them periodically.
Even if thyroid hormones are normal in patients with urticaria, it may be beneficial to use thyroid drugs containing levothyroxine. It was found that urticaria disease resolved more quickly in patients using these drugs.
Gluten allergy and Hashimoto’s disease
First I want to give some details about gluten. It contains a protein called gluten “gliadin”. Gliadin, by its nature, stimulates the immune system in many people when it enters the digestive system.
So your body thinks, “This enemy, I need to attack and neutralize it.”
Unfortunately, the structure of gluten and thyroid cells are similar. Immune cells programmed to destroy gluten accidentally attack thyroid cells.
For this reason, autoimmune thyroid diseases (hashimoto’s and graves) are common in people with gluten sensitivity.
Gluten consumption also disrupts the “strainer” -like structure between the cells responsible for nutrient absorption in your intestines.
As a result, gluten-impaired “strainer” which cannot normally pass into the blood leaks from the structure. Gluten into the blood causes more and more severe immune responses.
In addition, gluten consumption prevents nutrient absorption if there is sensitivity. Mineral deficiency – especially iodine and magnesium – increases the risk of autoimmune thyroid disease.
What should we do as Hashimoto’s patients?
Do not reduce gluten, stop eating! Even gluten foods consumed in low amounts stimulate the immune system. So you need to eat a gluten-free diet.
I also want to say with regret that in order to see the effects of a gluten-free diet, it is necessary to apply it for at least three months. Because research shows that after gluten consumption, immune system warnings continue for a long time.
Limit casein consumption. Casein is a protein found in milk. This type of protein may also produce an immune system response in some people – like the same gluten.
Again, this response is thought to cause autoimmune thyroid diseases. Therefore, it is very important to reduce casein, dairy products along with gluten.
In the rest of the article, I talked about foreign proteins that mix much more into the blood due to permeable bowel syndrome (leaky gut). These proteins are the main factor that impairs the immune response.
Therefore, it is very important to regulate intestinal permeability. At this point, reducing gluten, casein and lectin consumption, taking probiotics and L-glutamine supplements is very important.