Masked bolus gluten challenge low in FODMAPs implicates nausea and vomiting as key symptoms associated with immune activation in treated coeliac disease.
A James M DavesonJason A Tye-DinGautam GoelKaela E GoldsteinHolly L HandKristin M NeffLeslie J WilliamsKenneth E TruittRobert P Andersonnull nullPublished in: Alimentary pharmacology & therapeutics (2019)
Nausea and vomiting are relatively specific indicators of acute gluten ingestion, and correlate with immune activation. IBS-like symptoms without nausea are unlikely to indicate recent gluten exposure.