This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc. Subscribe to FREE Celiac.com email alerts What are the major symptoms of celiac disease? Celiac Disease SymptomsWhat testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease ScreeningInterpretation of Celiac Disease Blood Test ResultsCan I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful?The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-FreeIs celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic TestingIs there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and DisordersIs there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients)Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients)Gluten-Free Alcoholic BeveragesDistilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free?Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free DietFree recipes: Gluten-Free RecipesWhere can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.For Additional Information: Subscribe to: Journal of Gluten Sensitivity
Interesting that both you and I had bumbling doctors who got the gluten-free diet and the scoping out of sequence. I really wish I could sue my doctor for the stress and expense he caused me. I am not permanently damaged, except for my anger, and I think my suit would be considered frivolous. I can't afford to lose and have to pay a lawyer. Still I have told my best friend that I wish I had a Voodoo doll representing the doctor so I cold stick pins in it and cast an evil spell.
I hope your daughter's biopsy provides an explanation for all her problems.
I am a retired nurse, almost 66, and every day my nursing knowledge grows older. Pediatric medicine is often quite different from the treatment of adults. I hope you have found a really top notch pediatric department in a fantastic medical center. You didn't mention where you live or where you go for medical care. You said your daughter is DQ2 and DQ8 positive. Is she positive or negative for transglutaminase and biopsies? Have you seen a genetic counselor? I'm sure the accounts are not plentiful, but occasionally the story of a child who has had years of baffling symptoms and is finally diagnosed with a rare genetic condition appears in the news. Does your insurance fight against her tests and treatments? Has her illness affected her intellectual and physical development other than physical size and weight? Has she had extensive allergy testing recently? How old was she when she first became ill? I was a pediatric nurse (in a small community hospital, nothing like a big medical center) from 1977 to 1990 and I assisted with many blood draws on children with small or poor veins. My heart goes out to your daughter.
I haven't tried to withdraw from this list and I believe it is possible for members to email me. I will check to make certain I selected the option to receive personal email. I no longer read all the new posts on this list but I am notified each time someone posts to this specific topic.
Form August until a few weeks ago I spent hours researching celiac disease. I am a retired Registered Nurse and I utilized professional journals in my search. I traveled to the Boston area and attended an excellent seminar put on by the New England Celiac Conference. I read anything I could find by Dr. Peter Green of Columbia and Dr. Kelly of Deaconess Beth Israel. I joined two forums and read what celiac patients experienced. I eventually learned of the connection between celiac disease and liver disease and I realized that is why Dr. B ordered the test for autoimmune liver disease. My brother and I both have asthma and type II diabetes and he also has terrible arthritis. We both test positive for lupus but neither of us has developed it. I already have at least two autoimmune diseases and when I realized I tested positive for two more, but haven't developed those diseases, I took the diagnosis of celiac disease seriously. Unfortunately, I began to lose confidence in Dr. B during my second appointment with him. At my last visit with him he lied to me twice. I was told very clearly by the nurse who assisted Dr. B with my gastroscopy and biopsies that he had taken six biopsies; two from the duodenum, two from an inflamed pyloric area and two more from the junction of the esophagus and the upper stomach. The nurse told me I was being tested for Barrett's esophagus. When a doctor obtains specimens he delegates the job of labeling the specimens and ordering the correct pathology tests to that nurse. I found the nurse believable. When I called the office a week later and asked for the report of the pathologist I was told everything was negative. It didn't surprise me that the duodenal biopsies were normal because I had none of the GI symptoms associated with celiac disease. My original complaint that sent me on this medical roller coaster was, and is severe and lasting pain and fatigue in any muscles involved in any type of exercise or stress--even when the effort is only moderate. More importantly, I didn't feel any different whether on or off gluten. At the last appointment I asked Dr.B if I really have celiac disease in view of the fact that the gluten-free diet didn't help, that I a negative gliadin and the positive findings were a positive transglutaminase and genetic tests. I had already learned through my extensive research that gliadin is no longer considered a very specific test. I mentioned it only because it was one of many tests the doctor had ordered. (Jihad obtained copies of some of my bloodwork, so I knew gliadin had been one of the tests.) Dr. B snapped at me that he didn't use gliadin as a test because it wasn't very accurate. I chose no to challenge him because I didn't want to antagonize him. I then apologized for asking but told him I felt I did have to know, when everything I had read, and been told buy other celiacs stressed that many biopsies should be taken from the duodenum, did he obtain only two. He hesitated a little and then consulted his path reports. He told me very tersely that he had obtained four. I told him his nurse had said he sent six specimens from three locations and that there were two from the duodenum. I don't recall exactly what Dr. B said but he just became very irritated. I changed the subject and asked why I had tested positive for autoimmune liver disease but every liver test that was taken and then repeated came back within normal ranges. He was quiet for a moment and then said the test was a marker. I interpreted his answer to mean I had a positive test for autoimmune liver disease just as I have a positive test for lupus. Perhaps he did mean the marker indicated celiac disease. I next asked him that because of the positive tests for transglutaminase and genetic studies, no GI celiac symptoms or response to a gluten-free diet, and two negative biopsies, what was I injuring when I ate gluten. He muttered, "Nothing." Then he spit out at me that my genetic test results were reason enough to stay on the gluten-free diet. I was very upset and I knew I wanted to fire this doctor. Still, I almost always succeed in walking away from such an emotional upheaval before I make a fool of myself, and I simply asked him what he wanted me to do. He said eat gluten-free, get a lot of blood work every six months, and to return to see him in six months.
I left and spent a couple days considering my options. Fortunately, I had a gall bladder surgery follow up with Dr.N the next week and I told him how I felt. This man is an excellent listener and he let me tell him everything I though was pertinent. Then, he talked and I listened. He told me to go back to eating gluten and after a while to get more blood work. Those tests went to Prometheus and all came back negative. I am staying on a regular diet and will see Dr. N in early March.
In no way am I not taking the possibility of developing celiac disease lightly. I will ask Dr.N if he wants to follow me and periodically test for liver disease and celiac disease. I will remind him that I see my family physician every three months and give him the opportunity to delegate the testing to her if he feels I don
One good thing came of my six monthe as a celiac. I asked Sally at Nature Tyme to carry Udi's bread and she was working on it whan I went back on a regular diet. I emailed her to say I might not actually need the bread if I tested negative and she said she planned to continue negotiating with Udi's distributor even if I no longer needed any. I assume that by now, the celiacs in the Syracuse are have access to the bread.
Well, all I know is that Prometheus says I'm negative, I had duodenal biopsies taken twice, about six months apart in 2009 that are normal and I don't feel any different either on or off gluten. My false positives for lupus and autoimmune liver disease, and my brother's false positive for lupus have not yet resulted in any disease. I will be 66 in April and he is 70. Something is going to get us fairly soon. I am far more afraid of liver disease than celiac, which can be controlled by diet. If it IS celiac at least I will know how to follow the diet. My brother will never follow any restrictive diet. I don't see my nice gastro doc until March 5. Maybe he will want to retest me or get more biopsies in the future. However, he told me at my last appointment he really doubted I had celiac. Most of the people on this forum don't doubt that they have celiac disease--they know they feel better when they don't eat gluten. It's possible that someday I will rejoin this forum and continue to ask what gluten-free foods taste best. At least I have already learned that Bob's Red Mill chocolate cake mix really tastes good and that Udi's bread means I can have decent sandwiches.
I've been posting occasionally for the past two months as I ate tons of gluten and then waited for the celiac serum test to come back from Prometheus. Prior to that, I wrote mostly to moan because I could never adjust to the difference in gluten-free baked goods from wheat products. I am extremely sensitive to changes in taste and texture and I was totally miserable until I found Udi's bread. God bless everyone who wrote and said how superior Udi's products are. Very shortly after I had 6 loaves of Udi's in my freezer I was told to go back on gluten so the freezer is still full. I had had a bad experience with an arrogant, dictatorial gastroenterologist/hepatologist and because I had lost all confidence in him I had returned to the GE doc who had recently diagnosed my gall bladder problems and sent me to a surgeon.
I had seen the unpleasant GE/hep doc because of a fluke. My fibromyalgia doc had ordered a bunch of tests that might explain inflammation and muscle pain. One of his tests indicated I had autoimmune liver disease. I panicked and asked to consult with a hepatologist and that is how I found Dr. "B" whom I shall always dislike. At the first appointment he asked me a few questions and ordered more lab work. The tests he ordered said my liver was fine but I had a positive transglutaminase. I was given this news over the phone and the nurse told me I had celiac disease, that I should go on a gluten-free diet, and I needed to find a dietitian. There was no explanation for the normal liver values. When I finally had a follow up appointment with Dr. B he insisted I had celiac disease. I asked if he could be certain based only on the lab test. He said he was sure but he was going to get a biopsy anyway. I remarked that I was happy about returning to a gluten diet and he said I didn't need to go back on gluten. He said it took 6 months for the bowel to heal and he could tell even though I was off gluten. I did go back on gluten and 12 days later I had a normal looking endoscopy. Dr. B said my duodenum looked fine but microscopic examination of the biopsies could indicate damage. He took only two biopsies! When they came back negative I asked Dr. B about the positive autoimmune liver disease test and he brushed me off saying the result was only a "marker" for the disease. My genetic studies showed I had both DQ2 and DQ8. I then said I never felt better while off gluten and didn't feel any worse when I returned to a regular diet. I asked if I had a negative biopsy, and I ate gluten, and I really did have celiac disease, what part of me was being damaged by the gluten. Dr. B said nothing was being damaged! I told him I found the gluten-free diet incredibly unpleasant and he just became angry. He said my genetic studiers were sufficient reason to eat gluten free. I was dismissed with the order to remain on the diet and get blood tests specific to celiac and liver disease in 6 months.
I went back to my original GE and told him the whole sad story. I also reminded him that my brother and I both test positive for Lupus and neither of us have the disease. It appears I have three false positive tests for three autoimmune diseases. My old GE, Dr. "N" said he does not think I have celiac disease and then told me that he had biopsied my duodenum just prior to the gall bladder removal and that the tissue was totally normal. He went to school with Dr. B and was reluctant to criticize him, but when I asked Dr. N if he would have put me on a gluten-free diet PRIOR to the biopsy he said no. He told me he could tell I would never feel safe until I was retested and that he was going to order the labs through a special lab (Prometheus) after I had returned to eating gluten. He wanted to follow the blood work with a test in which I swallow a tiny camera that would photograph my entire digestive tract. However, my insurance won't cover that test to rule out celiac. I am comfortable knowing that two biopsies of my duodenum have come back negative. I did ask for a follow up appointment with Dr. N so I can talk to him personally. If he wants to see me every six months that's fine, but my family physician tests my liver every 3-6 months because I am on a statin. My liver has always tested just fine. I think I can just continue seeing my family MD and let her do the tests. However, if Dr. N does want me to come back, I will.
Now, to all you great people on this forum--Thank you for the support and information you have offered while I have been a member. I think of many of you as friends. I wish every one the best possible health and my fingers are crossed hoping that medical science discovers a medication that stops the course of celiac disease damage and allows you to eat as you please. On Sunday afternoon I will drop in at the Central NY Celiac Support Group meeting and donate any unopened gluten-free food I have, along with my Gluten-Free Grocery Shopping Guide book.
It is likely that I have been misdiagnosed with celiac disease and I am now waiting for retesting results. This doctor used Prometheus Labs and I am very impatient waiting for the results. I had the blood drawn (in NY State) a week ago and so far there are no reported results. The office staff says it takes a long time to receive reports form the lab. I read the special instructions on the back of the lab request sheet. It says the specimen should be sent to California by overnight FedEx and the turn around time is four days after the lab receives the specimen. The test ordered was the serum for celiac disease and I assume the result will be faxed rather than snail mailed. How long have any of you had to wait for results from Prometheus? I have been tormented by the original (probable) misdiagnosis since last August. I have been stressed since then, first with learning all I could about celiac disease and the gluten-free diet, coping with the diet for several months, then resuming eating gluten (that part was just fine with me) and waitig until I could be retested. I don't feel any different on or off gluten and just want to put all this uncertainty behind me. I really think I have been misdiagnosed, and so does my current doctor, and I want to get a definitive answer. Even if I do have celiac and have to return to the miserable gluten-free diet, knowing one way or another will ease some of the stress.
I couldn't decide exactly where to place this question and I hope this is OK.
I hope some members claim the extra cost of gluten-free food on their income tax and can answer my question. I know the difference between gluten-free food and regular food may be claimed as a medical deduction on my income tax return. I have read that the average cost of gluten-free food is about 2/3 higher than regular food. Is there an equation to figure the amount rather than listing each gluten-free item minus the cost of the regular item? I saved all the register tapes of the gluten-free food I bought. I know some people say it isn't worth the bookeeping to write off gluten-free food costs but believe me, I can make the deduction even without adding in the gluten-free food. I have awful medical expenses.
Udi's products and Bob's Red Mill chocolate cake mix. If I like it, it must be fabulous because I am super picky.
I continue to eat gluten (gained 5 pounds ), LOVE all the stuff I am eating and don't feel any different when on or off gluten. The terrible muscle pain and exhaustion continue after any little bit of physical labor. Lots of that white s@#^ keeps falling every day. I have a deal with a neighbor; he uses my snow blower on his drive and when he brings the machine back he does my drive. That's great, but I have to shovel and clear stairs between the house and the garage several times a day. The three Siberian huskies' kennel is an insulated room in the garage and currently, I have to go there every 6 hours to let my injured girl out to "do" and then she has to be locked inside her crate again. The poor baby has been on crate arrest since 12-14 when she somehow seriously damaged a paw. She has a bulky dressing on it that can't get wet so I have to wrap up her paw in plastic for every trip outside. I can't believe she hasn't gone crazy. She can't come in the house because Sibes like to eat cats.
I saw nothing wrong with the old format and really would like to return to it. I find the new look distracting, too bright, and it takes me much longer to "zoom in" on something I am looking for. The new format is more colorful but for me, it is not an improvement. I will say that I am unable to "intuit" and simply nuts around with new software until I have it all figured out. I'll feel better when the Dummy book comes out and explains how to use the new format.
I'm glad the people are the same