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    • Frequently Asked Questions About Celiac Disease   09/30/2015

      This 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 email alerts What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can 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-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is 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 Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Store. For Additional Information: Subscribe to: Journal of Gluten Sensitivity


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About Cboogy

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  1. My understanding of an IEL (intraepithelial lymphocyte) is that it is just a type of white blood cell that indicates inflammation of whatever tissue it is found in. I went from an old diagnosis of Celiac to a new diagnosis of lactose intolerance, carnitine deficiency and likely H. Pylori. I am having my blood celiac panel rechecked now that I've been on a gluten challenge for basically 9 months. It could come back positive for celiac disease, but if it's negative we will all be convinced that I never had celiac in the first place.    There are many reasons for doubting the original diagnosis. Going gluten free made literally no difference in my symptoms. So eventually I saw a nutritionist and other docs for a 2nd and 3rd opinion and they've informed me that there is literally nothing in my medical record leading to a Celiac diagnosis. They said the original tests I have on record are meaningless and they do not even order those anymore. I never even had an endoscopy with the original diagnosis, and when I finally did have it done there was no villous atrophy. The original doctor ran the wrong blood tests (tests that are not highly specific to celiac disease), and also ran tests that are considered alternative and quacky, which makes us highly suspicious of the accuracy of his diagnosis. My new doctor said it's "embarassing" how little some of my previous doctors understood what they were doing. The doctor that did my upper endoscopy never even took a gastric biopsy, which should be standard procedure! Now I'm having to go through 3 more tests because of that. Smh...
  2. My new doctor says I do NOT have Celiac disease based on my history. According to his research only 12-20% of patients with elevated IELs actually have celiac, so you cannot diagnose Celiac based on this result alone. At least not without ruling out all other possible causes for the IELs (there are several). In fact, he performed some simple tests (breath and blood analysis) that previous doctors neglected or refused to offer me, which revealed lactose intolerance, H. Pylori antibodies and carnitine deficiency. Feeling much better now that I'm being treated for the correct diagnosis! And also less frustrated! 
  3. I will reply even though this is from 2008... I just got diagnosed with Celiac Disease because my IELs were "greater than 30." I do not improve on a gluten free diet. My bloodwork is all negative. All my blood vitamin and mineral levels are normal. I have the DQ2 gene so given that it's possible for me to have Celiac they went ahead with the diagnosis of celiac disease.   So based on my diagnosis, if you have more than 30 IELs/100 AND you feel better on gluten-free diet, you probably have celiac disease.
  4. The reason I'm following this topic is because a few weeks ago I was diagnosed with Celiac based solely on elevated IELs, so I am really scrambling to understand because everything I've been reading does not match my test results or experiences. Talk about frustrating. I had negative blood work and I'm not IgA deficient, so I tried eating a high-gluten diet for two months for a retest and my antibody levels actually went DOWN, and my symptoms seemed to be getting better. I'm waiting for the Dr. to call me back about that one. Before the endoscopy I'm told villous atrophy is what they're looking for. Then they say "Weeeeeeeell, lymphocytes are sort of a positive result too." Then I'm told the bloodwork will "definitely show something" and then when the results come back negative they're like "Weeeeeeeell, that's still possible." I just wish they'd give me some more concrete evidence if I'm required to make a lifelong decision to be strictly 100% gluten free. 
  5. I am not referring to villous atrophy, as that is the Gold standard for Celiac diagnosis.  Maybe all of these sites are out of date, but I thought it could still be a possibility to rule out. My apologies.
  6. Yes, it can cause increased IELs, which is also a warning sign of Celiac Disease. Here are a few research articles explaining:
  7. Thanks for your reply. It's good to know I'm not the only one diagnosed in this way, because I've scoured the internet and barely found any mention of Marsh 1 being diagnostic in and of itself. I'm also just outside of the standard range for hypothyroidism but not quite enough to get taken seriously. I'm in the "sub-clinical" range.    I recently developed a sensitivity to onion/garlic, which is what led me to find the low FODMAP diet. I bought the IBS book Free at Last and plan on starting an elimination diet this week regardless of whether I have full blown Celiac. The combination of multiple food sensitivities, mild symptoms and probable delayed reactions is making it hard to figure out, indeed! 
  8. Blood test results BEFORE challenge: TTG IGA <4 U/mL no antibody detected (my value = 1) IGA standard range 91-463 (my value = 150)   Blood test results AFTER 8-week challenge: TTG IGA <4  U/mL no antibody detected (my value = 1) IGA reference range 81-463 mg/dL (my value = 145)  gliadin deamidated IGA <20 units = none detected (my value = 3) gliadin deamidated IGG <20 units = none detected (my value = 3 TTG IGG <6 U/mL no antibody detected (my value = 1) endomysial antibody scr IGA w/ ref to titer (negative) squamous epithelial cells - none seen   I wanted to do a longer gluten challenge but the doctor looked very disapprovingly, as she said 4 weeks would be 95% accurate and at 8 weeks the bloodwork would "definitely show something." This is where Dr. Fasano used to do his research. Key phrase being "used to."
  9. Marsh 1

    Hm, but what if all you have is elevated lymphocytes in the colon and small intestine? No anemia, no deficiencies, no villous atrophy, normal architechtural as they say, negative bloodwork on every possible antibody test, and no response after years of being gluten free ... then what? That's where I'm stuck right now. 
  10. I am not convince I have active Celiac Disease. I'll summarize as briefly as possible. Past 5 years I've been gluten-free because I thought I had Celiac (long story). Decided to start over and get thoroughly tested by a new doctor. Here are the deets:   Symptoms: cramping, burning in stomach, gas, distention, random abdominal pains (no diarrhea, no dematitis)  Never had a nutritional deficiency or anemia, whether eating gluten or not No improvement of symptoms on gluten-free diet No relatives diagnosed with Celiac Celiac bloodwork while Gluten-free: all negative, despite ongoing symptoms   5-week gluten challenge: biopsies show Marsh 1 elevated epithelial lymphocytes in small intestine and colon No villous atrophy or structural change. Repeated celiac bloodwork after 2-month gluten challenge: all very negative again, no change whatsoever Diagnosis ==> Celiac Disease    Is there anything else that could have caused the lymphocytes in my colon and small intestines?    The only things that seem to give me relief are a combination of ginger root, probiotics, vigorous cardio exercise, tons of sleep, and avoiding acidic foods, caffeine and FODMAPs. (That's kind of a lot to keep track of.) Most gluten free baked goods actually make me feel really sick!! I feel much better just eating a regular Dunkin Donut, honestly! Gluten-free is not helping me and it's making my life so complicated.   I'm afraid of developing an eating disorder because I have come to view all food as being poisonous because I don't understand what will or won't me sick. Thanks for any help.