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Is It Celiacs?


Guest mares83

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Guest mares83

I recently was tested for celiacs (IGA-43 and IGG-110) and had a biopsy done that did not show any damage. My Endomysial IGA and Reticulin IGA were not detected. My doctor says I can either go on a gluten free trial or just not worry about it. Any advice or suggestions would be greatly appreciated because I'm not really sure what I should do.


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lovegrov Collaborator

Two positive tests is a pretty high indicator of some sort of a gluten problem -- although it might not yet be full-blown celiac. In particular, the Iga test is VERY specific. Are you convinced the biopsy was done correctly, taking a minimum of a half dozen samples (10 is even better)? Damage can be patchy and can be missed.

The biggest question is whether you have symptoms. You must, otherwise why would he test you? If you do have symptoms do you feel bad enough to go gluten-free and see if that solves your problems?

richard

Guest mares83

They did take 7 biopsy samples; the only reason I can think of that the biopsy results wouldn't be accurate is that I'm on some medicane for Crohns Disease (my doctor had mentioned before that some of the same meds are used to treate both). I was initially tested a few months ago after I had a Crohns flare up and became anemic very fast (which isn't as typical with Crohns). I don't have any pain after eating; although sometimes when I eat rich food like pasta or calzones I have some stomach pain (although I'm not sure if that would be Crohns or Celiac). My doctor is referring me to a nutritionist so I can have a gluten free trial (she's says for about two months, and then have my bloodwork rechecked. So i guess we'll see..........

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    • trents
      Unfortunately, the development of celiac disease usually is not an end in and of itself. It usually brings along friends, given time. It is at heart an immune system dysfunction which often embraces other immune system dysfunctions as time goes on.
    • Celiacpartner
      Thanks so much for the responses. I will urge him to go for further investigation. To be 48yrs old and develop a new allergy.. ugh, As if celiac disease isn’t enough! 
    • trents
      This does not seem to be an anaphylactic response but I agree it would be wise to seek allergy-food sensitivity testing. You might look into ALCAT food sensitivity testing.
    • Rogol72
      @Celiacpartner, I agree with Scott. We have a food festival yearly in the town I live in, with artisan food stalls everywhere. I spoke to the owner of one of the artisan burger stalls, enquiring if the burgers were gluten-free when I said I was Coeliac ... he said he had a serious anaphylactic allergy to fish himself. He possibly carries an epi-pen or two everywhere he goes. I would go see an allergist as soon as possible as suggested.
    • Scott Adams
      After years of stable management, developing new symptoms to historically safe foods like nuts and fish strongly suggests a secondary issue has developed. It is highly unlikely to be a new gluten issue if the foods themselves are certified gluten-free. The most probable explanations are a new, separate food intolerance (perhaps to a specific protein in certain nuts or fish) or a true IgE-mediated food allergy, which can develop at any age. The symptoms you describe—cramps and the urge to vomit—can be consistent with either. It is crucial he sees an allergist for proper testing (like a skin prick or blood test) to identify the specific culprit and rule out a serious allergy, as reactions can sometimes worsen with repeated exposure.
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