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Does This Sound Like Celiac?


jt72978

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jt72978 Newbie

I was wondering if anyone could tell me if this sounds like Celiac? I got pregnant in January 2003. At 8 weeks, I began having severe morning sickness. I was put on all sorts of anti nausea medication which did not help. I actually lost 40 lbs while I was pregnant. All of the docs thought it was in my head...that nothing was wrong with me. I began experiencing sever joint pain in my hips, legs and back. Still docs thought it was all in my head. Delivered my daughter a month early. Since then, I have been feeling "sick", for a lack of a better term. My joints ache severely and i am more exhausted now, than I have ever been - I am only 26 years old. I have constant diarhea every time I eat something. I have gained all of those 40 lbs back and continue to gain...even though all of my recent bloodwork has shown that clearly I am not absorbing nutrients in a normal fashion. My iron has been extremely low since my pregnancy - trying to bring it up seems pointless, as it won't budge with OTC iron supplements. My doc sent me to a rheumatologist who had bloodwork done and came back with results showing a high Rheumatoid Arthritis factor. It's been since May that I have gone to him with no diagnosis. 3 of my family members have been recently diagnosed with Celiac and so I asked my doc to send me for bloodwork - did that yesterday; waiting for the results. What should I be looking for with my results?? In addition, my daughter, now one year old, has had a lot of problems with her gastro intestinal system. She suffers from, protein intollerance (according to her pediatrician), and is on a special hypoallergenic formula. They tried to take her off of formula last week and she was miserable and had such bad diarhea, it gave her a blistery diaper rash....doc said put her back on formula indefinitely....now I am wondering if she possibly has Celiac. I made an appt for her to go see a pediatric gastro specialist in hopes of getting more answers, as her pediatrician seems to be very stingy with information as to why this is happening, and what to expect in the future. I am getting frustrated trying to get a diagnosis - it feels like it is taking forever...the docs say everything is trial and error....

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Killarney Apprentice

I think the blood test results should be able to tell you a lot. I had my blood tests done two weeks ago. My doctor called with the results one week later. He said I had a positive to the test for gliadin antibodies. So, now I go to see a gastroentologist for a biopsy as the next step.

Since it's in your family, it seems like that might be what you have as it can be genetic.

Hopefully you'll only have to wait a few days for results and then you'll know.

What concerns me, though, is that your doctor never thought to do a blood test for celiac on his own. You had to tell him to do it. I'd get a new doctor. I had never heard of Celiac until a week ago. I went to my doctor two weeks ago to tell him that I've had digestive problems (diahrea, cramping, etc) off and on for a year and he immediately ordered the blood tests.

Also, my problems started a few months after I had my baby. I've read online that pregnancy can trigger this.

Interesting enough, I had hyperemesis gravidarum during pregnancy as you did (severe morning sickness). My anti-nausea medication helped a little bit, but I still threw up about 20 times a day for five months, then once a day until the end when I gave birth two weeks early. I wonder if the two are connected??

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jt72978 Newbie

So far these are the results I have received - the other celiac stuff is still pending:

Low Iron - anemia

Low Vit B12

Normal values for Gliadin Ab IGA and IGG

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GFHeather Newbie

My G.I. tested my blood for Gliadin AB IGG and Gliadin AB IGA, but he also tested for ENDOMYSIAL AB and RETICULIN IGA.

He said different labs test for different things but that it's important to use a lab that tests for all these things.

Also, this may be very obvious, but I made this mistake a year ago: Last year my brother was diagnosed with Celiac, so I decided to just go on a gluten-free diet to be on the safe side a couple months before I got my own Celiac blood test done. I thought there would be no harm in this and I didn't mention it to my family doctor at the time. Well, I ended up with a negative test and was told I didn't have Celiac. Overjoyed, I ate wheat the following year. When I saw a G.I specialist this July for some other issues, he suggested we do the Celiac Blood test. And sure enough -- I tested positive.

I took these things from my experience ...

-Entrust your tests to a G.I. who understands Celiac, not your regular old family physician.

-Don't self-diagnose.

-You must be eating gluten for the Celiac tests to be accurate.

Hope any of this is helpful and good luck!

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faith Newbie

I also was very sick with my last pregnacy, which was 4 years ago, it also started about 6-8 weeks into the pregnacy, I got terrible migraine headaches, diareha, vomitted all the time, I had to be fed threw a nasogastric tube, and had to be in the hospital until my 7 month, then I felt a little better, oh yea I also started having siezures which I never had before, and had sores on me, and got gestational diabetes really bad. I was a postergirl for celiac disease, but never got dx with it, I was pregnant with twins, they kept blaming it on my increase in hormaones. After I gave birth I started felling better for a while, then in 2003 started really getting sick lost 72 pounds in 3 months. Sores all over I was a mess, finally went to the E.R. and they called in a gastro specialist which in a matter of minutes looked at me and said I know what it is, Celiac. He did a endoscopy and biopsied the sm. intestine. And sure enough it came back positive. He said he knew just by looking in the scope at the appearence of the intestine it was celiac.

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jendenise Rookie

jt72978, first of all I'm sorry to hear that you're dealing with this. Iron and B12 are both difficult for those with celiac disease to absorb. Also, pregnancy is one of the things that can trigger the celiac disease (as well as stress or surgery). Because it runs in your family it's good that you got tested, because it could be celiac disease. If you're still taking OTC Iron Supplements and end up testing positive for celiac disease stop taking them until you contact the manufacturer and make sure they're gluten free. Before I was diagnosed I was getting IV's of iron 3 times a week because the OTC one's weren't helping (they weren't working because they weren't gluten-free). I was also on Pepcid chewables (not gluten-free) because my md thought I had acid reflux (I don't). So once you get the results re-evaluate EVERYTHING you're taking, eating, using (shampoo's, conditioners, body wash). Good Luck though, and please post w/ results once you have them!

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jt72978 Newbie

My dr contacted me with my final results today - all indicate that I do not have celiac; but rather another disease that is causing me to be anemic and severely deficient of vitamin b12. Starting tomorrow, I will receive B12 injections daily until my levels come up close to 1000 (they are at 200 now) and then injections once every three months. Further testing will be doen to determine the underlying problem - thanks to everyone responding to my posts.

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    • trents
      I'll answer your second question first. The single best antibody test for monitoring celiac blood antibody levels is the tTG-IGA and it is very cost effective. For this reason, it is the most popular and often the only test ordered by physicians when checking for celiac disease. There are some people who actually do have celiac disease who will score negatives on this test anyway because of anomalies in their immune system but your wife is not one of them. So for her, the tTG-IGA should be sufficient. It is highly sensitive and highly specific for celiac disease. If your wife gets serious about eating gluten free and stays on a gluten free diet for the duration, she should experience healing in her villous lining, normalization in her antibody numbers and avoid reaching a celiac health crisis tipping point. I am attaching an article that will provide guidance for getting serious about gluten free living. It really is an advantage if all wheat products are taken out of the house and other household members adopt gluten free eating in order to avoid cross contamination and mistakes.  
    • Anmol
      Thanks this is helpful. Couple of follow -ups- that critical point till it stays silent is age dependent or dependent on continuing to eat gluten. In other words if she is on gluten-free diet can she stay on silent celiac disease forever?    what are the most cost effective yet efficient test to track the inflammation/antibodies and see if gluten-free is working . 
    • trents
      Welcome to the community forum, @Anmol! There are a number of blood antibody tests that can be administered when diagnosing celiac disease and it is normal that not all of them will be positive. Three out of four that were run for you were positive. It looks pretty conclusive that you have celiac disease. Many physicians will only run the tTG-IGA test so I applaud your doctor for being so thorough. Note, the Immunoglobulin A is not a test for celiac disease per se but a measure of total IGA antibody levels in your blood. If this number is low it can cause false negatives in the individual IGA-based celiac antibody tests. There are many celiacs who are asymptomatic when consuming gluten, at least until damage to the villous lining of the small bowel progresses to a certain critical point. I was one of them. We call them "silent" celiacs".  Unfortunately, being asymptomatic does not equate to no damage being done to the villous lining of the small bowel. No, the fact that your wife is asymptomatic should not be viewed as a license to not practice strict gluten free eating. She is damaging her health by doing so and the continuing high antibody test scores are proof of that. The antibodies are produced by inflammation in the small bowel lining and over time this inflammation destroys the villous lining. Continuing to disregard this will catch up to her. While it may be true that a little gluten does less harm to the villous lining than a lot, why would you even want to tolerate any harm at all to it? Being a "silent" celiac is both a blessing and a curse. It's a blessing in the sense of being able to endure some cross contamination in social settings without embarrassing repercussions. It's a curse in that it slows down the learning curve of avoiding foods where gluten is not an obvious ingredient, yet still may be doing damage to the villous lining of the small bowel. GliadinX is helpful to many celiacs in avoiding illness from cross contamination when eating out but it is not effective when consuming larger amounts of gluten. It was never intended for that purpose. Eating out is the number one sabotager of gluten free eating. You have no control of how food is prepared and handled in restaurant kitchens.  
    • knitty kitty
      Forgot one... https://www.hormonesmatter.com/eosinophilic-esophagitis-sugar-thiamine-sensitive/
    • trents
      Welcome to the forum community, @ekelsay! Yes, your tTG-IGA score is strongly positive for celiac disease. There are other antibody tests that can be run when diagnosing celiac disease but the tTG-IGA is the most popular with physicians because it combines good sensitivity with good specificity, and it is a relatively inexpensive test to perform. The onset of celiac disease can happen at any stage of life and the size of the score is not necessarily an indicator of the progress of the disease. It is likely that you you experienced onset well before you became aware of symptoms. It often takes 10 years or more to get a diagnosis of celiac disease after the first appearance of symptoms. In my case, the first indicator was mildly elevated liver enzymes that resulted in a rejection of my blood donation by the Red Cross at age 37. There was no GI discomfort at that point, at least none that I noticed. Over time, other lab values began to get out of norm, including decreased iron levels. My PCP was at a complete loss to explain any of this. I finally scheduled an appointment with a GI doc because the liver enzymes concerned me and he tested me right away for celiac disease. I was positive and within three months of gluten free eating my liver enzymes were back to normal. That took 13 years since the rejection of my blood donation by the Red Cross. And my story is typical. Toward the end of that period I had developed some occasional diarrhea and oily stool but no major GI distress. Many celiacs do not have classic GI symptoms and are "silent" celiacs. There are around 200 symptoms that have been associated with celiac disease and many or most of them do not involve conscious GI distress. Via an autoimmune process, gluten ingestion triggers inflammation in the villous lining of the small bowel which damages it over time and inhibits the ability of this organ to absorb the vitamins and minerals in the food we ingest. So, that explains why those with celiac disease often suffer iron deficiency anemia, osteoporosis and a host of other vitamin and mineral deficiency related medical issues. The villous lining of the small bowel is where essentially all of our nutrition is absorbed. So, yes, anemia is one of the classic symptoms of celiac disease. One very important thing you need to be aware of is that your PCP may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining to confirm the results of the blood antibody testing. So, you must not begin gluten free eating until that is done or at least you know they are going to diagnose you with celiac disease without it. If you start gluten free eating now there will be healing in the villous lining that will begin to take place which may compromise the results of the biopsy.
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