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Dq2 Positive/dq8 Negative


ftmomma

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ftmomma Rookie

I'm new here, first post....please bear with me as I learn the ropes in the forum. Not sure if I'm posting this question in the right place, but hope someone checks it out :-)

Reader's Digest Version: I have not been feeling "right" since about 8 weeks after the birth of my baby (uncomplicated pregnancy and childbirth). GI issues, severe abdom. issues (2 ER visits), joint pain, peripheral neuropathy (hands/feet) and weight loss (25lbs in about 5 months).

Celiac panel was done twice. Both showed normal results. GI dr still wanted to do endoscopy. 1 in Dec and another in May. Both show white blood cell infiltration (patches in various parts) and inflammation. Then sent me for Genetic bloodwork. Tested positive for HLA - DQ2 and negative for HLA -DQ8. Have been gluten free since July 1 (while waiting for results) my waistline has decreased by 3 inches (and I haven't lost weight). Feel so much better already! (which I know should be more of an indication on what I should do even more so than test results)

Still waiting to get a call from my GI dr re: the genetic testing. He usually calls with reports after hours. I actually got the report from my primary care dr at an appointment this afternoon. She stated that since I only have 1 of the genes "I probably don't have Celiac because my initial antibody tests were negative". She didn't think it was necessary for my immediate family or my children to be tested, because I only have "1 of the genes".

Is this true??? How often or common is it that people with celiac would carry both the DQ2 and the DQ8? I realize that just beacuse someone may have the genes, it may not be a clear cut case that they also have Celiac. But if they have a gene, inflammation in small intestine and symptoms, why would she still be thinking it might be something else?

ok---so much for the short version- thanks for any info!


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happygirl Collaborator

You don't need both genes to have Celiac. If you had neither gene, and negative tests, then Celiac could essentially be ruled out.

I think its a small percentage of Celiacs who have both genes.

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Skylark Collaborator

One copy of DQ2 or DQ8 confers some risk for celiac disease. No current genetic test gives a clear-cut result. There is a dosage effect, meaning the risk is higher with to copies of DQ2 or DQ8. Having no "celiac" genes doesn't even rule out celiac, as some folks on this board can tell you. We don't actually know all the genes involved. HLA-DQ is just the tip of the iceberg.

Your doctors need to rule out inflammatory bowel diseases if you don't have celiac antibodies. Those can cause inflammation and abnormal biopsies too, although I think the neuropathy and your response to a gluten-free diet is more suggestive of celiac (or gluten intolerance). Going gluten-free is actually helpful for a lot of GI problems, so they're taking a cautious approach since you got so sick. Keep right on eating gluten-free and let them make sure there are no other problems that need to be treated. :)

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
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      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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