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wondering

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wondering Newbie

I have been recently doing much research into different health issues and was led here. I was hoping someone could help to steer me a little bit. My health story, as brief as I can make it is: started noticing symptoms like chronic and debilitating fatigue, joint pain and brain fog after the birth of my first baby almost six years ago. I thought it was just being a new mom but it never went away. My first doctor visit was one year later and found out shortly after that I was expecting, so I chalked it up to being pg again. After birth of baby #2, symptoms remained and I went to three differnt drs about 6x over the last 4 yrs. Symptoms now include bloating, cramping, gas, pain in my wrist bones and knees, and easy bruising. Also I am having a hard time losing some extra weight and we have been having a hard time getting pg again. (It ususally takes me about 3 months to get pregnant, and we've been trying for almost a year now). I have always had to direct my doctors in suggesting what might be wrong with me. I have been tested for lyme, arthritis, anemia, thyroid and gluten intolerance (twice). My test results for that were as follows:

1st test 1 1/2 years ago - Gliadin IgG was 14.9 (<25 = neg) and Gliadin IgA was 5.0 (<25 = neg)

2nd test in Nov 04 - Gliadin IgG was 22.9 (<25 = neg), Gliadin IgA was 4.9 (<25 = neg), and endomysial IgA was neg.

Both times these test were done I had been gluten free for at least two weeks. I was wondering if that could affect the results, and if the tests I had done are reliable. I notice that when I go gluten free, my symptoms go away - but my doctors have told me it's basically all in my head. I'm getting very frustrated and sad, because my fatigue is so extreme that there are days I can only lay on the couch while my children entertain themselves.

Autoimmune diseases (rheumatoid arthritis, diabetes, and thyroid disease) are abundant in my immediate family and I just recently found out I am allergic to rice, dairy, nuts and some grains (as is my dad). Is celiac an actual allergy? The allergy test I had done measures whether my body is producing histamine in response to a certain food by measuring IgG antibody production. If I had a gluten intolerance would it have registered on this test? I'm trying to make sense of my symptoms. It's really hard to be commited to eliminating gluten (it's in everything!) when my doctors have said that is not my problem, even though I notice positive dietary results. I wonder if it's something else I am reacting to, and not the gluten. I don't trust myself anymore because the doctors have proved me wrong with every idea I come up with in terms of what is affecting me. They have told me it's either depression (I love my life and only feel depressed when I imagine feeling this horrible for the rest of my life), not enough exercise ( I work out 5x a week), or a sleep disorder (does that really cause cramps, bloating and gas?).

Any direction or help would be greatly appreciated. I'm learning to rely less on my doctors and more on what I know to be true with my own body, and the experiences of others. Thanks in advance!

Sorry, I tried to make this short but see how long it is now!


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jenvan Collaborator

Wondering--

Well, you definitely have a lot in common with other Celiacs! For one, you noticed your symptoms (which can be from Celiac), after a pregnancy, which is when some women notice their Celiac being triggered initally. All of your more recent symptoms are common for Celiacs too...the only one I haven't heard mentioned myself is bruising. (Do you have swelling of the ankles too ? Random question...)

Being gluten-free before receiving your blood test can definitely affect your results. For the most accurate results you need to be consuming gluten for several weeks. (Someone else can maybe give more info on how long is needed to eat gluten before rcving a test...)

Don't let your doctors discourage you by saying its all in your head--whether you have Celiac or something else--your symptoms are definitely not in your head ! Some doctors use that kind-of response when they are stumped. Try a new doctor if need be. If you let us know your area, someone might be able to recommend a doc for you.

Autoimmune illness (especially thyroid) and other food allergies are common for Celiacs. Celiac is not classified as an allergy however. It is an autoimmune disease where your immune system damages your small intestine when you consume the protein gluten, found in wheat, barley, rye and "oats". Go here to read about exactly what Celiac Disease is: Open Original Shared Link

Glad you have joined us here and that you are taking your health into your own hands. As you will soon find, that is what many of us here have had to do! I'm sure others will respond to you soon. But I suggest, finding a new doc if you need to, and get tested again after consuming gluten for a period of time. There are other labs that will test you also, besides using your doc. There are also several things you need to be tested for. I'll let Kaiti post those specifics, b/c she's good at it :)

Good luck to you, and keep us updated on your process !

KaitiUSA Enthusiast

Looking at the tests you had done you did not get the full panel you should have received. You do need to be on gluten during testing or it will affect your test results.

This is the panel you should get and the tTG is the most specific and sensitive test for celiac.

Anti-Gliadin (AGA) IgA

Anti-Gliadin (AGA) IgG

Anti-Endomysial (EMA) IgA

Anti-Tissue Transglutaminase (tTG) IgA

Total Serum IgA

If all of your testing you get done shows negative then it's possible that you a gluten intolerance and just not full blown celiac yet.

The symptoms are definitely not in your head so as Jen said, do not let the doctor tell you otherwise. You may in fact want to consider another doctor who may be a bit more informed about celiac. You'll find that alot of doctors don't know what they should about it. Also, pregnancy and childbirth can trigger celiac to activate.

Have you had your thyroid checked? I have graves disease (hyperthyroid) and thyroid issues are common among celiacs. In fact, my endocrinologist told me that she rarely sees celiacs with just celiac.

tarnalberry Community Regular

regardless of what your (likely not-well-educated on celiac) doctors say, the dietary challenge is a test in and of itself. if you know what makes you feel better, stick with it!

frenchiemama Collaborator

"I'm learning to rely less on my doctors and more on what I know to be true with my own body, and the experiences of others."

Same here. I don't have a whole lot of faith in doctors since I was told that my DH was "all in my head". Please.

If you feel better on the gluten-free diet, by all means continue it no matter what the doctors say. Many doctors aren't willing to accept that food intolerances can cause serious health problems.

LKelly8 Rookie

Vitamin K deficiency can cause easy bruising. I use an injectable medication so, needless to say, I noticed it right away! :blink:

plantime Contributor
regardless of what your (likely not-well-educated on celiac) doctors say, the dietary challenge is a test in and of itself. if you know what makes you feel better, stick with it!

Ditto Tiffany!!


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    • trents
      So, essentially all of the nutrition in the food we eat is absorbed through the villous lining of the small bowel. This is the section of the intestinal track that is damaged by celiac disease. This villous lining is composed of billions of finger-like projections that create a huge amount of surface area for absorbing nutrients. For the celiac person, when gluten is consumed, it triggers an autoimmune reaction in this area which, of course, generates inflammation. The antibodies connected with this inflammation is what the celiac blood tests are designed to detect but this inflammation, over time, wears down the finger-like projections of the villous lining. Of course, when this proceeds for an extended period of time, greatly reduces the absorption efficiency of the villous lining and often results in many and various nutrient deficiency-related health issues. Classic examples would be osteoporosis and iron deficiency. But there are many more. Low D3 levels is a well-known celiac-caused nutritional deficiency. So is low B12. All the B vitamins in fact. Magnesium, zinc, etc.  Celiac disease can also cause liver inflammation. You mention elevated ALP levels. Elevated liver enzymes over a period of 13 years was what led to my celiac diagnosis. Within three months of going gluten free my liver enzymes normalized. I had elevated AST and ALT. The development of sensitivities to other food proteins is very common in the celiac population. Most common cross reactive foods are dairy and oats but eggs, soy and corn are also relatively common offenders. Lactose intolerance is also common in the celiac population because of damage to the SB lining.  Eggs when they are scrambled or fried give me a gut ache. But when I poach them, they do not. The steam and heat of poaching causes a hydrolysis process that alters the protein in the egg. They don't bother me in baked goods either so I assume the same process is at work. I bought a plastic poacher on Amazon to make poaching very easy. All this to say that many of the issues you describe could be caused by celiac disease. 
    • catnapt
      thank you so much for your detailed and extremely helpful reply!! I can say with absolute certainty that the less gluten containing products I've eaten over the past several years, the better I've felt.   I wasn't avoiding gluten, I was avoiding refined grains (and most processed foods) as well as anything that made me feel bad when I ate it. It's the same reason I gave up dairy and eggs- they make me feel ill.  I do have a bit of a sugar addiction lol so a lot of times I wasn't sure if it was the refined grains that I was eating - or the sugar. So from time to time I might have a cookie or something but I've learned how to make wonderful cookies and golden brownies with BEANS!! and no refined sugar - I use date paste instead. Pizza made me so ill- but I thought it was probably the cheese. I gave up pizza and haven't missed it. the one time I tried a slice I felt so bad I knew I'd never touch it again. I stopped eating wheat pasta at least 3 yrs ago- just didn't feel well after eating it. I tried chick pea pasta and a few others and discovered I like the brown rice pasta. I still don't eat a lot of pasta but it's nice for a change when I want something easy. TBH over the years I've wondered sometimes if I might be gluten intolerant but really believed it was not possible for me to have celiac disease. NOW I need to know for sure- because I'm in the middle of a long process of trying to find out why I have a high parathyroid level (NOT the thyroid- but rather the 4 glands that control the calcium balance in your body) I have had a hard time getting my vit D level up, my serum calcium has run on the low side of normal for many years... and now I am losing calcium from my bones and excreting it in my urine (some sort of renal calcium leak) Also have a high ALP since 2014. And now rapidly worsening bone density.  I still do not have a firm diagnosis. Could be secondary HPT (but secondary to what? we need to know) It could be early primary HPT. I am spilling calcium in my urine but is that caused by the high parathyroid hormone or is it the reason my PTH is high>? there are multiple feedback loops for this condition.    so I will keep eating the bread and some wheat germ that does not seem to bother me too much (it hasn't got enough gluten to use just wheat germ)    but I'm curious- if you don't have a strong reaction to a product- like me and wheat germ- does that mean it's ok to eat or is it still causing harm even if you don't have any obvious symptoms? I guess what you are saying about silent celiac makes it likely that you can have no symptoms and still have the harm... but geez! you'd think they'd come up with a way to test for this that didn't require you to consume something that makes you sick! I worry about the complications I've been reading about- different kinds of cancers etc. also wondering- are there degrees of celiac disease?  is there any correlation between symptoms and the amnt of damage to your intestines? I also need a firm diagnosis because I have an identical twin sister ... so if I have celiac, she has it too- or at least the genetic make up for having it. I did have a VERY major stress to my body in 2014-2016 time frame .. lost 50lbs in a short period of time and had severe symptoms from acute protracted withdrawal off an SSRI drug (that I'd been given an unethically high dose of, by a dr who has since lost his license)  Going off the drug was a good thing and in many ways my health improved dramatically- just losing 50lbs was helpful but I also went  off almost a dozen different medications, totally changed my diet and have been doing pretty well except for the past 3-4 yrs when the symptoms related to the parathyroid issue cropped up. It is likely that I had low vit D for some time and that caused me a lot of symptoms. The endo now tells me that low vit D can be caused by celiac disease so I need to know for sure! thank you for all that great and useful information!!! 
    • trents
      Welcome, @catnapt! The most recent guidelines are the daily consumption of a minimum of 10g of gluten (about the amount found in 4-6 slices of wheat bread) for a minimum of two weeks. But if possible stretching that out even more would enhance the chances of getting valid test results. These guidelines are for those who have been eating gluten free for a significant amount of time. It's called the "gluten challenge".  Yes, you can develop celiac disease at any stage of life. There is a genetic component but also a stress trigger that is needed to activate the celiac genes. About 30-40% of the general population possesses the genetic potential to develop celiac disease but only about 1% of the general population actually develop celiac disease. For most with the potential, the triggering stress event doesn't happen. It can be many things but often it is a viral infection. Having said that, it is also the case that many, many people who eventually are diagnosed with celiac disease probably experienced the actual onset years before. Many celiacs are of the "silent" type, meaning that symptoms are largely missing or very minor and get overlooked until damage to the small bowel lining becomes advanced or they develop iron deficiency anemia or some other medical problem associated with celiac disease. Many, many are never diagnosed or are diagnosed later in life because they did not experience classic symptoms. And many physicians are only looking for classic symptoms. We now know that there are over 200 symptoms/medical problems associated with celiac disease but many docs are only looking for things like boating, gas, diarrhea. I certainly understand your concerns about not wanting to damage your body by taking on a gluten challenge. Your other option is to totally commit to gluten free eating and see if your symptoms improve. It can take two years or more for complete healing of the small bowel lining once going gluten free but usually people experience significant improvement well before then. If their is significant improvement in your symptoms when going seriously gluten free, then you likely have your answer. You would either have celiac disease or NCGS (Non Celiac Gluten Sensitivity).
    • catnapt
      after several years of issues with a para-gland issue, my endo has decided it's a good idea for me to be tested for celiac disease. I am 70 yrs old and stunned to learn that you can get celiac this late in life. I have just gradually stopped eating most foods that contain gluten over the past several years- they just make me feel ill- although I attributed it to other things like bread spiking blood sugar- or to the things I ate *with* the bread or crackers etc   I went to a party in Nov and ate a LOT of a vegan roast made with vital wheat gluten- as well as stuffing, rolls and pie crust... and OMG I was so sick! the pain, the bloating, the gas, the nausea... I didn't think it would ever end (but it did) and I was ready to go the ER but it finally subsided.   I mentioned this to my endo and now she wants me to be tested for celiac after 2 weeks of being on gluten foods. She has kind of flip flopped on how much gluten I should eat, telling me that if the symptoms are severe I can stop. I am eating 2-3 thin slices of bread per day (or english muffins) and wow- it does make me feel awful. But not as bad as when I ate that massive amnt of vital wheat gluten. so I will continue on if I have to... but what bothers me is - if it IS celiac, it seems stupid for lack of a better word, to intentionally cause more damage to my body... but I am also worried, on the other hand, that this is not a long enough challenge to make the blood work results valid.   can you give me any insight into this please?   thank you
    • trents
      The biopsy looks for damage to the mucosal lining of the small bowel from the inflammation caused by celiac disease when gluten is ingested. Once you remove gluten from the diet, inflammation subsides and the mucosal lining begins to heal. 
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