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What To Do Now That I'm Pregnant
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I posted recently about and got some advice but my situation has changed. I have been gluten free for a little over 2 months trying to resolve reflux/bloating/gas issues. I am not sure if gluten is an issue as I still have symptoms. Some have improved, but not gone away entirely. I also have hashimoto's and have read a great deal about the possible connection between gluten intolerance and hashi's.

I was scheduled for an endoscopy, but it has been canceled as I just discovered that I am 5 weeks pregnant. My internist was the one that originally suggested the diet, but didn't really recommend testing because false negative rate is so high. She felt it would be better to just try to diet. I'm now seeing a gastro and she wants to run a blood panel but she knows I haven't been eating gluten (why do some dr.'s just not get that this won't work?). Supposed to go back and see her this week to discuss what we will do now that I can't have the scope.

My original plan was to go 3 months gluten free and then reintroduce. Now I'm thinking I should wait until the end of the first Trimester. As I mentioned, I don't know for sure if gluten is an issue for me. I'm concerned that if it is and I have a reaction, it could cause problems with the pregnancy. Especially if a reaction to gluten could cause an increase in anti-thyroid antibody levels.

I plan to discuss this with my Gastro, Internist and OB over the next few weeks. Just wanted to see if you all had any advice.

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Celiac antibodies can attack the placenta, it can reduce the nutrients available to your baby, increase the chemical stress load on the fetus, and more.

In this situation, my opinion on what I would do is to stay STRICTLY gluten free for the duration of the pregnancy (whether or not to do this during the duration of breastfeeding is another question to consider). Why would I suggest that? Assuming you otherwise eat a healthy diet (not that hard to do while gluten free once you are past the learning curve) and are taking your prenatal vitamins (many women rely on fortified cereals and breads to get enough folic acid), the potential risk of eating gluten if you are celiac outweighs (in my mind) the potential benefit of avoiding gluten even if you are not celiac.

A few references, there are lots more available if you look:

1) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1727862/ Coeliac disease and unfavourable outcome of pregnancy, CONCLUSIONS

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Thank you for the information. Gives me even more to think about

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I agree strongly with Tiffany. Wishing you the best.

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I think staying gluten free while pregnant is the safest way to go. If you are celiac then you are giving your body and baby the best of what it needs. If you are not celiac you are still giving the baby a healthy diet. On the other hand if you eat gluten and you are celiac then you and your baby are not getting what you need.

Your testing may still show positive. But if it is negative then you may still be positive.

Try and relax and enjoy your pregnancy. It is the most amazing time. Giving life to and feeling that sweet baby moving around is the best.

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    • Positive Biopsy, Negative Blood Tests
      What?  Be sure that next endoscopy tests you for lymphoma (cancer) as well!   Seriously.  You need to do some research as your knowledge of celiac disease is lacking.  Did you fail the entire celiac panel?  Or did your doctor/insurance save cash and just order the very good (but does not catch all celiacs) TTG IgA?  You have a family history, a positive biopsy, what more do you need?  You do realize that this is not about just giving up gluten, don't you?  We just had a member join this year who was told years ago that her tests were "inconclusive" and that she now has suffered with lymphoma (cancer)? Ugh!   Endoscopy in 10 years?  Who would even wait 10 years?  This isn't colon cancer and polyps!   Are you talking about a colonoscopy?  Are you even sure you had an endoscopy?   Be sure you have your bones checked too.....and forget the breath.  You might not have any teeth and implants will be out since your bones will be compromised. Sorry, if I come on strong, but when I was diagnosed I had no tummy issues.  A few months later, my bones began breaking.  I was undiagnosed for a long time because of mis-informed doctors.  At least it was not stupidity on my part.   So, I urge you to research this disease more!  Hopefully you'll ward on another autoimmune disorder by remaining gluten free.  Find what celiac blood tests were actually taken!  Even if you do not think you have celiac disease, something has caused villi damage -- like a parasite, milk, or something......even more sinister! Good luck!  
    • Really, Really Foul Breath Post-glutening?
      In addition to eating gluten-free, I attribute the following to knocking out my bad breath once and for all: 1. SmartMouth Activated Mouthwash (this is what really did it for me!) 2. Flonase Nasal Spray 3. Dr. Tung's Tongue Scraper 4. The obviously brushing and flossing twice daily (goes without saying).    
    • Positive Biopsy, Negative Blood Tests
      I went in for an endoscopy to find out if something from my stomach/intestine was causing my bad breath.  A biopsy during that procedure revealed that I had Celiac.  I thought it was strange since I ate pizza, pasta, and other bread/gluten items almost every day without issue, so I decided to confirm the biopsy result with a blood test. I took the blood test twice (once on a high- and once on a low-gluten diet) and it came back negative both times.  I just assumed someone at the earlier biopsy lab must have messed up my analysis or accidently mistaken someone else's biopsy for mine, but after reading this thread it seems like my initial biopsy might have been correct all along. My doctor suggested doing another endoscopy, but I didn't want to foot the bill for that.  Also, my older brother has Celiac which was confirmed by both a biopsy and blood test. Eating less gluten did seem to help a little with my bad breath, but SmartMouth Activated Mouthwash along with Flonase nasal spray and a Dr. Tung's tongue scrapper really did the trick to solve the bad breath issue. I'm just assuming I have Celiac and eating "gluten conscious" until my next endoscopy in about 10 years. If that biopsy comes back positive again, then I'll be strictly gluten-free.  I'm just glad I don't have many symptoms.      
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      You might ask your doctor if they have a standby/wait list Kal.  Some do that and then they can fit in people if there are cancellations or no-shows.
    • Question on posting
      So we have a rule here against self promotion, however please send me the link and I will have a look at it.
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