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I Can't Get A Diagnoses Other Than Ibs....so Frustrating


lizzybeth

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lizzybeth Newbie

hi everyone. I'm 24 years old and have had stomach problems since I was a baby. I have had countless blood work, 3 colonoscopys, 2 endoscopys,barium x ray, stomach ultrasound, and allergy testing. I had the skin prick test which didn't show anything. my celiac blood panel came back negative, stomach ultrasound showed gallstones, so I had my gallbladder taken out last year, but still having problems. I got the report from my gi doctor and it said that a single biopsy was taken on my endoscopy. would one biopsy be enough to show celiac? also my blood work showed that I have a iron deficiency. my other symptoms are diarrhea every morning befor I even eat, then more diarrhea after my meals,excessive belching, and tooting, I have had bloody stools, I haven't had a period since October 2011. I just got diagnosed with pcos. my dr. gave me the diagnoses of IBS. I also have really bad eczema all over my skin. and creams don't seem to help. I don't know what to do anymore. I've missed a lot of work, because of cramping and diahrrhes, and vomiting. I'm scared to eat out, just I case I can't make it to the bathroom in time. do you think I fit the case for celiac. also how accurate are celiac blood tests. thanks so much for listening.... lizzy :)


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ravenwoodglass Mentor

No one biopsy is not enough to have taken to rule out celiac and both blood tests and biopsies have a high false negative rate. I could have written your post a few years ago and it is so frustrating to be so sick and get the IBS diagnosis which isn't even really a diagnosis but a symptom.

I would suggest that you get on the diet very strictly, eating whole unprocessed foods and no dairy or soy to start. Your body will give you the answer. I can't say for sure but you do sound like you have found the right place. Read as much as you can here and ask any other questions you need to ask.

Adalaide Mentor

I wouldn't trust a negative blood test. I had my first blood test done while when I had an ERCP after several days of not eating at all. A single biopsy came back positive but that blood test and one done about a week or two later were both negative. The biopsy report was pretty conclusive, stating that the damage is consistent with celiac. On top of my insurance not covering getting another biopsy done, I really wouldn't have wanted it anyway. I'm not a fan of unnecessary procedures, especially when anesthesia leaves me eating laxatives like they're candy. Barium x-rays are the worst! Reading around a lot of posts here you'll find that the symptoms can vary widely from person to person but I don't think any of us would be shocked if you said you got a celiac diagnosis.

As for eczema, I can't offer much advice as I still spend 100% of my time itchy but I'll share what helps me. Sometimes I'm simply uncomfortable, sometimes I feel like I could crawl out of my skin. It helps some for me to use Eucerin calmin body wash. I also go through a lot of lotions and creams. They don't fix the itchiness but they help some. It makes the difference between tolerable and scratching myself until I bleed while simultaneously being unable to stand the feel of anything, even myself or the air touching my skin. I'd sooner not wash my hands after using the restroom than to wash them if I left the house without lotion. (Yeah, gross vs. being driven criminally insane. Both options suck.) I was told by customer service that Neutrogena hand cream is gluten free so should be fine to use. (I get the fragrance free one, but love the smell of the smelly one.)

Last tip, buy a back scratcher. I picked up a cheap wooden one at a Walgreens for like 3 or 4 bucks. Now that I have it I couldn't imagine life without one. Once you have one you'll wonder how you ever lived without one. It truly is a life changing experience when eczema has you on the brink of itch induced insanity.

Don't give up hope! Someone will wander around after me and tell you how they were diagnosed with IBS (which is not-so-affectionately called I be stumped around here) and it turns out it was celiac all along. Worst case scenario, if you have an uncooperative doctor you can always go gluten free and see if that helps any.

LuckyAtlas84 Apprentice

I am first timer here too so i cant really give any answers.

Just letting you know that you are not alone in having issues. I have PCOS as well, I got disagnosed one year ago but not anything other.

I am do researching to see if PCOs does really be caused by the gluten diet plus other food intolerance? Just let you know that I am still learning more about this disease and intolerances everyday. However, welcome here! B)

Jsny1010 Rookie

Welcome to the club, I think almost everyone here has been diagnosed with IBS at some point.. my blood work was positive / neg biopsy - both doctors swear it can not be celiac...but I'd trust your gut, keep a food diary and start out slow - eat normal foods but take out one thing at a time (Gluten, Casein, Lactose, Rice, etc.) It might take a while to rule out or find some of the foods that are causing the most pain but it does give you some answers! I hope you find your triggers and get some relief. There are ALOT of books out there written for people like us also, it makes it easier to understand what good methods of shopping and prepairing foods.

Skylark Collaborator

You poor thing. Yes the blood tests are inaccurate and one biopsy is not enough because damage can be patchy. You could also just be very gluten intolerant which wouldn't show up on tests. Just go gluten-free and see if it helps any. :) As ravenwoodglass suggested, go simple. Soy and dairy are hard to digest and if you're belching and tooting a lot starchy foods and beans can make it worse. Lots of stewed meat and veggies, a little fresh fruit, and take a good probiotic, one with 10 billion+ colonies a day.

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    • Scott Adams
      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
    • trents
      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
    • MicG
      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
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      Possibly. Your total IGA (Immunoglobulin A, Qn, Serum) is actually high so you are not IGA deficient. In the absence of IGA deficiency, the most reliable celiac antibody test would be the t-Transglutaminase (tTG) IgA for which your score is within normal range. There are other things besides celiac disease that might cause an elevated DGP-IGA (Deamidated Gliadin Abs, lgA) for which you do have a positive score. It might also be of concern that your total IGA is elevated as that can indicate some other health problems, some of which are serious.  Had you been practicing a gluten free or a reduced gluten free diet prior to the blood draw? Talk to your physician about these things. I would also seek an endoscopy/biopsy of the small bowel to check for damage to the villous lining, which is the gold standard diagnostic test for celiac disease.
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