Get email alerts Get Celiac.com E-mail Alerts  




Celiac.com Sponsor:
Celiac.com Sponsor:




Ads by Google:






   Get email alerts  Subscribe to FREE Celiac.com email alerts

Is This Diagnosis Accurate
0

8 posts in this topic

I went to the celiac center at Jefferson in Philadelphia today and I have to question their analysis. I want to run it by the group here and get some opinions.

I tested positive for a gluten sensitivity via a test from Cyrex labs. I've been eating gluten-free for 4 months now and feel slightly better. Less gassy, more energy. But nothing earth shattering. The reason I was tested and decided to go gluten-free was because of sleep issues I've had for 15 years. Nothing else has worked, so after the blood test showed I was sensitive, I went gluten-free. Despite felling better in general, being gluten-free has not improved my sleep issues at all.

So, I went to the celiac center to show them my positive bloodwork showing I had a gluten allergy. I don't think I have celiac, but why not ask the experts. From my symptoms they didnt think I have celiac either, but want to test via endoscopy as well as do bloodwork for the genetic markers for celiac.

The Dr. said that if the genetic markers come back negative, I will never get celiac. Fine, I'm not predisposed to it. Here's where I have qestions. She also said that if its negative, and I do have a gluten sensitivity/intolerance that eating gluten will do no long term damage. Those who are sensitive/intolerent have short term reactions (headaches, gas, bowel issues) but that there is no long term damage.

That doesn't sound right to me. From what I've read there are few long term studies on gluten sensitivity and the long term health implications. How can seh definitively say there are no long term effects? Isnt is safer to not eat gluten and play it safe until we have further information from long term studies?

Any thoughts?

0

Share this post


Link to post
Share on other sites


Ads by Google:

People who have celiac disease who continue to eat gluten do have a chance of having long term effects of the gluten damaging their system. Non celiac people have a sensitivity to gluten but it does not damage the intestines as the gluten does with a celiac. Celiac disease is an autoimmune response to gluten. It sees it s an enemy and therefore has an adverse reaction on the intestines.

0

Share this post


Link to post
Share on other sites

I would respectfully point out that there are also diagnosed celiacs who have no intestinal damage, in whom the gluten has reacted upon their brains causing among other things migraines and gluten ataia, and in whom it has reacted on their skins causing dermatitis herpetiformis. Some unfortunates have all three reactions, but some only one.

Since up until a couple of years ago (or less) nobody had ever studied those gluten intolerants who did not have intestinal damage (they were told they could eat all the gluten they wanted because they did not have celiac disease), I believe the jury is still out (or the case is being retried, if you will) as to whether gluten intolerants suffer any other adverse damage from gluten. The unfortunate part about medical science is that what was seemingly irrefutably true yesterday may no longer be true tomorrow. It is going to be really interesting when these new studies come out.

2

Share this post


Link to post
Share on other sites

...

The Dr. said that if the genetic markers come back negative, I will never get celiac. Fine, I'm not predisposed to it. Here's where I have qestions. She also said that if its negative, and I do have a gluten sensitivity/intolerance that eating gluten will do no long term damage.

...

I'm with you on this one Leeloff - there's no way for her to really know this.

And also, the Dr's genetic comment is wrong. US just using 2 genes, while I've seen talk of 8 or 9 found to be involved so far, and have seen ppl here say that in Europe they already use more than the 2 we look for.

We have a few members here neg on the 2 genes but pos through testing .. .I think .. .details fuzzy right now ....

Anyway, I'd call it short-sighted & premature to definitively claim ANYTHING about long-term effects of gluten on NCGI folks.

1

Share this post


Link to post
Share on other sites

Thanks everyone. Based on the way I feel after being gluten-free, I will probably still maintain a gluten-free lifestyle even if I come back negative for celiac. I just don't think there is enough long term data out there to say that someone with gluten sensitivity/intolerence can eat gluten with no long term impact. I'd rather play it safe. And as much as I support medicine and doctors, the best proof is how my body feels. Being gluten-free has helped

0

Share this post


Link to post
Share on other sites




"I would respectfully point out that there are also diagnosed celiacs who have no intestinal damage, in whom the gluten has reacted upon their brains causing among other things migraines and gluten ataia, and in whom it has reacted on their skins causing dermatitis herpetiformis."

I don't believe it's celiac disease then? Yes, this is purely semantics I'm talking about. It makes sense to me to categorize things as much as possible, if there are differences. (Not like 'gluten sensitivity' is any better in explaining things, we should just call it what is it, 'gluten-induced intestinal damage' or 'gluten induced migraines and nausea', etc.)

Reading about gluten ataxia reminds me of reading the studies that show that Alzheimers might just be insulin resistance in some brain cells. Is it diabetes if the pancreas isn't involved?

If you haven't found studies that show long-term impact of eating gluten for a gluten sensitive individual is negligible, or not immediately reversed or stopped or some such, then absolutely the person should not have said there is no long-term impact. I mean an answer like 'we haven't studied that, however at this point we don't know of any long-term or irreversible effects' would be minimal. But even then, it doesn't make much sense to me that continual use/eating of somethign that causes immediate bad effects would not, at some point, start to cause more longterm problems.

From mushroom's post I wanted to read about gluten ataxia (haven't before yet) and the first hit in google for gluten ataxia talks about current research that looks like it may have even found the why of it, and it really does look like a 'celiac disease of the brain', which of course involves different cells which, in the worst case, may not grow aknew or regenerate as easily as villi do.

0

Share this post


Link to post
Share on other sites

I'm one of those without signs in the intestines. I only had one of the blood tests come back positive and the genetic test.

As you can tell with my sig, i have other issues. I have noticed that i am doing much much better since the dx. I can sit still for a little bit, i can pay attention in class, no more "IBS" crud, my GERD is under control, my weight has stabilized and i'm still sort of loosing, and my knees have been doing better (right now as i type this the badder one of the two is throbing :lol: ). I also had major issues with absorbtion of calcium when i was a child. It caused the heel on my left food to grow jagged (was not fun to have a foot wrapped for month(s)). It eventually did what it was supposed to but still.

The thing is, the doctors just don't know. Celiac has sooo many symptoms and whathave yous that its kinda impossible to have a set example (this is what it is, etc).

0

Share this post


Link to post
Share on other sites

There is a recent study confirming the existence of 2 forms of NCGI. They call it non-celiac wheat sensitivity in the study. The study does not show any conclusions about possible long term effects of the conditions. It did identify 2 possible forms of the condition, one with more severe symptoms similar to celiac disease, and one with less obvious symptoms. Where did your doctor get her information? It is not known at this point what long term effects these 2 new conditions may cause,

http://www.celiac.co...ists/Page1.html

0

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now
0

  • Forum Statistics

    • Total Topics
      104,636
    • Total Posts
      921,535
  • Topics

  • Posts

    • I have 2 insurance policies, one with my husband's company and one through mine. I also stretch out the more major work into the next year, so I can make the most use of my benefits. So, a dental implant for me takes about a year for me to complete.  I have the post put in at the end of one year and the tooth made about 6 months later. Honestly, the insurance company probably hates me because I max out my benefits every year. You do what ya gotta do!  I still have to pay for some of the work out of pocket but about 75% gets covered. If you pay cash for procedures then they usually charge a lower price. Haggle with the dentist over price. They like getting cash.
    • Did your doctor check for SIBO, H. pylori, ulcers, etc. when he was obtaining biopsies to check for celiac disease?  
    • Oh, and as I mentioned in my own post on pain, xanax. I swear. I tried it just to deal with the occasional panic I had at weird scary symptoms and clueless doctors. I am not a fan of long term use. But I recently found that .25 mg seems to aid with the neuropathic pain. It does not go away, but it helps. 
    • It does sound like a Glutening and you are just a few months into the diet.  It might help if you read our Newbie 101 thread under the "Coping" section.   Here is some information about rice milk: https://www.verywell.com/is-rice-dream-gluten-free-562354 Many, many celiacs are often lactose intolerant temorarily or permanently if you are naturally genetically inclined.  When I am glutened, I lose the ability to digest lactose for a while.   Salad?  Great but it can be rough on a sore gut!  Think soups, stews, easy-to-digest foods that you prepare yourself until you feel better.  Did your folks give you salad after a bout of flu?  Or did you stick with jello and broth?  I am intolerant still after three years to garlic and onions (the lactose resolved, thankfully).  You have a leaky gut (Google zonulin and Dr. Fasano who is a leading celiac researcher to verify that this is true) and that means you can become intolerant to anything (hopefully, just temporarily).   If you are 100% sure that you have had no access to gluten....did you eat out lately?.....then see your doctor.  Remember, celiac disease symptoms can change.  And here is the biggie.....it can take weeks, months or years to heal from celiac disease.  Two months in is nothing, really.  Why?  It takes time to figure out the diet and time for antibodies to come down.  celiac disease is an autoimmune disorder triggerEd by gluten.  once triggered it can go on and on damaging your gut especially with repeated glutenings (accidental or through cross contamination). I hope you feel better soon!  
    • I concur! I literally feel your pain as well. Like, at the moment, lol. Did you have an endo to see inflammation or damage? I am close to begging my GI for carafate or something to coat and protect. How about testing your antibodies to see if they are still rising? I read somewhere here rice milk may not be a good option.  Folks here have also suggested to me to stick with whole foods. Limit processed. Especially stuff that is not certified gluten-free, like chex. I think small amounts of gluten are in processed foids and can add up. I too reacted to lettuce the other day like I was ingesting glass. My sibling  had a food sensitivity panel done and it came back positive for a few things he had been eating a lot of. He can now eat them, but had to cut them out of his diet. Lettuce is probably on mine.  I have been drinking carrot and pomegranate juice,  dandelion root tea with hiney, aloe water, lots of squash, fish. Mild, no garlic, no onions or hot sauce. No coffee. It sucks.  Inflammation can tick off other organs, you mention a "Pain below". Not exactly sure which side, but certainly call your doc Monday. Sooner if the pain increases.
  • Upcoming Events

  • Blog Entries

  • Recent Status Updates

  • Who's Online (See full list)

  • Member Statistics

    • Total Members
      61,640
    • Most Online
      3,093

    Newest Member
    Kasia2016
    Joined