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nvsmom

Member Since 12 Jun 2012
Offline Last Active Yesterday, 01:36 PM
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#932086 Trying To Figure Out What Is Wrong

Posted by on 04 October 2014 - 04:52 PM

Oh yeah. That DGP IgG of yours is well over double the normal limit - that is something to take seriously. The DGP IgG is considered to be one of the most specific (to celiac disease) tests out there. A positive result means you have celiac disease 99-100% of the time.  (This is where I got my stats: http://www.worldgast..._long_FINAL.pdf)  It loos like celiac disease to me too!

 

Low vitamin levels, as well as low cholesterol and triglycerides are common symptoms of celiac disease. My cholesterol and triglycerides were far enough below normal that my doctor is trying (through diet) to raise it some.  LOL

 

I agree with the others that you need to see a GI specialist and eventually go gluten-free.  When you are finally able to go gluten-free (after testing is complete)  make sure you give the diet a few months to help. The first year of recovery is full of ups and downs, and many symptoms may not improve for many months.

 

Welcome to the board.  :)


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#931868 Do These Symptoms/endoscopy Results Sound Like Celiac?

Posted by on 02 October 2014 - 03:47 PM

Thanks you two - I'm seeing my GP tomorrow I will ask about the celiac panel. I know I've had some celiac bloods done but I think it was just a subset of the list you cited NVSMOM. How reliable are the results though ?? I hear false-positives and false-negatives are not uncommon??

 

False positives are very rare.  I think it gets as high as 5% for the tTG IgA test but it would be a weak (false) positive and is probably caused by thyroiditis, diabetes, liver disease, crohn's, colitis, or a serious infection... The positive is caused by something in all cases but 95% of the time it is caused by celiac disease.

 

False negatives are much more common.  The biopsy can have a false positive rate as high as 20%, especially if fewer than 6 samples were taken.  The blood tests can have a false negative rate as high as 25% based on the test's sensitivity - that's why it is a good idea to get as many tests done as possible.

This report (page 12) shows the sensitivities of most of the tests, as well as how specific the results are to celiac disease (% of positives caused by celiac disease): http://www.worldgast..._long_FINAL.pdf

 

Hang in there!  :)


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#931643 How Do You Know You Are gluten-free?

Posted by on 29 September 2014 - 01:56 PM

Icelandgirl is right, two months is not very long to be gluten-free - even though we feel like it is.  At two months gluten-free I felt worse than I did at 1 month gluten-free.  A bunch of my symptoms came roaring back in and it took me a couple of months  to get back to where I was.  I had a few more (more minor) dips in the road but I was feeling quite a bit better, and consistently better, by 18 months gluten-free.

 

I know it is awful to hear (I didn't like hearing it) but you may just need more time. 


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#931087 Need Help / Advice - Think I'm Celiac

Posted by on 20 September 2014 - 01:24 PM

The DGP IgA and DGP IgG are also great tests to get done.


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#930903 Cross-Contamination Worsens After gluten-free?

Posted by on 17 September 2014 - 08:27 AM

I don't think I became more sensitive, but I think my reaction became more obvious.  Before I was diagnosed I was constantly feeling poor - it was my normal. After being gluten-free for many months, illness was no longer my normal so if something bothered me, it was much more obvious.  KWIM?

 

For example, when I had a stomach ache after almost every meal, some major cramping was not unusual.  Now, if I get that pain, it really stands out because I don't have that high background pain level.

 

I don't think my gluten sensitivity changed, just my reaction and/or how I perceived that reaction.


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#930718 Can Raw Food Be Bad For Celiacs?

Posted by on 14 September 2014 - 04:09 PM

I think it may be more of a matter of not having the proper gut bacteria that can help with digestion.  

 

Many people I have talked with about this said that it took them a while to adjust to a greater amount of raw fruits and veggies when their diets changed. Maybe it takes a while to get accustomed to the raw foods.

 

It could also be other food sensitivities that you are starting to notice.  I did not realiz apples gave me a stomach ache until after I had been gluten-free for quite a while - it was hard to notice a food sensitivity when you usually had a stomach ache after you ate.  LOL  ;)


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#930598 High Deamidated Gliadin Test

Posted by on 13 September 2014 - 09:03 AM

Update time!

 

Okay, according to our doctor (who again, is the director of the celiac center at a prestigious children's hospital), the deamidated gliadin test is not as specific to celiac disease as I had thought from what I was reading :/  She said that the endomysial abs test was more specific and a positive result on that test would have her thinking more about celiac disease (we did not have this test done).

 

She also said that a positive result on a deamidated gliadin test could also be caused by some other conditionsā€¦  she specifically mentioned severe acid reflux or food allergies.  So my daughter's result could either be from one of those, or it could in fact be *early* celiac.  

 

So the plan is to keep a food diary for at least a week, along with noting symptoms, etc.  then continue on a regular diet for 6 months and then test again.  If it's celiac, the numbers will be higher at that point, and we will do a more complete panel of labs.  If her symptoms worsen, we do the labs closer to the 3 month mark.

 

I wanted to update for anyone who might find themselves in a similar situation :)

 

Of course I wish I had every answer now, but this is the way things go I supposeā€¦  one step at a time.  I can wait for 6 months :P

 

Huh. :huh:  I thought the EMA IgA had about the same specifity as the DGP IgG but it's a bit tougher for kids to get a positive on that one as it tends to be positive once the disease is more advanced. It's a very similar test to the tTG IgA and is rarely positive if the tTG IgA is negative - I think I've only seen that around here once in the last two and a half years that I've been hanging around.

 

Even if the DGP IgG is "only" 95% specific to celiac disease, I would think she would be looking at celiac disease as the culprit rather than acid reflux and food allergies.  I know the ttG IgA can (5% of the time) have a weak positive caused by thyroiditis, diabetes, crohn's, colitis, chronic liver disease, or a serious infection.  It tests fora possible attack to the endomysial layer of the intestines and other health issues can cause some damage similar to celiac disease.  The DGP test (as I understand it - but I'm not an expert) is positive when the body reacts to a deaminated gliadin peptide, which I believe is an artificial gliadin/gluten - the patient is reacting to gliadi/gluten....  would think that would be pretty specific.

 

But I'm not an expert.

 

I just get frustrated when doctors want people, especially children, to continue to damage themselves, to an even greater degree, so they can get a positive test result and make the "official" diagnosis.  Six months is a long time to purposefully make a child ill.  :(  I think a better tack would have been to try the gluten-free diet for 6 months, while keeping a food and symptom journal, and then retest all the tests to see if they have gone down, even the negative ones.  If they go down, that's an answer too and you've avoided an extra 6 months of poor health and growth.

 

A few more articles, in case you like to read this stuff too:

http://subscribe.imn...tt_news]=172034

http://cvi.asm.org/c...7/5/884.full#T1

http://pediatrics.aa...2-3765.full.pdf

 

Best wishes with whatever you decide to do.


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#928418 Starting To Question Celiac In My 10 Year Old Daughter

Posted by on 25 August 2014 - 02:19 PM

I think those are enough reasons to get her tested.  Bring that list to the doctor and ask for the tTG IgA, tTG IgG, DGP IgA, DGP IgG, EMA IgA and total serum IgA.  Don't have her go gluten-free until after all testing is complete.

 

Good luck with the doctor.


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#928242 Hurry Up September 4Th

Posted by on 23 August 2014 - 07:42 AM

JDDH,

    True, the symptoms could be ampliphied from my frustration. So they can usually just see the damage during the Endo without taking a biopsy? I was not aware. I'm just tired of feeling like this with no answers. I know a lot of folks go years though.  

No they usually can not see the damage visually during an endoscopy.  There are often signs of inflammation but the vast majority of celiacs need a biopsy for their damage to be seen.

 

Hang in there. Many of us have had our problems brushed off or were told it's all in our head.  I almost think it should be a sign of celiac disease.  ;) People often come around once they see you feeling and looking much better after you've been on the gluten-free diet a few months.

 

If all the tests come back negative, don't forget that it could be non-celiac gluten sensitivity (NCGS) which has almost all of the same symptoms as celiac disease, minus villi damage and the DH skin rash.  There are a fair number of people with NCGS around here who had symptoms more severe than mine - it's not a thing to be ignored.

 

I hope you are feeling better soon.  (hug)


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#928159 Advice Requested - Now Gluten Free, But No Diagnosis

Posted by on 22 August 2014 - 06:28 AM

Glad it's done.  :)  Good luck with the diet.  I hope you have a speedy recovery!


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#927613 Ttg Iga 14 - Not That High?

Posted by on 15 August 2014 - 05:45 PM

Welcome to the board.  :)

 

You are 40% over and above the normal range... doesn't seem that weak to me.  ;)  Yes, some of us had really high tests, but many did not - that's part of the reason this forum is so popular is because the testing can be soooo confusing.  There are also those out there who had completely negative blood tests but a positive biopsy.  And then there is the reverse where you get a negative biopsy but positive labs....

 

I very rarely see someone whose lab results all scream "Celiac!"  It's definitely the minority. LOL


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#927505 Finally Saw The Gi!

Posted by on 14 August 2014 - 07:04 PM

Good luck with those tests!  I hope they give you some very clear answers! :)


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#926832 Gluten-Free Eggs

Posted by on 08 August 2014 - 04:56 PM

The OP asked this: "I've read that people who are super-sensitive like me can sometimes react to eggs if the hens were fed gluten. Have any of you found that there some truth to this?"

 

I answered with my personal experience.  I reacted to eggs.  Later I found that I can eat pasture fed eggs that don't get supplemental feed in the summer and I freeze these for the winter. 

 

Did I do something wrong?

 

I think the disagreement is coming from the fact that you were not reacting to gluten in an egg (because as far as tests can find, gluten is not there) but to the egg itself. The chicken that made that egg was eating grains (with gluten in it) and that resulted in an egg that did not agree with you, but it is not because you were reacting to gluten.  It is an intolerance to the egg from a grain fed chicken but not a gluten reaction.  It's just like the fact that I feel pain when I eat apples but it's not because my apple rolled on flour on the grocery conveyor belt or because wheat was in the compost.  KWIM?

 

So I guess technically someone who considers themselves super sensitive (although I often consider it super-reactive rather than super sensitive) could react to eggs from gluten fed chickens, but it's not a gluten reaction, just like some will react to apples or tomatoes or coffee - it's not a gluten reaction (although in the short term it feels identical to me).

 

I'm glad you found eggs that work for you.


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#926734 Is This Likely Celiac Disease?

Posted by on 07 August 2014 - 11:54 AM

The tTG IgA is the most common test. It looks negative but 1 in 20 celiacs are low in IgA and that causes false negative tests.  You should see if you can get the total serum IgA done, or even look back through past labs to see if it was done. Even if you IgA levels are normal, the tTG iGA can miss up to 25% of celiacs.

 

The AGA IgG is not a great test.  If you look on page 12 of this report by the World Gastroenterology Organisation, you can see that the sensitivity of the AGA IgG can be as low as 17%!  That means it can miss (worst case scenario) up to 83% of all celiacs.  The DGP IgG (deaminated gliadin peptides) is a much better, but similar test.

 

If you can get more tests (even the endoscopic biopsy), I would do it. If not, you should consider trying the gluten-free for 6 months.  At this point you suspect celiac disease or non-celiac gluten sensitivity (NCGS), and despite the two negative tests, it could still be either one of those causing your problems.  If you are sure testing is done, go gluten-free and keep a food and symptoms journal. Symptoms can change so slowly that you barely notice so keeping a food journal can help.  There is also the added benefit that if another food is causing your problems, it may help you identify the problem.

 

Hang in there.


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#926528 Is This Likely Celiac Disease?

Posted by on 05 August 2014 - 07:32 PM

Good luck. Glad it is good so far.
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