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Biopsy In 2 Weeks;didn't Realize How Much Gluten I Had To Start Eating

Guest frncsk

By Guest frncsk
in Celiac Disease Pre-Diagnosis, Testing & Symptoms

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Guest frncsk
Guest frncsk
Posted

Hi, guys! I'm frncsk and I'm new here!

 

I have a question about an upcoming biopsy for celiac testing, and I'd really appreciate any feedback you might offer!

 

So I have been slowly starting to add some gluten into my diet (after about a year gluten-free) to get ready for the test. I've been eating just a bit (a piece of bread here and there type of thing) maybe every few days or so for the past two or three weeks, with symptoms definitely coming back. :(

 

I had no idea until today that the amount of gluten I need to be eating (called the gluten challenge, I believe?) is much much higher than I have been ingesting! My test is on the 29th, just over two weeks away. What should I do? Would drastically ramping up my gluten intake between now and then be sufficient to ensure a correct result?

 

If not, I might be able to re-schedule.. but not for a few months. The 29th would be really quite convenient.

 

Thanks a bunch! :lol:

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kareng Grand Master
kareng
Posted

Open Original Shared Link

 

 

 

What is a gluten challenge?

A gluten challenge is the period of time when gluten is added back into a person’s diet to assist in the diagnosis of celiac disease. Antibodies take time to build into the blood stream before they can be detected through blood analysis. For a gluten challenge we recommend eating 1/2 slice of bread or a cracker each day for the duration of the challenge.

Prior to blood testing we recommend 12 weeks of eating gluten.
Prior to an endoscopic biopsy we recommend 2 weeks of eating gluten.

In the case of a severe reaction to gluten, a medical professional may opt to shorten the 12-week challenge and move immediately to an endoscopic biopsy.

Deaminated Marcus Apprentice
Deaminated Marcus
Posted

Welcome frncsk,

 

The information I found on The Canadian Celiac Association web site 
is that they recommend eating 4 slices of wheat bread for 3 months prior to a test.

You can find that information on this web page: Open Original Shared Link

Peter a moderator recently posted an answer to your question about gluten cramming. 

Good luck with the test.

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    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      Small Bowel Resection 12 inches

      By Ello · Posted

      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Small Bowel Resection 12 inches

      By Ello · Posted

      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

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