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Duodenal Intraepithelial Lymphocytosis, Negative Haplotype, Help!


livelaughlove3885

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livelaughlove3885 Rookie

Hi. I am really frustrated because I am in the no man's land of pathologies. I had an EGD and biopsy of duodenum shows Duodenal Intraepithelial Lymphocytosis, especially at villus tips. Mild crypt hyperplasia. Negative H pylori. I don't use NSAIDS. So then I had bloodwork including haplotype testing and I am negative for celiac genes. So the gastro doc just said I don't know. So then I saw another doc and he said probably non-celiac gluten sensitivity but there is no way to know for sure, although I have all the symptoms of celiac disease even though I do not have celiac disease. ALso, I work for gastroenterology, and out of the 1000s of pathologies i see every week in my past 3 years of working for gastro I have only seen about maybe 10 other people with the same report as me that are negative blood testing for celiac yet they have IELs. There is hardly any research in this type of pathology. Anyone else out there like me? Here are my problems: diarrhea (can be as watery as urine and when it was bad it was 10 -15 times per day), fatigue, muscle twitches, blepharospasm and hemifacial spasm, folliculitis, joint aches and pains, anxiety, trouble thinking sometimes, heart benign PVCs or racing heart when I eat something i shouldn't, sometimes the skin on the roof of my mouth will blister and just peel off. Now, all those things are gone when i eat right, there still only there a little but they are manageable. I eat really healthy and also just starting taking calcium, magnesium, and zinc (i read if you don't get enough mag and have absorption issues you can get irregular heartbeat, blepharospasm, muscle twitches...). I have been gluten free again since 3 days ago. (Before i was eating gluten but only maybe twice a week, like once every couple days. I want to see what happens if i avoid it completely). Anyone else out there like me??? also, i had allergy testing and I am negative for everything. 


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nutritionguy Rookie

Hi. I am really frustrated because I am in the no man's land of pathologies. I had an EGD and biopsy of duodenum shows Duodenal Intraepithelial Lymphocytosis, especially at villus tips. Mild crypt hyperplasia. Negative H pylori. I don't use NSAIDS. So then I had bloodwork including haplotype testing and I am negative for celiac genes. So the gastro doc just said I don't know. So then I saw another doc and he said probably non-celiac gluten sensitivity but there is no way to know for sure, although I have all the symptoms of celiac disease even though I do not have celiac disease. ALso, I work for gastroenterology, and out of the 1000s of pathologies i see every week in my past 3 years of working for gastro I have only seen about maybe 10 other people with the same report as me that are negative blood testing for celiac yet they have IELs. There is hardly any research in this type of pathology. Anyone else out there like me? Here are my problems: diarrhea (can be as watery as urine and when it was bad it was 10 -15 times per day), fatigue, muscle twitches, blepharospasm and hemifacial spasm, folliculitis, joint aches and pains, anxiety, trouble thinking sometimes, heart benign PVCs or racing heart when I eat something i shouldn't, sometimes the skin on the roof of my mouth will blister and just peel off. Now, all those things are gone when i eat right, there still only there a little but they are manageable. I eat really healthy and also just starting taking calcium, magnesium, and zinc (i read if you don't get enough mag and have absorption issues you can get irregular heartbeat, blepharospasm, muscle twitches...). I have been gluten free again since 3 days ago. (Before i was eating gluten but only maybe twice a week, like once every couple days. I want to see what happens if i avoid it completely). Anyone else out there like me??? also, i had allergy testing and I am negative for everything. 

I happen to be genetically at risk for celiac disease, but biopsy and antibody negative--even though I had symptoms which were consistent with celiac disease.  Also, I have a first cousin with celiac disease.  Having said all that, a gluten free diet made me feel better, but it did not reverse my weight loss.  Even probiotics helped me, but did not reverse my weight loss.  It was not until I eliminated apple juice of all things that my condition stabilized and started to reverse.  Apple juice has been reported to worsen symptoms in people with inflammatory bowel disease.  My hypothesis is that apple juice promotes proliferation of inflammatory bacteria in the gastrointestinal tract.  Interestingly, when I switched from apple to blueberry juice, my condition dramatically improved.  The bottom line here is that you need to look closely at your diet and examine whether you are consuming any foods that promote proliferation of inflammatory bacteria, and switch to foods that inhibit or do not promote growth of inflammatory bacteria (such as fresh blueberries, which contain xylitol, a sugar alcohol that helps prevent tooth decay of all things).

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    • xxnonamexx
      What about digestive enzymes that I hear help? I take align 5x probiotics daily.
    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
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