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try2bgfree

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try2bgfree Rookie

I started a gluten challenge on Wednesday.  I started getting jaundice on Thursday, and went to the doctor today.  She confirmed that I am, indeed yellowish, but it could be jaundice or anemia.  She ordered quite a few tests (vitamins, Hep A,B,C, and celiac panel.  She also said to stop with the gluten.  My question is:

Is it at all possible to have a positive result if I only ate it for 5 days and hadn't had it before that except for rarely for about 4 years?  If not, any recommendations?  I guess if it really causes liver damage that quickly in me, it doesn't matter what I call it, I can't eat it.


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nvsmom Community Regular

Wow!  :o

I think it is unlikely that you will have an accurate celiac test after only 5 days if you are gluten free. If you are still consuming tiny amounts of gluten (like in soy sauce or gravies) then your chances of an accurate test are higher.

 

The DGP IgA and DGP IgG tend to detect celiac sooner in a gluten challenge than the tTG tests, and much faster than the EMA IgA. If possible try to have the DGP tests run along with your ttG tests.

 

If you need further testing, the endoscopy only needs a couple of weeks of gluten...but if you are getting sick that fast, I agree that it may not be worth it to continue eating the stuff.  Good luck!

try2bgfree Rookie

Thanks:)

notme Experienced

stupid question but did they test your liver?  i had jaundice once and they were all about testing me for hepatitis (negative, which left everybody scratching their heads), liver function and enzymes.  did your urine turn darker?  they wouldn't let me out of the hospital until my bilirubins <whatever those are) were back to normal.  (this was long before i was dx'd with celiac and my comfort food of choice, when i was feeling poorly, was toast and tea.......go figure, lolz)  anyways, just curious  :)  hope you feel better

try2bgfree Rookie

Notme!  - They tested the bilirubins and hep a, b, and c.  I called to ask if they tested for autoimmune hep and they said yeah, but my doctor kinda sucks and i don't remember them saying that.  I should get my test results tomorrow I think.  Did they test you for Auto immune hepatitis?  I wish I was in the hospital.  I can't really take off from work and I am a single mom to a 4 year old.  Being in the hospital sounds so good right now, I am just so tired and blah.  Oh and yeah, my urine is dark.  How long did it take for your levels to go back to normal?  Thanks for the well wishes:)

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    • trents
      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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