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No Official Diagnosis, But....


albauer94

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albauer94 Apprentice

I have had problems most of my life that I now know are symptoms of celiac (IBS, GERD, mouth ulcers, headaches, mystery rashes, infertility, miscarriages, I could keep going but I'll stop).  Anyhow in February I saw a chiropractor/nutritionist because I was totally exhausted and just all around felt like crap.  He suspected it was gut related and ran a organic acid urine test and a celiac HLA DQ screen to check to see if I had the markers because my 13 year old nephew has celiac.  The test came back that I had the DQ8 allele.  He recommended that I start start a gluten free diet at the beginning of March to see if it helps any.  

 

March came and went and I felt much better.  Stomach issues getting better, no brain fog, and I wasn't nearly as exhausted as before.  On April 1 blood test results for my 3 year old son came back positive for celiac.  I resumed a gluten filled diet and called my PCP and requested celiac testing.  Test results were negative but the some of the tests they used were outdated and they only ran IgA, not IgG and didn't test total IgA so I'm still not convinced.  A couple weeks later I called my GI doctor (who I should have called to being with) and told them about a stronger family history (son with positive blood (now blood and biopsy), 1 brother with DH but no biopsy, 1 that can't eat gluten without getting sick but never tested, 1 nephew confirmed celiac-we knew about him for 2 years, and 1 nephew with positive blood test) than a year ago when I had a scope to look for an ulcer or any other reasons for constant hunger feelings and heartburn.  He looked for evidence of flattened villi but didn't see anything but didn't do a biopsy.  

 

Now with the stronger family history, DQ8 gene and positive response to a gluten free diet he said that he would do another scope to do a biopsy but after discussing it with my husband I decided against it, but now I wonder if I have made the right decision or if I should just assume I probably do have it and I'm going gluten free either way so it doesn't matter anyhow.  I have been gluten free for two weeks now after eating anything and everything in April and being sick most of the month.  I don't really want to resume a gluten filled diet just for the sake of a test that wont' make a difference either way.

 

So I guess my question is, are there any benefits to testing as an adult?  Other than knowing you need to stay on a strict diet.  I  don't need a doctor to tell me what I already know. I accidentally glutened myself yesterday eating a chef salad.  Lesson learned, lunch meat isn't always gluten free.

 

 

 

 

 

 


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cyclinglady Grand Master

My husband went gluten-free per the poor advice from my allergist and his GP. He was never tested for celiac disease. Turns out that after being gluten-free For 14 years he feels great! He refuses to do a challenge and I do not blame him. Gluten makes him sick! I was formally diagnosed two years ago. Hubby would be the first to say that I get a lot more support from medical, family and friends. It makes it easier for my kid to be tested as needed. Will it help in in the future? I do not know.

If your doctor could give you the dx by diet, family history and Gene testing, that would be great. If not, then you can be like my hubby and go gluten-free!

albauer94 Apprentice

Maybe I will call the GI and make an appointment to talk at the very least.  Maybe he has some compelling reasons to get tested.  At this point, all I really know is eating gluten makes me feel like crap.  The chiropractor I went to pretty much said that regardless of whether I stopped eating now or later, I would most likely develop celiac if I didn't already have it.

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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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