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CMCM Rising Star

I'm finding a lot of useful info here, but I'm still left unsure of how to proceed. I'm highly suspicious that I could have celiac disease or at least the gluten sensitivity and things do seem to be getting somewhat worse than what I've put up with my whole life until now.

Tell me if I'm wrong, but it seems from what I've read that 1) blood tests aren't necessarily the best diagnostic tool 2) The enterolab stool test is more accurate

I guess I'm wondering if I need to go thru all the expense of testing when the "cure" is going to be dietary anyway. That is, would everyone recommend just following the diet for a period of time just to see what happens? I guess recovery from symptoms would tell me everything I need to know, right? Or is there something beneficial to actually having bonafide positive test results in hand? Is having the test resuts helpful to give you the drive necessary to do the diet properly and completely?

ALSO....if you believe there IS value in the blood tests, could you tell me exactly what group of tests would be needed? I thought I saw this somewhere, but couldn't find the info again.


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nettiebeads Apprentice
I'm finding a lot of useful info here, but I'm still left unsure of how to proceed.  I'm highly suspicious that I could have celiac disease or at least the gluten sensitivity and things do seem to be getting somewhat worse than what I've put up with my whole life until now. 

Tell me if I'm wrong, but it seems from what I've read that 1)  blood tests aren't necessarily the best diagnostic tool  2)  The enterolab stool test is more accurate 

I guess I'm wondering if I need to go thru all the expense of testing when the "cure" is going to be dietary anyway.  That is, would everyone recommend just following the diet for a period of time just to see what happens?  I guess recovery from symptoms would tell me everything I need to know, right?  Or is there something beneficial to actually having bonafide positive test results in hand?  Is having the test resuts helpful to give you the drive necessary to do the diet properly and completely?

ALSO....if you believe there IS value in the blood tests, could you tell me exactly what group of tests would be needed?  I thought I saw this somewhere, but couldn't find the info again.

<{POST_SNAPBACK}>

Go to search up at top and type in tests, or go to members and enter KatieUSA and then search her posts. I've never had the tests done, well, not the blood or stool or anything. I was dx'd by the diet challenge by my dr. 9 yrs ago. But I don't think that the tests, if any, at that time were very sophisticated anyhow. I believe the bloodwork would tell you just how bad off you are and if it's celiac or gluten intolerance. Enterolab can let you know if you have specific genetic markers for celiac, gluten intolerance, or both or none. Biopsy, if done correctly, can show how much damage, if any, has happened to your villi. That's it in a nutshell. It depends on how much you HAVE to know. Me, I'm kinda curious about my genetic markers and may pursue that. There is absolutely no way I'm going back on gluten to find out if maybe I have gluten intolerance or celiac. Either way, the treatment is the same - gluten-free. Remember though, if you try the gluten-free diet and have the tests w/o going back on gluten for a good length of time, the tests will be skewed.

danikali Enthusiast

HI-I just went through all of the testing because for one, I know FOR SURE that there isn't more going on; but after I went on the gluten challenge (where you eat gluten just for the testing purposes) after being almost 100% off of it for 3 months, that really gave me all the proof that I need. Ever since I went to eating "anything I wanted" from cookies to pasta, to pizza to bread, I FELT LIKE EVEN MORE CRAP ALL OVER MY BODY IN A MILLION DIFFERENT WAYS then ever! :blink:

Soooooo, I would say if you don't feel the tests are necessary, then just try the diet. It def. will give you answers but you need to follow it 100% which is something I never did before. That means, any and every product you eat AND USE (shampoo, conditioner, soap, etc.) or you won't get completely accurate results from the diet either.

Today is my first day gluten free and I'm just waiting for the results. I also went through the testing to prove to family and friends that I'm not crazy, which is kind of crazy in itself because I felt like I was killing myself everyday as it got worse and worse! :huh:

Anyway, so I would say, it depends on how bad you feel and how strongly you believe this is your problem. And if you aren't willing to go 100% without a diagnosis, (which is hard to do, at least for me it was) then maybe you should just go through with the testing before you start messing with your diet, and then decide to get the tests. If you start eating gluten free, or even mostly gluten free, your tests may not come back accurate anyway because you might not have enough gluten in your system to show up! Unless you use enterolab, which I also did.

Anyway, I might have confused you more, but I just went through this whole thought process, so I thought I would add my input from experience.

Good luck! :D

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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
      I know what you mean. When I get glutened I have severe gut cramps and throw up for 2-3 hr. and then have diarrhea for another several hours. Avoid eating out if at all possible. It is the number one source of gluten contamination for us celiacs. When you are forced to eat out at a new restaurant that you are not sure is safe, try to order things that you can be sure will not get cross contaminated like a boiled egg, baked potatos, steamed vegies, fresh fruit. Yes, I know that doesn't sound as appetizing as pizza or a burger and fries but your health is at stake. I also realize that as a 14 year old you don't have a lot of control over where you eat out because you are tagging along with others or adults are paying for it. Do you have support from your parents concerning your need to eat gluten free? Do you believe they have a good understanding of the many places gluten can show up in the food supply?
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      Okay went online to check green mountain k cups .It was said that the regular coffees are fine but they couldn’t guarantee cross contamination.with the flavors. im trying to figure out since I eliminated the suyrup so far so good. I’m hoping. thanks it feels good to listen to other people there views.
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