Jump to content
  • You are not alone. Join Celiac.com for trusted gluten-free answers and forum support.



  • Celiac.com Sponsor (A1):
    Celiac.com Sponsor (A1-M):

Test results and question about gluten challenge


chocolatesunrise

Recommended Posts

cyclinglady Grand Master

I agree with Rancher’s wife.  It really sounds like your GI is not very celiac-savvy.  ☹️


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



  • Replies 56
  • Created
  • Last Reply

Top Posters In This Topic

  • chocolatesunrise

    27

  • squirmingitch

    8

  • cyclinglady

    8

  • kareng

    5

Top Posters In This Topic

  • chocolatesunrise

    chocolatesunrise 27 posts

  • squirmingitch

    squirmingitch 8 posts

  • cyclinglady

    cyclinglady 8 posts

  • kareng

    kareng 5 posts

Keight Enthusiast
On 9/30/2019 at 10:43 AM, Ranchers Wife said:

Maybe it's just me... but after all that you've been through, I would confirm that:

There were at least six biopsy samples from the duodenum sent to pathology

And

The biopsies shoe normal villous architecture according to the pathologist s magnified view

Before I would agree to more medical testing with this physician.

If it turns out that your doctor didn't take duodenal biopsy samples, don't go back! Is my advice. I'm not a doctor but if he's trying to diagnose or rule out Celiac by taking large intestine samples, he's not up on current Celiac diagnosis standards.

Agreed. All sounds rather confusing tbh. 

chocolatesunrise Explorer

I completely agree. It has been very confusing. I live in a pretty rural area so I don’t have many options as far as doctors. I could go to a larger city center but I checked and it will be months before I can be seen. I think my current doctor just isn’t well versed in celiac unfortunately. My daughter has a number of medical problems and I have had to take her out if area to find doctors that could diagnose and treat her. Even now, if she has a flare and we go to the ER locally I have to bring articles describing her problems and the doctors are always baffled. I’ve yet to find any around here that have even heard of her diagnosis!!  Crazy and super frustrating. This has been a very frustrating and futile few months. Not to mention expensive!  And I feel like I have no more answers now than before I started all this. 

mYstummyHurt Apprentice

this is so disheartening and also my biggest fear of testing. ive been dismissed by doctors many times so i feel your pain. so sorry this is happening to you. im making a doctors appt today to begin testing for celiac disease but i already know im NOT eating gluten for 6 week, no friggin way. i just learned that gluten was causing these, what i call painful "trapped gas" attacks ive been getting, so theres no way in hell im eating more gluten for 6 weeks, just so they can tell me "never eat gluten again".

does anyone know if there are any other tests that dont include poisoning yourself for 6 weeks???

cyclinglady Grand Master
2 hours ago, mYstummyHurt said:

this is so disheartening and also my biggest fear of testing. ive been dismissed by doctors many times so i feel your pain. so sorry this is happening to you. im making a doctors appt today to begin testing for celiac disease but i already know im NOT eating gluten for 6 week, no friggin way. i just learned that gluten was causing these, what i call painful "trapped gas" attacks ive been getting, so theres no way in hell im eating more gluten for 6 weeks, just so they can tell me "never eat gluten again".

does anyone know if there are any other tests that dont include poisoning yourself for 6 weeks???

Sorry, there are no tests for celiac disease that do not require you to be on a full gluten diet.  You can get genetic testing, but that just narrows down your odds since about 35% of population carries the genes that MIGHT develop into celiac disease.  That is a lot of people!  

While I am formally diagnosed with celiac disease (7 years), my hubby is not. He went gluten-free 18 years ago based (on what we know today) poor advice from my allergist and his GP.  The diet worked.  Does he have celiac disease for sure?  We will never know because, like you, he refuses to do the challenge.  Also, what nut would remain gluten free for almost 20 years if the diet did not work?

He will tell you that I get way more support from family, friends and medical staff.  My diagnosis makes it easy to get our kid periodically tested for celiac disease even though she is asymptomatic.  Having a diagnosis has made it easier for me.  My doctors do not hesitate to test for other autoimmune, and illnesses related to celiac disease like osteoporosis.  You also have to be dedicated to making the dietary changes.  It is hard.  Really hard, but doable.  

I hope this helps you make the right decision for you.  Research is your best defense.  

 

 

mYstummyHurt Apprentice
51 minutes ago, cyclinglady said:

Sorry, there are no tests for celiac disease that do not require you to be on a full gluten diet.  You can get genetic testing, but that just narrows down your odds since about 35% of population carries the genes that MIGHT develop into celiac disease.  That is a lot of people!  

While I am formally diagnosed with celiac disease (7 years), my hubby is not. He went gluten-free 18 years ago based (on what we know today) poor advice from my allergist and his GP.  The diet worked.  Does he have celiac disease for sure?  We will never know because, like you, he refuses to do the challenge.  Also, what nut would remain gluten free for almost 20 years if the diet did not work?

He will tell you that I get way more support from family, friends and medical staff.  My diagnosis makes it easy to get our kid periodically tested for celiac disease even though she is asymptomatic.  Having a diagnosis has made it easier for me.  My doctors do not hesitate to test for other autoimmune, and illnesses related to celiac disease like osteoporosis.  You also have to be dedicated to making the dietary changes.  It is hard.  Really hard, but doable.  

I hope this helps you make the right decision for you.  Research is your best defense.  

 

 

that makes sense but also hard to swallow. ive only been gluten free for about 3 weeks but i did accidentally ingest gluten a couple times during this period. do you think they would still be able to do the blood test now without me having to get back on gluten??

OP, sorry for hijacking your thread.

cyclinglady Grand Master
1 hour ago, mYstummyHurt said:

that makes sense but also hard to swallow. ive only been gluten free for about 3 weeks but i did accidentally ingest gluten a couple times during this period. do you think they would still be able to do the blood test now without me having to get back on gluten??

OP, sorry for hijacking your thread.

Yes....it is possible.  Just get back on gluten (eat something yummy!) and get the test.  You can even go to a walk in lab and make the request and pay cash/credit.   You probably would not need to do a 6 to 12 week gluten challenge since you were off for only three weeks.    Most celiacs take a long time to heal, but in theory some can heal in little as two weeks.  Rare, but possible.  


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - Wheatwacked commented on Scott Adams's article in Diagnosis, Testing & Treatment
      5

      New Study Reveals Hidden Gut Damage in Celiac Disease—Even Without Gluten (+Video)

    2. - Wheatwacked replied to Ginger38's topic in Coping with Celiac Disease
      6

      The Struggle Has Overtaken Me

    3. - cristiana replied to CC90's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Coeliac or not coeliac

    4. - CC90 replied to CC90's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Coeliac or not coeliac

    5. - Wheatwacked replied to CC90's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Coeliac or not coeliac


  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      134,196
    • Most Online (within 30 mins)
      10,442

    Spider2026
    Newest Member
    Spider2026
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.7k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

  • Upcoming Events

  • Posts

    • Wheatwacked
      Hi @Ginger38, By now you know that these things improve without gluten. I once saw an interview with a corporation executive where he proudly declared that his wheat products are more addictive than potato chips. Dr Fuhrman (Eat to Live) said find foods that are friendly to you to be friends with.  
    • cristiana
      Hi @CC90 Ah... that is very interesting.  Although it is very annoying for you to have to go through it all again, I would say that almost sounds like an admission that they didn't look far enough last time?   I could be wrong, but I would not be at all surprised if they find something on the next attempt.  Coeliac damage can be very patchy, as I understand it, so that's why my own gastroenterologist always likes to point out that he's taken lots of samples!  In the kindest possible way (you don't want to upset the person doing the procedure!) I'd be inclined to tell them what happened last time and to ask them in person to take samples lower down, as  if your health system is anything like the one in my country, communication between GPs, consultants and hospitals isn't always very good.  You don't want the same mistake to be made again. You say that your first endoscopy was traumatic?  May I ask, looking at your spelling of coeliac, was this done at an NHS hospital in England?  The reason for the question is that one of my NHS diagnosed friends was not automatically offered a sedative and managed without one.  Inspired by her, I tried to have an endoscopy one time, in a private setting, without one, so that I could recover quicker, but I had to request sedative in the end it was so uncomfortable.    I am sorry that you will have to go through a gluten challenge again but to make things easier, ensure you eat things containing gluten that you will miss should you have to go gluten free one day. 😂 I was told to eat 2 slices of normal wholemeal bread or the equivalent every day in the weeks before , but I also opted for Weetabix and dozens of Penguin chocolate biscuits.  (I had a very tight headache across my temple for days before the procedure, which I thought was interesting as I had that frequently growing up. - must have been a coeliac symptom!)  Anyway, I do hope you soon get the answers you are looking for and do keep us posted. Cristiana  
    • CC90
      Hi Cristiana   Yes I've had the biopsy results showing normal villi and intestinal mucosa.  The repeat endoscopy (requested by the gastro doc) would be to take samples from further into the intestine than the previous endoscopy reached.      
    • Wheatwacked
      Transglutaminase IgA is the gold-standard blood test for celiac disease. Sensitivity of over 90% and specificity of 95–99%. It rarely produces false positives.  An elevated level means your immune system is reacting to gluten.  Non-Celiac Gluten Sensitivity (NCGS) does not typically cause high levels of tTG-IgA. Unfortunately the protocols for a diagnosis of Celiac Disease are aimed at proving you don't have it, leaving you twisting in the wind. Genetic testing and improvement on a trial gluten free diet, also avoiding milk protein, will likely show improvement in short order if it is Celiac; but will that satisfy the medical system for a diagnosis? If you do end up scheduling a repeat endoscopy, be sure to eat up to 10 grams of gluten for 8 - 12 weeks.  You want  to create maximum damage. Not a medical opinion, but my vote is yes.
    • trents
      Cristiana asks a very relevant question. What looks normal to the naked eye may not look normal under the microscope.
×
×
  • Create New...