Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

My Doctor Diagnosed Me Without A Biopsy?


BeccaM

Recommended Posts

BeccaM Rookie

Hello All-

I have posted before explaining my situation. I am a cancer survivor who for ten years has been dealing with pain, nausea, osteoporosis, neuropathy, diarrhea etc.... The doctors had blammed it all on the treatments (chemo, radiation) and now I finally have a GI doctor who just diagnosed me with Celiac.

He said that I am "Clinically Celiac". He doesn't feel like he needs to do a biopsy. My blood work was so borderline low before, and after a while on the gluten-free diet, it was fantastic. I mean, my white count which always hovers around 2.2 (normal is 5-10) was up to 3.5. Pretty cool!! He found that my actual celiac tests were not positive, but he said that it was because I had been gluten free for a while. He wants me to just try a gluten diet for a week or two to "firm up" the diagnosis. He said that if I feel awful on gluten, then we will know for sure.

Anyone else diagnosed with out the biopsy?

Thanks in advance.

-Becca


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



Celiac.com Sponsor (A8-M):



nettiebeads Apprentice
Anyone else diagnosed with out the biopsy?

Thanks in advance.

-Becca

Ooh, my kind of dr. If your body feels better withouth gluten, then you have ipso facto celiac. My dr. dx'd me w/o bloodwork or biopsy. It's called the diet challenge and is a very viable diagnostic tool. I'm glad you have a dr. that is taking into consideration everything you've been through and is paying attention to what your body is telling you. Try the diet challenge under your dr's direction. If you feel better, then continue. If not, then he may have to find other avenues to explore, but it sounds like he's on the right track.

penguin Community Regular
Anyone else diagnosed with out the biopsy?

Thanks in advance.

-Becca

Only my IgG was high on my blood test, so my dr put me on a gluten-free diet to see if it works. If it works, I have it, if it doesn't I don't. I've said this before, but she's taking the :huh:duh :huh: approach. She's also kind of apprehensive, though, she's waiting until she sees my records from my GI doc in AR, since he did an endoscopy...She also doesn't want to do an endo if possible, since it's so invasive :P

Guest nini

I was dx'ed without a biopsy. My blood test levels were so high that he said that there was no doubt about it... Also since my health improved dramatically on the gluten free diet he said that I most definitely had celiac and the only reason to do the biopsy was if I was not improving on the diet.

CMCM Rising Star

There seem to be a number of doctors/researchers who are pushing for the elimination of the biopsy as the main diagnostic tool. Blood tests can be unreliable. Enterolab's stool tests claim to have a much greater diagnostic capability, but that has not be accepted yet by the broader medical community (unfortunately!!). There may be occasional reasons for the biopsy, but once a suspicion of celiac is there, the gluten free diet seems a better indicator of diagnosis. The diet is the only treatment anyway, and how hard is it to do the diet for awhile and see how it goes?

VydorScope Proficient

Heck I was diagnosed with TWO non-postive bisopy's. Be happy and gald that you got a doc that understands celiac disease well enough to skip the UNRELIABLE biospy. :)

mouse Enthusiast

I was diagnosed without a biopsy. I had not ingested ANYTHING (including water, which I threw up) in the nine days prior to the blood test. Totally dehydrated and massive weight loss. The month prior to the test I had very little sustenance. When the light bulb went off in my GP's head for celiac disease, I probably had very little gluten in my body. The test came back slightly elevated and he still diagnosed celiac disease. He said I was far to sick to go through the biopsy and I certainly did not push it. The blisters on my hands disappeared and I could not believe the dramatic change the diet made in my health.


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



Celiac.com Sponsor (A8-M):



ravenwoodglass Mentor
Hello All-

I have posted before explaining my situation. I am a cancer survivor who for ten years has been dealing with pain, nausea, osteoporosis, neuropathy, diarrhea etc.... The doctors had blammed it all on the treatments (chemo, radiation) and now I finally have a GI doctor who just diagnosed me with Celiac.

He said that I am "Clinically Celiac". He doesn't feel like he needs to do a biopsy. My blood work was so borderline low before, and after a while on the gluten-free diet, it was fantastic. I mean, my white count which always hovers around 2.2 (normal is 5-10) was up to 3.5. Pretty cool!! He found that my actual celiac tests were not positive, but he said that it was because I had been gluten free for a while. He wants me to just try a gluten diet for a week or two to "firm up" the diagnosis. He said that if I feel awful on gluten, then we will know for sure.

Anyone else diagnosed with out the biopsy?

Thanks in advance.

-Becca

Both I and my DS were diagnosed through dietary changes. The gluten challange made me too sick to go to the biopsy. My DD had a biopsy that showed changes but not full blown celiac.

happygirl Collaborator

I was diagnosed without a biopsy.....had positive blood work. My dumb dr told me to go on the gluten-free diet before my biopsy....so amazingly enough, I had healed and they didn't see any blunted villi. But, I still have the Celiac diagnosis.

let-the -sun-in Newbie
Hello All-

I have posted before explaining my situation. I am a cancer survivor who for ten years has been dealing with pain, nausea, osteoporosis, neuropathy, diarrhea etc.... The doctors had blammed it all on the treatments (chemo, radiation) and now I finally have a GI doctor who just diagnosed me with Celiac.

He said that I am "Clinically Celiac". He doesn't feel like he needs to do a biopsy. My blood work was so borderline low before, and after a while on the gluten-free diet, it was fantastic. I mean, my white count which always hovers around 2.2 (normal is 5-10) was up to 3.5. Pretty cool!! He found that my actual celiac tests were not positive, but he said that it was because I had been gluten free for a while. He wants me to just try a gluten diet for a week or two to "firm up" the diagnosis. He said that if I feel awful on gluten, then we will know for sure.

Anyone else diagnosed with out the biopsy?

Thanks in advance.

-Becca

HI Becca

i too have neuropathy which was caused by malnutrion and the shortage of b12, since i went gluten free i find its not as agressive but i still have it. how do you deal with it yourself?. also my white blood count went down i was in er 2 weeks ago and they gave me a copy of the lab work and said my wbc is only1.7. i went to my regular gp who said he would not worry about it too much, but somewhere in the back of my mind i think that ,that it shouldnt be so low and its for a reason. anyway hope this diet works for you it as done wonders for me .

BeccaM Rookie

thanks so much everyone for your positive thoughts!

I have been struggling lately- I was hospitalized with what was thought to be a bowel obstruction, (would have been my third in six months) and had an allergic reaction to compazine. That was a week and a half ago, and since then, I have been feeling awful.

Just really hypoglycemic- sooo shakey and yucky. Like i'm going to faint and my heart palpitates. Does this happen to anyone else?

The doctor is having me check my blood glucose (I have a glucometer) and I have been getting the wierdest readings.. fasting -when I awake my sugar is 80, then, after I eat breakfast my sugar is 79, right before lunch it is 80, and right after eating 75. All of these are low- normal is 90-120/ So I'm wondering if there is something up with my pancreas, or if any of you are chronically hypoglycemic too.

thanks

becca

Guest Robbin

Becca, A lot of us are hypoglycemic, it sounds like you might be. Also, I have had problems with my potassium levels--too low--causes similar symptoms. I try to eat potassium-rich foods like bananas, potatoes, orange juice, etc. Take care, and keep us posted on your recovery. God bless :):)

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

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





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - trents replied to JudyLou's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Seeking advice on potential gluten challenge

    2. - JudyLou posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Seeking advice on potential gluten challenge

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

      A Future Beyond the Gluten-Free Diet? Scientists Test a New Cell Therapy for Celiac Disease (+Video)

    4. - Jmartes71 posted a topic in Related Issues & Disorders
      0

      Medications

    5. - Scott Adams replied to GlutenFreeChef's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Blood Test for Celiac wheat type matters?

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

    • Total Members
      133,139
    • Most Online (within 30 mins)
      7,748

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

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

    • There are no registered users currently online
  • Upcoming Events

  • Posts

    • trents
      Welcome to the celiac.com community, @JudyLou! There are a couple of things you might consider to help you in your decision that would not require you to do a gluten challenge. The first, that is if you have not had this test run already, is to request a "total IGA" test to be run. One of the reasons that celiac blood antibody tests can be negative, apart from not having celiac disease, that is, is because of IGA deficiency. If a person is IGA deficient, they will not respond accurately to the celiac disease blood antibody tests (such as the commonly run TTG-IGA). The total IGA test is designed to check for IGA deficiency. The total IGA test is not a celiac antibody test so I wouldn't think that a gluten challenge is necessary. The second is to have genetic testing done to determine if you have the genetic potential to develop celiac disease. About 30-40% of  the general population have the genetic potential but only about 1% actually develop celiac disease. So, genetic testing cannot be used to diagnose celiac disease but it can be used to rule it out. Those who don't have the genetic potential but still have reaction to gluten would not be diagnosed with celiac disease but with NCGS (Non Celiac Gluten Sensitivity).  Another possibility is that you do have celiac disease but are in remission. We do see this but often it doesn't last.
    • JudyLou
      Hi there, I’m debating whether to consider a gluten challenge and I’m hoping someone here can help with that decision (so far, none of the doctors have been helpful). I have a history of breaking out in a horrible, burning/itchy somewhat blistering rash about every 8 years. This started when I was in my early 30’s and at that point it started at the ankles and went about to my knees. Every time I had the rash it would cover more of my body, so my arms and part of my torso were impacted as well, and it was always symmetrical. First I was told it was an allergic reaction to a bug bite. Next I was told it was eczema (after a biopsy of the lesion - not the skin near the lesion) and given a steroid injection (didn’t help). I took myself off of gluten about 3 weeks before seeing an allergist, just to see if it would help (it didn’t in that time period). He thought the rash looked like dermatitis herpetiformis and told me to eat some bread the night before my blood tests, which I did, and the tests came back negative. I’ve since learned from this forum that I needed to be eating gluten daily for at least a month in order to get an accurate test result. I’m grateful to the allergist as he found that 5 mg of doxepin daily will eliminate the rash within about 10 days (previously it lasted for months whether I was eating gluten or not). I have been gluten free for about 25 years as a precaution and recommendation from my doctor, and the pattern of breaking out every 8 years or so remains the same except once I broke out after just one year (was not glutened as far as I know), and now it’s been over 9 years. What’s confusing to me, is that there have been 3 times in the past 2 years when I’ve accidentally eaten gluten, and I haven’t had any reaction at all. Once someone made pancakes (they said they were gluten-free, they were not) and I ate several. I need to decide whether to do a gluten challenge and get another blood test. If I do, are these tests really accurate? I’m also concerned that I could damage my gut in that process if I do have celiac disease. My brother and cousin both had lymphoma so that’s a concern regarding a challenge as well, though there is a lot of cancer in various forms in my family so there may be no gluten connection there. Sorry for the ramble, I’m just doubting the need to remain gluten free if I don’t have any reaction to eating it and haven’t had a positive test (other than testing positive for one of the genes, though it sounds like that’s pretty common). I’d appreciate any thoughts or advice! 
    • Jmartes71
      Hello, just popped in my head to ask this question about medications and celiac? I have always had refurse reaction to meds since I can remember  of what little meds my body is able to tolerate. I was taking gabapentin 300mg for a week,  in past I believe 150? Any ways it amps me up not able to sleep, though very tired.However I did notice it helped with my bloating sibo belly.I hate that my body is that sensitive and medical doesn't seem to take seriously. Im STILL healing with my skin, eye, and now ms or meningioma ( will know in April  which)and dealing with this limbo nightmare. I did write my name, address ect on the reclamation but im not tech savvy and not sure if went through properly. I called my city representative in Stanislaus County and asked if theres a physical paper i can sign for proclamation for celiac and she had no clue about what I was saying, so I just said I'll go back on website. 
    • Scott Adams
      I'm not saying that some celiacs won't need it, but it should be done under a doctor's supervision because it can cause lots of problems in some people.
    • Jmartes71
      I also noticed I get debilitating migraines when I smell gluten, wheat and its not taken seriously when it affects one in every way.Im still begging to properly be heard.I also noticed tolerance level is down the drain with age and life changes. I have been told by incompetent medical that im not celiac or that sensitive. Diagnosed in 1994 by gi biopsy gluten-free ever since along with other lovely food allergies. Prayers
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.