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Don't know what to do


Marshmallows-17

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Marshmallows-17 Newbie

I have a history of endometriosis had surgery and then initially gluten sensitivity (diagnosed by a herbal doc not official)

Endo went into remission after having 2 kids 

I was gluten free for a year or so then started to slip for past 10 years I've been eating it although I've always been light on the gluten anyway don't eat cereal or toast at breakfast or sandwichs for lunch so the majority would just be if I had pasta etc with dinner.  

About 2 years ago I started to feel bad again cramping, terrible periods constant neusea I cut lactose out of my diet and the neusea subsided.  But the cramping continued. 

Then recently I developed a rash on my fingers little blisters doctor prescribed steroid cream, I googled and came a gross DH I trialled going gluten-free for a week and the itching started to calm down. 

I spoke to doctor and was told to add gluten back for a week and then have bloods.  So I ate it 2/3 times a day for 1 week by the end of the week I was a mess.  

Headaches, all over itching, bruised all over, tired, mood swing, constipation, cramps, tingling in my neck and I started to feel suicidal to the point my family were starting to worry. 

The bloods were negative 😒

I don't know where to go from here I cannot do a gluten challenge for 6 weeks I wouldn't last that long.  

I've been completely gluten-free for nearly 2 weeks now and the rash is no where near as itchy.  It flairs up about 2 hours later if I've accidentally missed something.  

I feel so much better and not like I want to kill someone! 

Have I got any chance of getting an official diagnosis by the rash alone? Biopsy not an option either as I've read that also requires consumption.  

I'm happy to stay gluten-free but I don't want to miss out of necessary checks if it is celiac and concerned it will affect my work as I work with loose flour and this triggers a reaction 😩


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Marshmallows-17 Newbie
11 minutes ago, Marshmallows_17 said:

I have a history of endometriosis had surgery and then initially gluten sensitivity (diagnosed by a herbal doc not official)

Endo went into remission after having 2 kids 

I was gluten free for a year or so then started to slip for past 10 years I've been eating it although I've always been light on the gluten anyway don't eat cereal or toast at breakfast or sandwichs for lunch so the majority would just be if I had pasta etc with dinner.  

About 2 years ago I started to feel bad again cramping, terrible periods constant neusea I cut lactose out of my diet and the neusea subsided.  But the cramping continued. 

Then recently I developed a rash on my fingers little blisters doctor prescribed steroid cream, I googled and came a gross DH I trialled going gluten-free for a week and the itching started to calm down. 

I spoke to doctor and was told to add gluten back for a week and then have bloods.  So I ate it 2/3 times a day for 1 week by the end of the week I was a mess.  

Headaches, all over itching, bruised all over, tired, mood swing, constipation, cramps, tingling in my neck and I started to feel suicidal to the point my family were starting to worry. 

The bloods were negative 😒

I don't know where to go from here I cannot do a gluten challenge for 6 weeks I wouldn't last that long.  

I've been completely gluten-free for nearly 2 weeks now and the rash is no where near as itchy.  It flairs up about 2 hours later if I've accidentally missed something.  

I feel so much better and not like I want to kill someone! 

Have I got any chance of getting an official diagnosis by the rash alone? Biopsy not an option either as I've read that also requires consumption.  

I'm happy to stay gluten-free but I don't want to miss out of necessary checks if it is celiac and concerned it will affect my work as I work with loose flour and this triggers a reaction 😩

https://ibb.co/0DdfXk0

- rash 

Awol cast iron stomach Experienced

My gluten challenge was 2 weeks with endoscope and colonscopy. Did they offer that option. I have read  the 12 week challenge is what is best to yield positive bloodwork or positive DH result.  

In the end I was diagnosed NCGS , my rash did not appear during my challenge possibly  as I was on both H1 and H2 antihistamines ,had been eating gluten-free for 3 years prior, or a combo of all those . It is possible one of those factors or multiple factors didn't yield my rash. The rash I had prior to going gluten-free the first time has appeared since since my gluten challenge  if I have a cc incident.

When I went through this the best option I had with the least amount of time eating gluten was a two week challenge and scopes /endoscope and colonscopy.

Good luck

GFinDC Veteran

If you can't complete the gluten challenge due to symptoms, that pretty much means you shouldn't eat gluten.  Regardless of any test results, if your body can't handle it then you should not eat it.

I don't know of any approved testing that doesn't require a gluten challenge.

There is a gene test you can take, but it only shows your are in the pool of 30% or so of people that are able to develop celiac disease.  So, while it might be nice to know if you have the genes, it doesn't prove you have celiac disease by itself.  It's kind of a bad catch 22 having to do a gluten challenge for celiac testing.  Bummer, but it's all they have right now.

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    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
    • Scott Adams
      That’s a really tough situation. A few key points: as mentioned, a gluten challenge does require daily gluten for several weeks to make blood tests meaningful, but negative tests after limited exposure aren’t reliable. Dermatitis herpetiformis can also be tricky to diagnose unless the biopsy is taken from normal-looking skin next to a lesion. Some people with celiac or DH don’t react every time they’re exposed, so lack of symptoms doesn’t rule it out. Given your history and family cancer risk, this is something I’d strongly discuss with a celiac-experienced gastroenterologist or dermatologist before attempting a challenge on your own, so risks and benefits are clearly weighed.
    • Greymo
      https://celiac.org/glutenexposuremarkers/    yes, two hours after accidents ingesting gluten I am vomiting and then diarrhea- then exhaustion and a headache. see the article above- There is research that shows our reactions.
    • trents
      Concerning the EMA positive result, the EMA was the original blood test developed to detect celiac disease and has largely been replaced by the tTG-IGA which has a similar reliability confidence but is much less expensive to run. Yes, a positive EMA is very strong evidence of celiac disease but not foolproof. In the UK, a tTG-IGA score that is 10x normal or greater will often result in foregoing the endoscopy/biopsy. Weaker positives on the tTG-IGA still trigger the endoscopy/biopsy. That protocol is being considered in the US but is not yet in place.
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