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Unexplained symptoms- celiac disease?


El10

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El10 Rookie

Hi,

I'm 27 y.o male. 18 months ago I started to suffer from unexplained symptoms. First one was hair loss(400-500 per day) from my scalp,eyelashes,eyebrows, legs,armpit and basically all over my body. Then I developed muscle pains, extreme fatigue, unexplained weight loss(about 9kg), my always looking pink nails turned ridged and yellowish(I'm not a smoker),memory problems(it was never like this before. my memory is super sharp), IBS symptoms(my stomach is rumbling no matter what I eat. I was diagnosed with IBS), in the last 2 months I have mild constipation and bright yellow stool(sorry if its TMI) , geographic tongue, insomnia, night sweats(on and off) , tingling in my legs and sharp stabbing pains in my back and stomach. Everywhere I get the stabbing pain, out of nowhere appears a red dot. My derm told me its noting. I did every possible test(ANA,full thyroid panel,zinc, vitamin D,STDs, parasites) including celiac and everything is normal/negative besides unexplained iron deficiency and B12 that didn't respond to 4 different pills/liquid for 10 months. My dr gave me an iron infusion and B12 injections eventually and now its good but symptoms persists. I did colonoscopy and endo and everything is good besides atrophic gastritis. My GP told me that its better if I do a capsule test for small intestine and to went through another endo test to take a biopsy from my small intestines(where celiac is happening). I was also sent to hematologist who rule out lymphoma. My GP wants me to do a full body CT scan in spite of what the hematologist said. I would be glad for any ideas/thoughts about my symptoms. I was suffering for so long 😕 . Thank you!


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Scott Adams Grand Master

Well you have many symptoms that are consistent with celiac disease, and I recommend that if you got a celiac disease blood panel done to get the results of the test and share them with us. I wonder what your doctor might mean by “negative.”

For example my daughter, who has an ~44-48% chance of having celiac disease because I and her grandmother have it (and she has the genetic markers for it), was told that her blood tests were negative for it, and she could continue eating gluten. She had various symptoms and when I looked at her blood test results they were one point under the cutoff line for CD...like 19 if the CD level was 20.

She didn’t feel better until she went gluten-free. So at the very least her test results indicated non-celiac gluten sensitivity, but had I not pursued the actual results she might have continued eating gluten, had symptoms that would probably get worse, and might eventually end up with full blown CD.

So, try to get the blood test results. Also, we’re you gluten-free when any tests were done? This can lease to false negative results.

El10 Rookie

Oh I got it but I think my result was way below the threshold. I think it was 0.75. It was done a year ago. Actually, I did an anti candida diet(I tried so many things just to get a relief but to no avail) before the test which is a diet with almost zero carbohydrates so I didn't eat many gluten products like breads,pasta etc before the test. could it have significant impact on the results? I really don't know what to think... I just know I was completely healthy symptoms free before all this started. what is more confusing is that my father has unexplained iron deficiency also that doesn't respond to iron pills. he gets iron infusions regularly also and his colonoscopy+endo were normal also. the gastro advised him to do the small intestine capsule test also. He wasn't tested for celiac as far as I know. 

Scott Adams Grand Master

If you were not eating gluten daily in the weeks leading up to your blood test for celiac disease is could lead to false negative results. 

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    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
    • Xravith
      I'm very confused... My blood test came out negative, I checked all antibodies. I suppose my Total IgA levels are normal (132 mg/dl), so the test should be reliable. Still, I'm not relieved as I can't tolerate even a single biscuit. I need to talk to my doctor about whether a duodenal biopsy is necessary. But it is really possible to have intestinal damage despite having a seronegative results? I have really strong symptoms, and I don't want to keep skipping university lectures or being bedridden at home.
    • Scott Adams
      They may want to also eliminate other possible causes for your symptoms/issues and are doing additional tests.  Here is info about blood tests for celiac disease--if positive an endoscopy where biopsies of your intestinal villi are taken to confirm is the typical follow up.    
    • Scott Adams
      In the Europe the new protocol for making a celiac disease diagnosis in children is if their tTg-IgA (tissue transglutaminase IgA) levels are 10 times or above the positive level for celiac disease--and you are above that level. According to the latest research, if the blood test results are at certain high levels that range between 5-10 times the reference range for a positive celiac disease diagnosis, it may not be necessary to confirm the results using an endoscopy/biopsy: Blood Test Alone Can Diagnose Celiac Disease in Most Children and Adults TGA-IgA at or Above Five Times Normal Limit in Kids Indicates Celiac Disease in Nearly All Cases No More Biopsies to Diagnose Celiac Disease in Children! May I ask why you've had so many past tTg-IgA tests done, and many of them seem to have been done 3 times during short time intervals?    
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