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"Probable Celiac" Diagnosis


KimHarder

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KimHarder Newbie

Hi everyone! I've just been given a diagnosis of "Probable Celiac". I have been gluten free for over a year and refuse to take it up again just to get an "accurate" test result. I was hoping that giving a run down of my symptoms to people who have been diagnosed with it might help give me some more clarity. I am 34 and have suffered from GI distress in one way or another my whole life. I do have an aunt and cousin with Celiac and I suspect my father has it as well. I've had 3 main triggers, processed fast food, deep fried food, and beer. Eating these would more often than not send me into what I call an "acute attack" where I would spend hours in the bathroom wracked with cramping and nausea while my body purged everything as quickly as it could. I've also linked feeling unwell to factory farmed meat and eggs. About 3 years ago I lost the ability to eat dairy. Now I cannot eat it at all without multiple trips to the bathroom. I have had several "flare ups" as well. Some that last just a day or two, and some that last weeks to months where I was unable to eat solid food without feeling nauseated. During these times I also get bloating, GI inflammation, diarrhea, fatigue and brain fog. I get migraines once or twice a month. Not severe, but when I was younger I would get really scary Aural Migraines. I also have generalized anxiety, and tend to get itchy rashes on my elbows, abdomen and backs of my hands. I also have really poor teeth, and had my appendix removed when I was 25. I did eliminate gluten from my diet for 3 months a year ago and about a week after I reintroduced it my torso broke out in hives which then changed to an itchy rash that lasted for over a month, as well as full systemic inflammation and massive brain fog. 

I am just at the tail-end of my latest flare up which has lasted over two weeks. GI inflammation, brain fog, unable to eat solid foods, diarrhea...this latest flare up is what has prompted the probable diagnosis. There is still gluten in my house as I make bread for my kids, and they still eat gluten. My ND says that even if I am not ingesting gluten, if I am exposed to it, it can still build up in my system and that this is most likely the cause of this recent flare up. 

I've been battling this my whole life, with GP after GP saying I'm too skinny, or it must be my hormones, or my gallbladder, or my kids probably brought home a rash....I would just really, really like some clarity on all of this...and this seems like a really good place to find some.


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trents Grand Master

I think you have your answer. And if you are still preparing wheat four containing foods for other family members you are likely getting exposed through inhalation of wheat four dust or cross contamination. Realize also that if you have active celiac disease there is a 44% chance that your first degree relatives have or will also develop active celiac disease. So I am suggesting you encourage your children to get tested. The first stage of testing is a simple blood draw to check for antibodies.

Scott Adams Grand Master

Welcome to the forum!

Your symptoms certainly could be caused by celiac disease and/or gluten sensitivity. 

This article may be helpful:

 

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    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
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