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Help with testing


Xvd

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Xvd Newbie

Hello! I just recently joined the forum in hopes of finding some help. I have gotten blood work and the endoscopy procedure and tested negative for gluten intolerance. Although cutting gluten and dairy have made a difference in my lifestyle I’m still have problems. I’m being referred to the gastrology department to request a GI Map to be done. Anything else I should ask for to be tested? 


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trents Grand Master
17 minutes ago, Xvd said:

Hello! I just recently joined the forum in hopes of finding some help. I have gotten blood work and the endoscopy procedure and tested negative for gluten intolerance. Although cutting gluten and dairy have made a difference in my lifestyle I’m still have problems. I’m being referred to the gastrology department to request a GI Map to be done. Anything else I should ask for to be tested? 

Welcome to the forum, Xvd!

You may be confusing gluten intolerance with celiac disease. Gluten intolerance is an umbrella term made popular by pop science food industry marketing that covers two medical problems associated with gluten consumption: celiac disease and gluten sensitivity (aka, non celiac gluten sensitivity or NCGS for short). Sounds like you have had celiac disease ruled out by testing but you could still have NCGS for which there is currently no test. It is diagnosed by the persistence of symptoms after celiac disease has been ruled out. NCGS does not cause villi damage as does celiac disease but produces many of the same symptoms. 

Scott Adams Grand Master

Welcome, can you please clarify what you've posted here? It sounds like you had a celiac disease blood panel, and an endoscopy that looked for celiac disease, and both tests were negative, is this correct? Also, it sounds like you do still have issues with gluten, and if so, that likely puts you in the NCGS category, as @trents mentioned. Please let us know.

  • 3 weeks later...
Xvd Newbie
On 9/16/2021 at 10:37 AM, Scott Adams said:

Welcome, can you please clarify what you've posted here? It sounds like you had a celiac disease blood panel, and an endoscopy that looked for celiac disease, and both tests were negative, is this correct? Also, it sounds like you do still have issues with gluten, and if so, that likely puts you in the NCGS category, as @trents mentioned. Please let us know.

Hi! Yes that is correct. I have an appointment soon with the gastrology department and looking to get testing to see if maybe I have leaky gut or maybe overgrowth of a certain bacteria. Any suggestions on panels I can ask to be tested?

Scott Adams Grand Master

It's difficult to make a recommendation because we don't really know what tests were done. If you could get a copy of what celiac blood tests were done it would be helpful. Also, were you eating gluten daily until you did those tests? 

Likewise, they did an endoscopy, but if your blood panel for celiac disease is negative they normally would not do this procedure. If they did do it, do you have the results?

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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
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