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Help! Symptoms for years, Dr. not running correct tests!


Midwestmama3G

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Midwestmama3G Newbie

Hi all! 
32 yo female :)I have had symptoms of celiac for some time. Year maybe… the last year it’s gotten worse. Chronic and constant  diarrhea, nausea, bloating, mouth ulcers, muscle twitching, fatigue, headaches, tingle patches, weight loss. I’ve been tested for everything under the sun. My doctor ran an IgE test only and told me the level was 11, which is low, and I don’t have celiac. I sent him an email and asked him to run the full celiac panel, becauee I thought IGE only tested allergies and celiac is an auto immune condition. I haven’t heard anything back yet. I’m frustrated because I feel terrible all the time and I don’t have answers. Can anyone help give me advice ? Should I just try a gluten-free diet and see if I feel better? Thank you!!! 


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trents Grand Master

You are correct. IGE is for allergies. An entirely different immune system pathway.

Here is a description of tests that can be run for celiac disease and their strong and weak points: https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/

If you don't get any cooperation from your doctor soon, I advise getting another one. Also, you can order home celiac test kits for around $100.00 from Imaware. There are other ones available too: https://www.testing.com/celiac-test/at-home/

One option, as you suggest, would be to try a gluten free diet and see if the symptoms improve. But only do that if you are for certain you will not pursue anymore testing. You must be eating regular amounts of gluten for 6-8 weeks before the antibody test and at least 2 weeks before the endoscopy/biopsy or it will likely invalidate the tests. They are designed to detect antibodies from inflammation/damage to the small bowel lining and if you allow it to heal there won't be antibodies to measure.

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    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
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      plant sources of calcium, such as spinach, have calcium bound to oxalates, which is not good. best source of calcium is unfortunately dairy, do you tolerate dairy? fermented dairy like kefir is good and or a little hard cheese. i do eat dairy, i can only take so much dietary restriction and gluten is hard enough! but i guess some people do have bad reactions to it, so different for everyone.  
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