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Getting diagnosed just a few questions!


Sebastian95

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Sebastian95 Rookie

Hello all!

I have dealt with stomach issues for about the past almost 8 years. About to weeks ago I went to my doctor and bad blood tests for literally everything possible done they took 8 tubes of blood.

So I got a call from the medical assistant a few days ago that my blood results (which i have not seen yet nor has my doctor until this week) supposedly are showing strong results that indicate celiac disease. And that I have an infection somewhere in my body i don’t know if that’s connected to the celiac at all?

but for years I’ve had symptoms of, diarrhea, fatigue, like brain fog/feeling heavy, as well as muscle weakness sometimes. Are these common with celiac? For reference im 27 never had any issues and don’t take any medications. 
 

I look forward to any input and help on this if possible if anything to at least calm my nerves. I appreciate any help and information possible. Thank you!


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trents Grand Master

Welcome to the forum, Sebastian!

Essentially all of your symptoms are commonly found in the celiac community.

The infection is probably not related to celiac disease, at least not directly.

Many or most of the symptoms you describe are likely related to nutritional deficiencies which goes hand in hand with celiac disease. celiac disease is an autoimmune disorder defined by damage to the villi that line the small bowel, which is where essentially all of the nutritional elements of what we eat are absorbed. When someone with celiac disease consumes gluten, the immune system interprets it as an invader and generates inflammation in order to deal with it. However, when this inflammation is repeated meal after meal it flattens the little finger-like projections which make up the villi. This reduces the surface area for absorbing nutrients and over time results in nutritional deficiencies, even though the individual may be eating well.

There are some very specific blood tests used to diagnose celiac disease. These tests are designed to detect inflammation markers from the ongoing damage to the SB villi. Here is a primer: https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/ These tests are not a part of the standard CBC/CMP bloodwork ordered for most other things in a general checkup.

Let us know when you get the results of your bloodwork and if there were celiac antibody tests ordered we encourage you to post them online along with the reference ranges for each test as to what is negative/positive. Different labs use different values for the reference ranges so including that info is important if you want our input on the results.

Your doctor may want to order and endoscopy with biopsy of the small bowel lining to confirm the blood test results so it's very important to continue eating regular amounts of gluten until that procedure is complete, should your doctor want this. Going gluten free preliminary to testing will invalidate the results as it will allow healing and the inflammation antibody markers to subside.

Sebastian95 Rookie
43 minutes ago, trents said:

Welcome to the forum, Sebastian!

Essentially all of your symptoms are commonly found in the celiac community.

The infection is probably not related to celiac disease, at least not directly.

Many or most of the symptoms you describe are likely related to nutritional deficiencies which goes hand in hand with celiac disease. celiac disease is an autoimmune disorder defined by damage to the villi that line the small bowel, which is where essentially all of the nutritional elements of what we eat are absorbed. When someone with celiac disease consumes gluten, the immune system interprets it as an invader and generates inflammation in order to deal with it. However, when this inflammation is repeated meal after meal it flattens the little finger-like projections which make up the villi. This reduces the surface area for absorbing nutrients and over time results in nutritional deficiencies, even though the individual may be eating well.

There are some very specific blood tests used to diagnose celiac disease. These tests are designed to detect inflammation markers from the ongoing damage to the SB villi. Here is a primer: https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/ These tests are not a part of the standard CBC/CMP bloodwork ordered for most other things in a general checkup.

Let us know when you get the results of your bloodwork and if there were celiac antibody tests ordered we encourage you to post them online along with the reference ranges for each test as to what is negative/positive. Different labs use different values for the reference ranges so including that info is important if you want our input on the results.

Your doctor may want to order and endoscopy with biopsy of the small bowel lining to confirm the blood test results so it's very important to continue eating regular amounts of gluten until that procedure is complete, should your doctor want this. Going gluten free preliminary to testing will invalidate the results as it will allow healing and the inflammation antibody markers to subside.

Happy to be here!

And awesome thank you for all the valuable info, it’s greatly appreciated! This will all be a big help

Scott Adams Grand Master

After all testing is done and your doctor recommends that you go gluten-free, this article may be helpful:

 

Jays911 Contributor
On 7/30/2022 at 7:05 PM, Sebastian95 said:

Hello all!

I have dealt with stomach issues for about the past almost 8 years. About to weeks ago I went to my doctor and bad blood tests for literally everything possible done they took 8 tubes of blood.

So I got a call from the medical assistant a few days ago that my blood results (which i have not seen yet nor has my doctor until this week) supposedly are showing strong results that indicate celiac disease. And that I have an infection somewhere in my body i don’t know if that’s connected to the celiac at all?

but for years I’ve had symptoms of, diarrhea, fatigue, like brain fog/feeling heavy, as well as muscle weakness sometimes. Are these common with celiac? For reference im 27 never had any issues and don’t take any medications. 
 

I look forward to any input and help on this if possible if anything to at least calm my nerves. I appreciate any help and information possible. Thank you!

You have typical symptoms. But there are so many, over 300. Brain fog and fatigue were two of mine. Get tested. Hang in there. 

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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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