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I’m so confused! Latent celiac disease?


Tall Holly

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Tall Holly Rookie

I’m on a journey to figure out my stomach issues. They began in 2018 and I had an endoscopy showing chronic inflation of my stomach and esophagus. Took medication and went in my merry way. I also had a celiac disease blood test at that time which was negative. 
 

Fast forward to January 23. I had a terrible bout with covid GI and have been battling issues ever since. I went back to my GI group and saw a new doctor. She looked up my old endoscopy and asked if I knew I had gluten sensitivity. I told her I had no idea and she responded “some doctors don’t believe in it so they may not have said anything.” I didn’t really think much of it and we started all of our testing. 
 

My first round of testing results came in today. Negative for h pylori, parasites, and pancreas looks great. Endoscopy is scheduled for next month. I asked for a copy of my 2018 report and was taken back. The pathologist suspected celiac disease so sent it off for immunohistology, which also indicated potential celiac disease. The villi are fine but I have interepethial lymphocytes and the Immunohistology differential diagnosis was “latent/potential celiac disease.” 
 

I literally have every sign symptom of celiac disease, down to the rash and enamel issues. Has anyone had a negative blood test and biopsy results like mine? I’m in so much pain and just want answers. 
 

 


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Russ H Community Regular

Do you know what your blood test results were?

Tall Holly Rookie
10 minutes ago, Russ H said:

Do you know what your blood test results were?

My tTg was 1 and my immunoglobulin A was 210. 

trents Grand Master

There are a number of other antibody tests that can be done for celiac disease that have not been run in your case and should be. No DGP tests were run and an EMA was not done. Here is a link:

Also, some experts believe that NCGS (Non Celiac Gluten Sensitivity) can be a precursor to celiac disease.

Scott Adams Grand Master

Be sure to keep eating gluten daily until all celiac disease testing is completed. Positive endoscopy results are the gold standard for celiac disease, so if your results were positive then you most likely do have it. If your symptoms go away on a gluten-free diet this would provide further confirmation.

Anodyne WindWalker Newbie
2 hours ago, Scott Adams said:

Be sure to keep eating gluten daily until all celiac disease testing is completed. Positive endoscopy results are the gold standard for celiac disease, so if your results were positive then you most likely do have it. If your symptoms go away on a gluten-free diet this would provide further confirmation.

I have wondered about the safety of this method but I can also certainly see why it needs to be done in order to find the celiac diagnosis that sometimes very efficiently hides itself.

The reason I wander is because of how sick eating gluten can make someone with celiac disease. I accidently got gluttoned rather badly last night in the 1st time since I have been gluten free when I got my diagnoses of celiac disease in September 2022. Since then I have been eating a very strict gluten free diet. Well because of accidently getting gluttened last night I have been in bad shape today. 

Laying on the bathroom floor to be close to the toilet and barf bucket, real weak, belly pains,headache, joint pain etc. 

Would 2 weeks of eating gluten about kill a person if they truly do have undiagnosed celiac disease?

Im just curious is all 😉

For years, before by celiac disease diagnoses I had been eating a low gluten diet without meaning to because I realized that those gluten free or low gluten foods didn't seem to make me as sick. I blamed it on my chronic pancreatitis, liver issues, gastroparesis, chronic gastritis and sever pancreas insufficiency. I'm also a very brittle type 1 diabetic. I didn't pay attention to the gluten in the food but now that I look back I ate lots and lots of rice with veggies & fruit in it because there was less painful repocations after eating those foods whereas foods with gluten hurt me but I didnt put the pieces together until later on when things got much worse.

trents Grand Master

The endoscopy itself is not unsafe nor is it particularly unpleasant. In the USA it is usually done under conscious sedation. You won't even remember it.

Once you have been off gluten for a consideralbe time period it is typical to have stronger reactions once you try to go back on for testing. It might help some to reintroduce it gradually.


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    • trents
      TTG would refer to a blood antibody test. Not valid if you are already eating gluten free or mostly so. DQH would refer to a genetic test to see if you possess either or both of the two genes that have been connected most strongly to developing active celiac disease. The genetic test is more of a rule out measure than a diagnostic test as about 40% of the general population have one or both of those genes but only about 1% of the general population develops active celiac disease. If you don't have the genes but gluten causes you issues then the conclusion is NCGS (Non Celiac Gluten Sensitivity) as opposed to celiac disease. So, the genetic testing helps with a differential diagnosis. I don't know about the 2P. 2 Pairs of genes?
    • Scott Adams
      Tell him to get me a case...just kidding! I wonder why they are not labelled gluten-free here in the USA? They don't have gluten ingredients.
    • Pamela Kay
      Glad this helped. There are lots of alternative breads out there, so someone has likely made some sort of paleo bread with no grain. And if you bake, experiment with some of the alternative flours to see what you can come up with. If you commit to the gluten-free diet 100%, you may want to do a bit of research on some of the tricker aspects of getting gluten out of your diet, such as cross contamination in the home kitchen (pots and pans, cutting boards, toaster, airborne flour). Don't feel you have to do everything at once, or let this overwhelm you. I've always said that going gluten free is a process, not a moment. The reason I mention this is that, if you think you are gluten-free, but still having symptoms, you may realize that even minute amounts of gluten cause a reaction for a while. Let me know if you have any questions.  Pam
    • Scott Adams
      The doctor was correct--if you are gluten-free the blood panel for celiac disease will not work, you would need to go on gluten challenge in order to be tested. Here is more info about how to do a gluten challenge for a celiac disease blood panel, or for an endoscopy: and this recent study recommends 4-6 slices of wheat bread per day:   This article might be helpful. It breaks down each type of test, and what a positive results means in terms of the probability that you might have celiac disease. One test that always needs to be done is the IgA Levels/Deficiency Test (often called "Total IGA") because some people are naturally IGA deficient, and if this is the case, then certain blood tests for celiac disease might be false-negative, and other types of tests need to be done to make an accurate diagnosis. The article includes the "Mayo Clinic Protocol," which is the best overall protocol for results to be ~98% accurate.    
    • Scott Adams
      It could, but it could also mean that gluten still not being fully eliminated. It's important to get a celiac disease blood panel to help figure this out. For people with celiac disease hidden gluten in their diets is the main cause of elevated Tissue Transglutaminase IgA Antibodies (tTG-IgA), but there are other conditions that can cause damaged villi:    
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