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Everything Fits For Celiac But The Genes


Jennifer Cook-Chrysos

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Jennifer Cook-Chrysos Newbie

I was diagnosed with celiac as a child without a biopsy. My three-year old son has high IGA-antigliadin and tTG antibodies by stool analysis, and my father has been diagnosed with Sjogren's disease. Our family picture seems to confirm my celiac diagnosis, except that my son and I have had gene analysis which shows neither of the main two celiac genes. In the books, it always says that you can rule out celiac if you don't have the genes. I am confused, because I want to take a preventative approach with my son (take him off gluten before he has intestinal damage worth biopsying). But is it possible to have celiac without the genes?

Jen


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Guest nini

yes it is possible to have it without the KNOWN genes, because they have not mapped all of them and there are documented cases of biopsy confirmed celiac without the known genes.

my personal opinion is that gluten is not healthy for anyone, and keeping your family off of gluten is not only healthy, but smart. The gluten free diet can be a very healthy diet when done correctly, and by eating gluten-free, you also usually end up eating less processed food that is not good for you anyway.

Keep your family on a diet of fresh fruits and vegetables, lean meats and fish, alternative grains like Quinoa, and Brown Rice, Buckwheat, Millet, Tapioca, Teff, Potatoes, Legumes, nuts and seeds... there really is a lot of healthy options that are naturally gluten-free and it's just smart.

tarnalberry Community Regular

ditto what nini said - the two known genes cover about 95% of current biopsy-diagnosed celiac cases, not all celiac cases in the world. you can still have celiac, or just be gluten intoleranct. follow your gut, pun intended. :-)

Jennifer Cook-Chrysos Newbie

Thanks for your replies. Do you trust the Enterolab stool testing approach? My son also had anticasein antibodies. I didn't. Do you think he needs to go off milk, or could this disappear if he goes off gluten? Is casein sensitivity as dangerous as gluten sensitivity?

Guest nini

I don't have any personal experience with Enterolab, but the science seems to be pretty sound. A renouned Celiac expert that spoke at our last support group meeting, said that Dr. Kenneth Fine's research and science was sound, and that while the medical community currently doesn't recognize it's validity, she sees that changing.

initially many celiacs are lactose intolerant until the villi heal, some are always intolerant to dairy, that seems to be a personal issue for everyone, seems everyone is different when it comes to that. Although if you think about it, the human body is not designed to digest cows milk. Cows milk is for baby cows and nothing else... there is a reason why mammals wean off of milk after infancy. Sure it tastes good, and I'm not personally willing to give up dairy, but if you think about it, it makes sense that we aren't supposed to consume dairy

mommida Enthusiast
Thanks for your replies. Do you trust the Enterolab stool testing approach? My son also had anticasein antibodies. I didn't. Do you think he needs to go off milk, or could this disappear if he goes off gluten? Is casein sensitivity as dangerous as gluten sensitivity?

Take him off casein. That means milk, whey, and the whole casein list.

As far as the gene testing... I supposedly don't have the known genes either, but my biological daughter has both DQ2 and DQ8. We have the same reactions to the same gluten foods. You have to follow your gut reaction on this, and someday science will catch up.

L.

Nancym Enthusiast

If you've been off gluten for 8 months or more even Enterolab might not find the antibodies.


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TCA Contributor

I talked to a lady who lives near me who has the same issue. She was diagnosed as a child and doesn't have the gene, but her daughter has celiac and they have the same symptoms. I guess y'all fall in that 5%. Listen to your body!

Mango04 Enthusiast
I was diagnosed with celiac as a child without a biopsy. My three-year old son has high IGA-antigliadin and tTG antibodies by stool analysis, and my father has been diagnosed with Sjogren's disease. Our family picture seems to confirm my celiac diagnosis, except that my son and I have had gene analysis which shows neither of the main two celiac genes. In the books, it always says that you can rule out celiac if you don't have the genes. I am confused, because I want to take a preventative approach with my son (take him off gluten before he has intestinal damage worth biopsying). But is it possible to have celiac without the genes?

Jen

It's very possible to have non-celiac gluten intolerance, in which case a strict gluten-free diet still needs to be followed.

lonewolf Collaborator

I also have symptoms that point to Celiac, as did my father, but don't have either of the two genes. I know I can't eat gluten, no matter what any gene test tells me, so I stay gluten-free.

key Contributor

My doctor wouldn't even do the gene test on me. HE says that it wouldn't tell you anything, because they haven't identified all the genes for celiac disease. SO just because you don't have the gene doesn't mean you don't have the it. Sounds like you have your answers.

Monica

Jennifer Cook-Chrysos Newbie

Thanks everyone. No, I don't plan to go back to gluten! But I know from experience that it is hard for kids socially to have food issues, so I don't want to take it lightly for my kids. However, if Enterolab can be trusted, it does seem that he does have immune reactions to these foods, and I am just glad we could catch it early before he gets sick.

My pediatrician thinks I am a little loopy because I went to enterolab against the advice of the enterologist she found for me. My son's symptoms were very subtle, and he already had bloodwork that came back negative. But I really believe medicine hasn't caught up with this yet, and most doctors are definitely not thinking in terms of prevention.

Jen

Guest nini

I have to agree with you 100% that most Dr's are not thinking in terms of prevention. They are only taught to dx Celiac once it's reached the point of severe damage. Why not listen to patients and look for the clues BEFORE it develops into full blown Celiac?

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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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