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Possible Misdiagnosis?


stephtara

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stephtara Newbie

Hi everyone - My story is kind of long but I'll keep it as short as I can!

For as long as I can remember I've had serious, mostly bowel related, issues - diarrhea, abdominal cramps, joint pain, gas, nausea. Nine years ago during a trip overseas I had very serious bowel symptoms, pain, exhaustion and erethema nodosum (red itchy painful lumps on my shins). The doctors overseas were totally confused and sent me home to Canada. When I arrived home I spent TWO years going from doctor to doctor being "diagnosed" with all sorts of various ailments (Sarcoidosis, Chronic Fatigue Syndrome, Fibromyalgia). FINALLY after a colonoscopy I was diagnosed with Ulcerative Colitis. Over the following years my symptoms waxed and waned in spite of medication. My symptoms were quite bad for the three years leading up to the birth of my daughter but I couldn't take any medications at the time as I was going through infertility treatment. Needless to say, I just suffered through all the pain. After my daughter was born I got worse again. Horrible diarrhea, vomiting, painful cramps, sore joints, mouth ulcers, exhuastion, depression and anxiety. To say the least, the last year has been quite an ordeal!

Recently I found a new family doctor who I really like and - for the first time ever - seems sympathetic to my plight and is not brushing off my symptoms as the ramblings of a mad woman. I told him about my Ulcerative Colitis diagnosis and he immediately asked me if I had ever been tested for Celiac disease. Here's the strange thing - I'm originally Irish and so is my doctor - Apparantly it is much more common there than here in Canada. Also, my first cousin has Celiac Disease. Anyway, he said that I could have misdiagnosed with UC when really the damage to my intestines could have been caused by Celiac. So, off I went to the lab for blood tests. My IgG was negative but my IgA was 25. The doctor told me that is a "slightly positive" result. Not sure what that really means? I went for an antiendomysial antibody test yesterday and am currently awaiting the results.

Is it possible to be misdiagnosed with something instead of Celiac? It sort of sounds like Celiac but I'm just not sure anymore. I feel like I've been messed around by doctors for so long I just don't know what to believe anymore. The only thing I know is that I want to feel healthy again!

Any advice, insight would be appreciated.

Thanks for your time!


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plantime Contributor

Celiac disease is very often misdiagnosed as other bowel diseases. Try the diet for 6 weeks, see how you feel. That will tell you a lot. You could ask your doctor for an endoscopy with biopsies of the small intestine.

rinne Apprentice

I think you might find the diet an accurate diagnostic tool if you can follow it exactly. It is a steep learning curve and takes time but given your symptoms it is entirely possible that gluten is causing your problems.

I have been trying to find out what is wrong with me for over a year now and am currently waiting for an endoscopy and colonoscopy at the end of September, I saw the specialist in early May, that and the fact that my mother has spent 30 years trying to find out what is wrong with her, doesn't give me much confidence in our medical system.

I went gluten free in early May and dairy free in June, although I have had accidental glutenings and lapses on the dairy front, and I am now just beginning to feel better. I also have arthritis which I believe is related to the Celiac through bad bacteria in the gut. I chose to go gluten free because I have known for years that bread is a problem for me and generally I avoided it but until I found this site I didn't understand what gluten free meant.

Welcome, this is a great site, lots of support and information.

stephtara Newbie

Thanks for the words of advice. I should find out the results of my latest test next week, although hopefully it will be something more definitive than "IgA 25 is a weak positive". Um.... Great, thanks. Regardless, I think it might be worth trying the diet for 6 weeks just to see. I'm pretty much willing to try anything to feel better at this point. I have a one-year-old daughter and spending hours a day on the toilet and feeling too exhausted to pick her up is just not acceptable.

Thanks again!

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      Hi, thank you for the reply. Unfortunately, no other antibody tests were ordered. I am a 32-year-old male. About two months ago, I ate pancakes and then developed severe diarrhea that lasted the entire day. At night, I became unconscious due to fluid loss and was admitted to the ER, where I received IV fluids. Two days later, I ate bread again and once more developed severe diarrhea. I ended up in the ER again and received IV fluids. In my country, Pakistan, doctors are unfortunately not very thorough, so they treated me for a stomach infection. I visited three or four doctors, including a gastroenterologist, but it seemed like they just wanted to keep me on medications and IV fluids. Eventually, I did some digging myself and started connecting the dots. For years, I’ve had excessive gas buildup and frequent loose stools, but I never paid much attention to it. I also cannot easily digest dairy products. Two years ago, I had a CBC test that showed iron deficiency. My doctor told me to eat more meat and said it was nothing serious. However, for the past five years, I’ve also had severe motion sickness, which I never experienced before. Whenever I get on a bus or in a car, I sometimes lose consciousness for 10–20 seconds and wake up sweaty, and occasionally I feel the need to vomit. After more research on the internet, I came across gluten and celiac disease, so I got two related tests (TTG-IgA & TTG IgG) done along with a stool test and another CBC. The stool test showed weakly positive blood. Ever since eating those pancakes and bread, I’ve had a burning sensation in my gut. My doctor reviewed my tests, he told me to completely stop eating gluten and started me on IV fluids for 20 days, saying that I had severe inflammation in my gut. It has now been two months since I quit gluten, and I’m still not sure whether this is celiac disease or gluten intolerance. I don’t really trust doctors in Pakistan, so I thought I might get some help here.
    • trents
      Welcome to the celiac.com community, @SamAlvi! Were there any other antibody tests ordered? Particularly, was there a "total IGA" test ordered to check for IGA deficiency. When people are IGA deficient, celiac panel IGA test scores, such as the TTG-IGA, are likely not valid. If a total IGA test was not ordered, I would request such to be done. Note: "Total IGA" goes by other names as well. I will include a primer on celiac disease antibody testing which does a good job in covering the nomenclature variations connected with the various tests. Elevated IGG scores can certainly indicate celiac disease but they are more likely than elevated IGA tests to be caused by something else.  
    • GlorietaKaro
      Thank you— yes, valid and essential— The issue either doctors is that every one I have tried to talk to about this has essentially rolled their eyes and dismissed me as a hypochondriac, which gets discouraging. I believe a diagnosis would help me to be taken seriously by doctors as well as being validating, but can carry on without it.    There are many, probably most people in my area of my age and gender, who avoid gluten, but many just avoid it casually— eating the occasional plate of wheat pasta or a delicious-looking dessert, or baking cookies with wheat flour for gatherings.  That is not an option for me. I don’t eat other people’s cooking or go to restaurants that do not have strict cross- contamination procedures. It can be boring and lonely, and people do look at me as if I am being a bit dramatic but weeks of symptoms after a single small exposure has taught me to respect my experience.    Thank you very much for your response— sometimes I just need to hear that I am not crazy—
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