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What Benefit Is It To Me To Know?


txnmaryann

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txnmaryann Rookie

OK, newbie here.......I had a biopsy 2 weeks ago, the pictures of my duedoem (SP?) showed atrophy consistent with celiac disease. When I got home and saw the picture...it was so gross....I cut out all gluten immediately. I had been suffering w/D for a long time. It immediately cleared up. A week later, my biopsies came back normal. I continued the gluten free and continued to feel better. Went to dr. today, he wants to now have me do another test....swallow a camera....to verify if it's celiac....as well as do the blood test, which I haven't had done. I ask, what is the benefit to me, I know the diet is making me feel better. He says, well that other diseases can result from celiac, it's better for me to know one way or the other if I should be on the lookout for the other diseases. My husband and I are thinking, go gluten for another 2 weeks, spend half the day in the bathroom and in pain, spend more money at the doctor, to then go back on the diet??!! Is there really any benefit for me to know for sure one way or another?? I really have not had a hard time on the diet so far b/c it has made such a drastic difference in how I feel........Thanks in advance for any advice!


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eKatherine Apprentice

Going on the assumption you are either gluten intolerant or have celiac, you're already planning to treat it properly, and you can keep an eye out for any of those symptoms you should watch for. But if you're gluten-free, you should be minimizing your chances of complications anyway.

Ursa Major Collaborator

Your husband is right. Save yourself the agony and the expense, and keep doing what you're doing. It's obviously working, you're feeling much better, no need for further testing. Tell your doctor you're happy just staying on the gluten-free diet, and you have no intention whatsoever of making yourself purposely ill again.

It's often the hardest thing to get your spouse to be supportive without a 'proper' diagnosis. Your husband is obviously backing you 100%, be glad and keep up the good work.

Nancym Enthusiast

The only reason I got tested was so I could have a piece of paper to wave at my family and tell them they probably have it too. It didn't work though. They don't want to go gluten-free.

spunky Contributor

I agree with the others. It sounds pretty barbaric to purposely make yourself sick for a confirming diagnosis. Sometimes I wish I would've gone to doctors over this, rather than having totally treated myself, just so I could say "I've been diagnosed..." when people don't believe the importance of my dietary paranoia. "I think I'm celiac" just doesn't sound as convincing.

But maybe it really woudn't make that much difference. As far as watching for other diseases, from what I understand, the more time you are gluten free, the more likely you are to avoid these complications, if they didn't already occur before stopping the gluten.

When I first went gluten free, it seemed I had a cerain amount of new, strange symptoms, such as getting very shaky and hyper, and I wonder if my thyroid could've been rebounding or something. I was worried for a while, but those symptoms stopped on their own after a few weeks. I think I've read that in 2-5 years gluten free, the autoimmune disorders and all of that are no more likely than they would be with non-celiacs, and I just hope that's true!

eKatherine Apprentice
I agree with the others. It sounds pretty barbaric to purposely make yourself sick for a confirming diagnosis. Sometimes I wish I would've gone to doctors over this, rather than having totally treated myself, just so I could say "I've been diagnosed..." when people don't believe the importance of my dietary paranoia. "I think I'm celiac" just doesn't sound as convincing.

I just say, "I can't eat that, it makes me sick." How can anybody question that?

txnmaryann Rookie

I'd like to thank you all for replying. I have decided to not go further with testing. And, yes, since seeing the pictures of my endoscope, my DH is understanding......before that........

I'll be posting more as I continue to cope with this.........


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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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