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Newbie And Confused


georgie

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georgie Enthusiast

Hi Everyone, I am new here and hope I am doing this right. I was diagnosed with Hashimotos Thyroid in May 2006, and Dr tested me for B12 and Celiac. The Celiac test came back as normal but Dr did a Gluten Tolerence Diet Challenge which I failed ( severe stomach pain and fatigue). She said I was Gluten Intolerent and to eat gluten-free foods. Since then I have felt less bloated but wonder if its forever? My B12 came back very low ( 148) and Dr has me on weekly B12 shots. She is now testing for Pernicious Anaemia as my feet have had pins and needles for 15 years I suspect that I have PA and not just 'leaky gut syndrome'. I have been reading and everything points to me having Autoimmune diseases as I already have one ( Thyroid). Wonder now that it could also be Celiac even though my blood test was normal? I never really had symptoms of diarrohea until a couple of years ago. Is there any other tests I could do to get a dx ? Or isn't it necessary?

:(


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Ursa Major Collaborator

Hi Georgie, and welcome to this board. You appear to have one of the more enlightened doctors (and believe me, they are far and in between), who understands that negative bloodwork for celiac disease can be a false negative. Or that celiac disease is only one manifestation of gluten intolerance.

She is right, if you reacted badly to the gluten diet test, you are intolerant to gluten at the very least. And no, it is not likely you will outgrow it. Meaning, it will have to be gluten-free for life.

If you really want a diagnosis, Enterolab is the way to go. You won't have to be eating gluten for their testing, and will be accurate up to a few months to a year after you eliminated gluten. Check out their site, and see if you would want to try this. Open Original Shared Link. Their tests are very reliable. With them you can also get tested for genes that would predispose you to celiac disease or gluten intolerance.

But, really, you don't HAVE to do any of it. If the gluten-free diet is helping to make you feel better, that's all the evidence that's really needed.

Also, just because you didn't have GI symptoms until just a little while ago doesn't mean that gluten wasn't affecting you negatively. Thyroid problems are very common with celiacs. So is anemia. Central nervous symptoms like pins and needles, or numbness in extremities is also not uncommon. There are lots of celiac disease symptoms other than gastrointestinal ones!

georgie Enthusiast

Hi Ursula, Thanks for the spedy reply ! I have a great Dr but ...she just seemed to think my Gluten Intolerence was a minor issue. Its just reading this Forum and other info that a lightglobe is coming re my low B12, & Hashis Thyroid. What came first ??? Its a bit of a shock to be dx with all 3 at once !

How many people test negative to Celiac but find out later its a false negative?

eKatherine Apprentice
Hi Ursula, Thanks for the spedy reply ! I have a great Dr but ...she just seemed to think my Gluten Intolerence was a minor issue. Its just reading this Forum and other info that a lightglobe is coming re my low B12, & Hashis Thyroid. What came first ??? Its a bit of a shock to be dx with all 3 at once !

How many people test negative to Celiac but find out later its a false negative?

Lots of them.

It's also true that people who suspect they have a problem with wheat may test negative because they aren't yet seriously ill, and would never become so if the condition were caught early enough and treated.

LKelly8 Rookie

I tested negative on the blood panel twice and a "mild" positive on biopsy. My mother having celiac and my own history of autoimmune disease (rheumatoid arthritis) made the diagnosis.

I've wondered if the meds I take for RA, which are immunosuppressant, may have affected the outcome of the blood tests.

Enterolab's methods, patented by Dr. Kenneth Fine, are still un-peer reviewed and unpublished. I find it disturbing to see in a medical professional like Dr. Fine. For myself I would not use Enterolab. :( Someone on the board (Kathy?) mentioned that Dr. Fine plans to publish in the near future - another year, maybe two. I've heard this before from the Enterolab camp, which makes me skeptical, but I hope it's true - the stool tests would be so much easier on kids. (Not to mention grown-ups)

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
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      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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