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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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    • par18
      Scott, I agree with everything you said except the term "false negative". It should be a "true negative" just plain negative. I actually looked up true/false negative/positive as it pertains to testing. The term "false negative" would be correct if you are positive (have anti-bodies) and the test did not pick them up. That would be a problem with the "test" itself. If you were gluten-free and got tested, you more than likely would test "true" negative or just negative. This means that the gluten-free diet is working and no anti-bodies should be present. I know it sounds confusing and if you don't agree feel free to respond. 
    • SilkieFairy
      I realized it is actually important to get an official diagnosis because then insurance can cover bone density testing and other lab work to see if any further damage has been done because of it. Also, if hospitalized for whatever reason, I have the right to gluten-free food if I am officially celiac. I guess it gives me some legal protections. Plus, I have 4 kids, and I really want to know. If I really do have it then they may have increased risk. 
    • par18
      Been off this forum for years. Is it that important that you get an official diagnosis of something? It appears like you had a trigger (wheat, gluten, whatever) and removing it has resolved your symptom. I can't speak for you, but I had known what my trigger was (gluten) years before my diagnosis I would just stay gluten-free and get on with my symptom free condition. I was diagnosed over 20 years ago and have been symptom free only excluding wheat, rye and barley. I tolerate all naturally gluten free whole foods including things like beans which actually helps to form the stools. 
    • trents
      No coincidence. Recent revisions to gluten challenge guidelines call for the daily consumption of at least 10g of gluten (about the amount in 4-6 slices of wheat bread) for a minimum of 3 weeks. If possible, I would extend that two weeks to ensure valid testing.
    • SilkieFairy
      Thank you both for the replies. I decided to bring back gluten so I can do the blood test. Today is Day #2 of the Challenge. Yesterday I had about 3 slices of whole wheat bread and I woke up with urgent diarrhea this morning. It was orange, sandy and had the distinctive smell that I did not have when I was briefly gluten free. I don't know if it's a coincidence, but the brain fog is back and I feel very tired.   
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