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Change Of Diagnosis


caweismann

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caweismann Newbie

Hello everyone

I am new to posting anything on any website so please bear with me. I am newly self dx with celiacs. I took myself off gluten and thus far have been successful (not to mention happier). The other day I ate 2 flour tortillas before I even realized what I had done. Up until then I had had adverse reactions to gluten containing foods. But I had no reaction whatsoever to the tortillas. Before, I ate a cookie, suffered miserably. Now I am not so sure what is going on. Is there a time frame where once you are healed you then have to build up to the point of suffering again or are all the reactions quick and painful? Is it possible to have the symptoms change like from diarrhea to migraines?

Like I said I am newly and self dx so I am not sure what is going on. I am waiting to be hired on at a new job so I can have some insurance.

Thanks for listening.

Carrie


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Is there a time frame where once you are healed you then have to build up to the point of suffering again or are all the reactions quick and painful? Is it possible to have the symptoms change like from diarrhea to migraines?

It is possible to have a delayed reaction, or a different symptom occur after being gluten-free for a while. I had something similar happen to me. I had been gluten free and needed to go back on gluten for a biopsy. (This is not the recommended way to do accurate testing by the way. It can take 6 months or longer back on gluten to damage the intestines enough to get accurate results.) Anyhow, I got back on gluten and my symptoms were different. I had a little bit of gas, but not terrible at first. It took a good week on gluten (at every meal!) to cause the diarrhea and stomach cramping. I didn't get as many headaches that time around either. Then about two weeks into it I started getting a rash on my hands. I usually only had it on my scalp. It got really bad on my hands and then started to spread down my arms and on my legs in patches. It looked a lot like Dermatitis Herpetiformis, the rash caused by gluten that only happens with Celiac disease. Well after two months back on gluten I was wishing I were dead! I was suffering horribly and I hoped it would be long enough. It wasn't. I tested negative. As far as my doctor is concerned I have IBS. I know it is Celiac (or at least the early stages). I had testing done with Enterolab. I carry one gene that causes Celiac and one that can cause gluten intolerance. I am also producing positive levels of antibodies according to their tests. I know I have a problem with gluten, and I don't care what my doctor says. I have to stay gluten free to be healthy.

God bless,

Mariann

GEF Explorer

Hello Carrie and welcome.

I experience changing symptoms as well, but what makes it really strange in my case is that I haven't changed my diet yet and it's still happening. Stress seems to play an important role for me. I have no doubts that symptoms can vary. Sometimes I have "D", sometimes I have bloating, sometimes I'm fatigued and every now and then, my knees have an arthritic ache. It can be all or one of them at any given time.

I found this list of symptoms and I thought that I'd post it... sometimes we don't realize the vastness symptoms that we can experience when we are celiac / gluten intolerant:

Open Original Shared Link

Celiac Disease Symptoms

Celiac disease was once thought of a disease with only GI symptoms. It is now recognized that the disease is a multi-symptom, multi-system (organ) disease. Celiac disease also does not routinely present with the 'textbook' symptoms that physicians learn. More often it presents with symptoms that can mimic other problems.

Most physicians recognize the classic symptoms of celiac disease : diarrhea, bloating, weight loss, anemia, chronic fatigue, weakness, bone pain, and muscle cramps. Physicians may not be aware that celiac disease frequently presents with other symptoms, some that do not involve the small intestine. More often, symptoms can include constipation, constipation alternating with diarrhea, or premature osteoporosis. Overweight persons may also have undiagnosed celiac disease. Children may exhibit behavioral, learning or concentration problems, irritability, diarrhea, bloated abdomen, growth failure, dental enamel defects, or projectile vomiting. Others will have symptoms such as rheumatoid conditions, chronic anemia, chronic fatigue, weakness, migraine headaches, nerve problems such as tingling of hands or difficulty walking, or other conditions that are unexplained and/or do not respond to usual treatment. People may have one or more of the above symptoms. Patients are frequently misdiagnosed as having 'irritable bowel syndrome', 'spastic colon/bowel', or Crohn's disease'.

tarnalberry Community Regular

Which reminds me, I ran across an interesting study report (on WebMD) that summarized a study that found a possible (not yet proven) bacterial cause of Chron's. The bug (MAP, a tuberculosis variant that can infect the gut) is apparently a pain to culture in the lab, so it's been hard to tell if patients have it.

Of course, the relationship may not be causal at all, but it's an interesting study. You can find it Open Original Shared Link.

caweismann Newbie
:) Thanks for all the info. I am not as alone as I thought.

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    • somethinglikeolivia
      Responding to both of your replies: thank you so much!! That makes a lot of sense and helps me feel better about it - I really appreciate the clarification and recommendations. You guys have been very helpful and this site is a gift. Thanks again! 
    • trents
      I think giving attention to the main sources of exposure such as direct consumption of gluten and gross cross contamination with reasonable attention to handwashing and thorough counter top cleaning and dishwashing should cover cross contamination issues. The biggest precautions would be eating in restaurants and at other's homes. Don't get paranoia over it and don't make trouble where there is none. As far a what you communicate with your physicians, just tell them what you know. Strongly positive antibody tests, negative biopsy, positive symptoms when consuming gluten with clearing of symptoms when gluten free.  
    • trents
      Occasionally we do see anomalies where celiac antibody tests are positive but biopsies are negative, and even visa versa. Sometimes, damage to the small bowel lining is patchy and unless numerous samples are taken from various areas, the damage can be missed. So, there's that issue as well. I think in your situation, the tell-tale indicator is the difference in symptoms between when you were off gluten and when you were consuming it.   
    • somethinglikeolivia
      Okay, that makes sense - so based off of the 90% odds that it is positive, it’s worth switching to fully gluten-free? How strict do I need to be with cross-contamination, handling, etc. Is it something that can go by feel, for instance if I feel okay making my family sandwiches and handling the bread as opposed to eating it, or is it something that is causing silent damage even if I feel fine? Also, do I make it clear to my rheumatologist and other medical providers that I am celiac? Or will they veto that due to negative endoscopy? Thanks again for the help!
    • Scott Adams
      If you look at the article that I shared you will notice that "The test is estimated to have a sensitivity of approximately 90%, which means that it correctly identifies 90% of people with celiac disease. It also has a high specificity of around 95%, which means that it correctly identifies 95% of people who do not have celiac disease," so your results indicate that you very likely have celiac disease, especially if you also have symptoms while eating gluten that go away when you stop eating it (although many celiacs don't have obvious symptoms).
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