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Ok, So Am I Celiac Or Not?


mamatide

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mamatide Enthusiast

First a little background. My 5yo dd is probably Celiac. She was failing to thrive, had every symptom in the book: big belly, sore belly, pale loose stools, nasty disposition, pale, unexplained anemia, skinny. We took her to the doctor because she was getting too old for a toddler belly. Bloodwork was "positive" for Celiac, he recommended a biopsy but it took almost a year for that so we went gluten-free with astounding results - complete reversal of all symptoms and one year later has grown 3 inches and gained 6 lbs.

So I begin wondering about myself. I looked like her when I was little, have had a bad and noisy stomach for ever, never really liked bread that much... perpetually bloated. So I get bloodwork done. Negative. Meanwhile we're going gluten-free in the household for dd. I eat something glutenated every day waiting for the tests - one 6" sub or two donuts or a hamburger. I have a biopsy and have (" a surprisingly high number" of) samples taken. GP says tests are negative.

But I find that I am happier (disposition) and less depressed when I don't eat gluten. And since I work FT at home, gluten's hard to come by so I don't eat gluten. The gloom lifts and life looks brighter. The bloat is gone. I fart less. My hair stops falling out by the handful. I bruise less.

Yesterday at a kids' birthday party I ate 2 or 3 sandwich quarters. Yesterday evening I was tied the the toilet with you-know-what and an incredibly sore bottom.

So what am I? Celiac? Intolerant? If I'm Gluten Intolerant and I eat gluten, am I doing damage to myself or just causing myself discomfort (without any long-lasting damage)? Where do I fall on the spectrum? Is there a spectrum? What is gluten-intolerance anyway? Bad symptoms without the intestinal damage?

Should I ask my GP to have my biopsy results read by a specialist (I don't think they were)? Since I was gluten lite at the time of my biopsy, maybe it's more difficult to read the results? No sense getting another biopsy done since I'm essentially gluten-free with the exception of eating out from time to time...

Thanks for your input.


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RiceGuy Collaborator

Well, considering how much better you feel on the gluten-free diet, does it really make a difference what the tests say? Many get negative test results even when the diet helps immensely. The diet is after all the best diagnostic tool we have.

From what you describe, I think the chances that you are at least gluten intolerant is very high. Consider yourself incredibly fortunate if there's no damage, but even when there is, the tests don't always pick it up. Plus as you seem to suspect, doctors don't always know how to interpret the test results either.

I'm so glad you found something that helps you. For me that is the bottom line. I never bothered seeking any "professional" diagnosis.

Nancym Enthusiast

I think it is important to take gluten sensitivity just as serious as celiac disease. Just because most of our medical establishment doesn't, doesn't mean we have to be just as foolish. Your body has proved you with the answer, listen to it! :)

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      My 5yo was diagnosed with celiac last year by being tested after his sister was diagnosed. We are very strict on the gluten-free diet, but unsure what his reactions are as he was diagnosed without many symptoms other than low ferritin.  He had a school party where his teacher made gluten-free gingerbread men. I almost said no because she made it in her kitchen but I thought it would be ok.  Next day and for a few after his behavior is awful. Hitting, rude, disrespectful. Mainly he kept saying his legs were shaking. Is this a gluten exposure symptom that anyone else gets? Also the bad behavior? 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
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    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
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