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Confused About My Diagnosis


Neko2277

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Neko2277 Newbie

Ok so 2 years ago my doctor tested me for Celiac Disease (blood tests) and called me and said the results were positive for celiac and to go on a gluten free diet. So i did. Three months later I went to a gastro md and he told me that i would need to go back on gluten to have the endoscopy done. I didn't want to because when I ate gluten I felt so horrible. I never got the endoscopy, but felt great gluten free. (2years gluten free) I was satisfied with the positive blood and diet results. Anyway about 6-7 months ago all the symptoms have seemed to return. I am very strict with my diet and KNOW that I am not getting glutened. So I went to a new gastro md who wanted to confirm what I said about celiac and took more blood tests. (I thought you couldn't do that when you were on a gluten free diet.) They insisted that you could. And low and behold the results came back today, negative! They told me, "no you do not have celiac disease. It must be something else."

Help! What should I do now? Do I need to find a more informed doctor?


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aikiducky Apprentice

If you are gluten free, the blood tests should come back negative. That means that you've done a good job on the diet so congrats on that. The gastro doc is ignorant.

How careful are you about cross contamination and minute amounts of hidden gluten? Many people get more sensitive to gluten when they go gluten free and stop eating it all the time.

Another possibility is that you have another food sensitivity. For example I get almost the same symptoms from dairy as I do from gluten.

Pauliina

Michi8 Contributor

Can you get a copy of your original blood tests to see the original results and compare to the more recent tests? It's likely that the negative results you're getting now are because of being gluten free for so long.

Michelle

Neko2277 Newbie

I got a copy of my old tests all I need to do now is get my new ones. I also called a new doctor who is a celiac specialist. But I think I might also have a lactose issue. Thanks for all your help.

Hells Bells Apprentice

I think you need a more informed doctor.

If you are gluten free the results of the blood test will be negative and anyway the blood tests should not be used to exclude celiac disease. You may have another sensitivity or intolerance causing the problem. The other option for you may be the entero lab testing.

Neko2277 Newbie

I am going to have the DNA test done. Just so I know for myself. I might also get checked for other intolerances.

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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