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Tests, Frustrations, Unknowns


kitchenofdanger

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kitchenofdanger Newbie

I should probably give some background on my problem/issue....My Grandfather is celiac and my mother is celiac. I also have a niece that is confirmed celiac, another that is suspected celiac and a sister who is suspected celiac. Lately, I have had diaharrhea just about every time I have a bowel movement, and when I don't have loose stools, they float. This is the problem. I went off gluten for about a week and when I went back on to gluten, it was inconclusive. Also, I had the blood test done, and it came back negative from the lab my doctor sent it to, including the new transglutaminase test.

I can't ignore the fact that I tend to have really bad diaharrhea about 24 hrs after overdosing on bread or wheat products, but my doctor's answer is to try to put me on IBS meds (not something I am willing to do at this point....)

I guess I am trying to figure out my options, as I'm not sure I want to commit to a gluten free lifestyle unless it is necessary....What are my other options at this point? Also, if I were to go off of gluten and it were to help, then how would I go about getting my doctor to agree that it probably is celiac disease when I just had a blood test that came back negative? I suspect that it came back neg because I don't eat a whole lot of gluten to begin with....

In a quandry,

Ruth

:ph34r:


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darlindeb25 Collaborator

morning ruth :D a week really isnt enough of a test--sometimes it takes longer then that to feel better--even antibiotics dont work instantly--with your family history, i am willing to bed that you have celiacs--when reading this forum you will find many many people who have tested negative, but still have celiacs--sometimes, i feel the test results are only as conclusive as the person reading them sees them to be--i dont feel that patients are always taken seriously--i was diagnosed with IBS for years and was just told to cut back on my stress--i dont feel i was ever taken seriously--i truly feel that IBS is a doctor's way of saying he cant find anything wrong and it's all in our head :angry: if i was you--i would give gluten free a real chance--you usually do not feel better overnight--you have to give your system time to heal---deb :)

lovegrov Collaborator

I have to agree that a week isn't nearly enough time to determine anything.

richard

tarnalberry Community Regular

yep, a week isn't long enough. try being _strictly_ gluten-free for a month or two (or three!) and then have a lot of wheat at one time. (the purest type of wheat is best - bread has eggs, yeast, and so on that you could also react to. plain pasta or bulgar is a good thing to try to see if you react.)

kitchenofdanger Newbie

Thanks for the info. <_< I can't say that I like the idea of going gluten-free without a true diagnosis, but I'm definitely considering it....I guess the next question is whether I should wait until after I get the enterolab test done to go gluten-free....If not eating enough gluten regularly will skew the blood tests, then wouldn't it do the same thing for those?

If I did go gluten-free and did not have the tests to back it up, what are my chances of doctors believing me? :huh: It worries me that I wouldn't be able to get a doctor to believe me without having the tests, etc to back it up....

I'd appreciate any input

Ruth

ryeanddiet Rookie

Ruth,

definetly get tests done before you go gluten-free, otherwise you risk the tests being negative.

I had positive blood so went gluten free for 8 months and every symptom corrected itself by month 5. Then I saw a GI who insisted the biopsy was the only conclusive proof. I've been back on gluten and suffering for 3 months in prep for my endoscopy tomorrow.

You may or may not find a dr who'll accept 'gluten-challenge' (the diet) as proof, but many on the board will agree it's the way to know what works best for you. Even if my test is neg tomorrow- I'm going gluten-free. I know how I feel.

I'd advise you to try different dr's if you want the medical diagnosis before gluten-free as it is harder to go back on once you've been off.

best of luck!

jen

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    • xxnonamexx
      What about digestive enzymes that I hear help? I take align 5x probiotics daily.
    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
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