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ryeanddiet

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ryeanddiet Rookie

Just wanted to share a little story for those of you suffering but feel certain you have celiac but unable to get conclusive support.

I had issues as a child, then again in my teens and again in my 20's which eventually led to my gall bladder being removed (I finally had an acute attack, had jaundice and they discovered it was full of stones despite being underweight and having very low cholestrol count and no family history of gallstones). Last year, it started again and through many drs and naturopaths, I began to once again suspect it was celiac(ruled out when I was a teen b/c I was relatively tall).

I asked for the blood tests during my physical last year and was lactose intolerant, and almost anemic iron and b12 levels as well as having positive numbers for the celiac blood tests. The GP deduced celiac. I asked to see a GI (wanted someone to check the intestinal damage) so I was booked in an appointment 8 months out (live in Canada- we have to wait for specialists). I went gluten free for those 8months and felt great by month 5..how wonderful to go to the bathroom like a normal person and all the other annoying symptoms were gone!

When I finally went to the GI, they said I would have to have the biopsy and that it couldn't be medically deduced without despite positive blood work and gluten challenge (we don't have Enterolab in Canada so that wasn't an option). Disheartened, I went back on gluten for 3 months and suffered for it...I even got a rash this time around which I feel may be DH but no one would do a biopsy.

Yesterday I had my gastrocopy and was lucid for the entire procedure. To my heart's content the dr said 'yes, the villi do look a bit flattened' (he had been claiming it as IBS in our previous consults). It will be 10 days before the results are back but even he was suggesting I could go gluten-free right away if I wanted to which I replied 'that was my intent regardless of diagnosis, I know how I feel'.

So to make a long story short, it's good to get a diagnosis for the sake of screening relatives but if you've done the research and know how you feel and the symptoms are there..don't lose hope and don't suffer. you aren't alone. Thanks to you all for an amazing source of info and encouragement. I look forward to checking back here to read and post often.

jen :)


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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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