Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Doctor Northern Va Or Dc


arlingtonmom

Recommended Posts

arlingtonmom Rookie

Can someone recommend a doctor in Northern VA or Washington, D.C. that is open to pursuing a diagnosis for Celiac or gluten sensitivity even if my blood tests for Celiac were negative. I'd like to find a good GI doc before trying the gluten free diet because I'd like assistance in tracking progress, such as having someone order a bone density scan before and after the diet. and I'd like to rule out other causes of my symptoms. I did test positive for gluten sensitivity with Enterolab, so if anyone knows a doctor who won't be quite so cynical about the test that would help too, but it's not a requirement. I saw Dr. Garone and Dr. Lee mentioned in previous posts but I didn't know if they are great doctors if one has a positive blood test or if they'd be open to pursuing a diagnosis even if blood tests are negative. Thanks.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Polka Nut Rookie

Did you try the Doctor's Directory in this web site? The list goes by states. That is how I found my new Doctor ( GI specilist in Celiac) in New Jersey.

par18 Apprentice

Let me state up front it is not my intention to offend you. If this post does then I want to apologize now.

Help me understand something. If you tested positive for gluten sensitivity with Entrolab then why would you not want to see if the gluten-free diet helps your symptoms whatever they are? If you don't want to start the diet because you don't want to start the diet then I can understand that. There are no shortages of doctors who will be willing to take your money to run any number of tests to rule out everything under the sun including Celiac. If however you do have Celiac/Gluten Intolerance then the only solution "now or later" is the diet. IT IS THE "ONLY" TREATMENT FOR CELIAC/GLUTEN INTOLERANCE!! The good news is that it is extremely effective. The diet properly done "is" a diagnosis even if not all doctors will agree. There is an excellent chance that if you don't respond to the diet then you probably don't have issues with gluten. The fact that you got tested through Entrolab indicates to me you suspect gluten as your problem. Based on what little information you have posted I think I would try to rule out Celiac through diet response before proceeding down other costly avenues. Trying the diet cannot hurt you it either helps or doesn't help. Also it is free! You don't need permission to try it. One word of caution, "don't do the diet and if it helps try to get a diagnosis soon thereafter as it may skew the results". Also if you insist on an official diagnosis be prepared to spend a lot of money (yours or someone elses) and expect to meet your share of cynics. Good luck and hope this helps.

Tom

Joe G Newbie
Can someone recommend a doctor in Northern VA or Washington, D.C. that is open to pursuing a diagnosis for Celiac or gluten sensitivity even if my blood tests for Celiac were negative. I'd like to find a good GI doc before trying the gluten free diet because I'd like assistance in tracking progress, such as having someone order a bone density scan before and after the diet. and I'd like to rule out other causes of my symptoms. I did test positive for gluten sensitivity with Enterolab, so if anyone knows a doctor who won't be quite so cynical about the test that would help too, but it's not a requirement. I saw Dr. Garone and Dr. Lee mentioned in previous posts but I didn't know if they are great doctors if one has a positive blood test or if they'd be open to pursuing a diagnosis even if blood tests are negative. Thanks.

You may want to consider seeing Dr. Douglas Sigmon, a GP in Gainesville VA. He is knowledgeable of celiac disease and followed up with a friend by recommending a biopsy be performed by Dr. Kenneth Mirkin, who practices at Prince William Hospital. Dr. Mirkin, a gastroenterologist, is extremely knowledgeable of celiac matters, and you may want to contact him directly unless you are required by your insurance company to be referred by your family physician. Good Luck!

Murray Newbie

Where is the Doctor's Directory I can not find it. I live on the shore in Maryland.

arlingtonmom Rookie

Thanks for everyone's help. I'm going to try to make an appointment with Dr. Mirkin because I'd like to attempt to try to obtain a diagnosis before I try the diet. I really do appreciate everyone's input.

PamW Newbie
Can someone recommend a doctor in Northern VA or Washington, D.C. that is open to pursuing a diagnosis for Celiac or gluten sensitivity even if my blood tests for Celiac were negative. I'd like to find a good GI doc before trying the gluten free diet because I'd like assistance in tracking progress, such as having someone order a bone density scan before and after the diet. and I'd like to rule out other causes of my symptoms. I did test positive for gluten sensitivity with Enterolab, so if anyone knows a doctor who won't be quite so cynical about the test that would help too, but it's not a requirement. I saw Dr. Garone and Dr. Lee mentioned in previous posts but I didn't know if they are great doctors if one has a positive blood test or if they'd be open to pursuing a diagnosis even if blood tests are negative. Thanks.

Dr. Fassano at University of Maryland May be the world expert, but he is in Baltimore at University of Maryland. He may be worth the drive.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - Hmart replied to Hmart's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Is this celiac?

    2. - knitty kitty replied to Trish G's topic in Gluten-Free Foods, Products, Shopping & Medications
      7

      Fiber Supplement

    3. - knitty kitty replied to kpf's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      14

      ttg iga high (646 mg/dl) other results are normal

    4. - Trish G replied to Trish G's topic in Gluten-Free Foods, Products, Shopping & Medications
      7

      Fiber Supplement

    5. - Wheatwacked replied to Larzipan's topic in Related Issues & Disorders
      36

      Has anyone had terrible TMJ/ Jaw Pain from undiagnosed Celiac?


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      132,345
    • Most Online (within 30 mins)
      7,748

    rolland mcclay
    Newest Member
    rolland mcclay
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Hmart
      Hello again. Thank you for the responses to date. I have had several follow-ups and wanted to share what I’ve learned. About a month after my initial blood test and going gluten free, my TtG went from 8.1 to 1.8. I have learned that my copper is low and my B6 is high. My other vitamins and nutrients are more or less in range. After I glutened myself on 10/24, I have been strict about being gluten free - so about a month. I have been eating dairy free and low FODMAP as well because it’s what my stomach allows. Baked fish, potatoes, rice, etc. Whole foods and limited Whole foods. I have continued to lose weight but it has slowed down, but a total of about 15 pounds since I went gluten free. Along with stomach pain, my symptoms included nausea, body and joint pain, a burning sensation throughout my body and heart rate spikes. I still have them but I have them less now. These are the symptoms that led to my doctor appointments and subsequent diagnosis. I also did the DNA screening and was positive. So, at this point, the answer is yes, I have celiac. I have two questions for this group. Any ideas on why my enteropathy was so severe (marsh 3B) and my TtG was so minimal? Is that common? Or are there other things to consider with that combo? And this recovery, still having pain and other symptoms a month later (7 weeks gluten free and 4 weeks after the glutening) normal? I’m going to continue down this path of bland foods and trying to heal but would love to understand the reasons for the long journey. I read so much about people who stop eating gluten and feel amazing. I wish that was my experience but it certainly hasn’t been. Thank you again!
    • knitty kitty
      @Trish G,  I like dates, they have lots if fiber as well.  But what I found helped most was taking Thiamine (in the form Benfotiamine which helps promote intestinal healing), Pyridoxine B 6, Riboflavin B 2, and magnesium, and Omega Three fats. The absorption of nutrients is affected by Celiac disease which damages the intestinal lining of the small intestines where our nutrients are absorbed.  If you have constipation, where your body is rather pushing your food away and not interacting with it, the nutrients in the food are not being released and absorbed.  You can develop deficiencies in all the vitamins and minerals necessary for the body to function properly.   The B vitamins cannot be stored for long, so they must be replenished daily.  Thiamine B 1 stores can run out in as little as three days.  Constipation (or diarrhea or alternating) is one of the first symptoms of thiamine deficiency.  Thiamine needs magnesium, Pyridoxine B 6, and Riboflavin B 2 to make the intestinal tract function.  Thiamine and Niacin make digestive enzymes.  Thiamine provides the energy for nerve impulses to carry messages to the brain and back about digestion.  Thiamine provides the energy for the muscle contractions which move your food through the digestive tract. High calorie meals containing lots of starches and sugars can deplete thiamine stores quickly because more thiamine is required to turn them into energy.   Are you taking any vitamin and mineral supplements?  Correction of malnutrition is very important in Celiac disease.  Thiamine, the other B vitamins and magnesium will help with constipation better than adding more fiber.  What did your nutritionist recommend you take, besides just the fiber? The association between dietary vitamin B1 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11100033/ Thiamine, gastrointestinal beriberi and acetylcholine signaling https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Association between dietary vitamin B6 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11584952/
    • knitty kitty
      @kpf, Were you eating ten grams or more of gluten daily in the month preceding your antibody blood tests? TTg IgA antibodies are made in the intestines.  Ten grams of gluten per day for several weeks before testing is required to provoke sufficient antibody production for the antibodies to leave the intestines and enter the blood stream and be measured in blood tests. If you had already gone gluten free or if you had lowered your consumption of gluten before testing, your results will be inaccurate and inconclusive.   See link below on gluten challenge guidelines. Have you had any genetic testing done to see if you carry genes for Celiac disease?  If you don't have genes for Celiac, look elsewhere for a diagnosis.  But if you have Celiac genes, you cannot rule out Celiac disease. You mentioned in another post that you are vegetarian.  Have you been checked for nutritional deficiencies?  The best sources of the eight essential B vitamins are found in meats.  Do you supplement any of the B vitamins as a vegetarian? Deficiency in Thiamine Vitamin B 1 is strongly associated with anemia which can cause false negatives on antibody tests.  Fatigue, numbness or tingling in extremities, difficulty with coordination, headaches and anemia are strongly associated with thiamine deficiency.  Other B vitamins that contribute to those symptoms are Riboflavin B 2, Pyridoxine B 6, Folate B 9 and B12 Cobalamine.  The eight B vitamins all work together with minerals like magnesium and iron.  So your symptoms are indicative of B vitamin deficiencies.  You can develop vitamin and mineral deficiencies just being a vegetarian and not eating good sources of B vitamins like meat.  B vitamin deficiencies are found in Celiac due to the malabsorption of nutrients because the lining of the intestines gets damaged by the antibodies produced in response to gluten.    
    • Trish G
      Thanks, I'm not a big fan of prunes but did add them back after stopping the Benefiber. Hoping for the best while I wait to hear back from Nutritionist for a different fiber supplement.  Thanks again
    • Wheatwacked
      If you were wondering why milk protein bothers you with Celiac Disease.  Commercial dairies supplement the cow feed with wheat, which becomes incorporated in the milk protein. Milk omega 6 to omega 3 ratio: Commercial Dairies: 5:1 Organic Milk: 3:1 Grass fed milk: 1:1
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.