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So Confused And Frustrated...


Karagirl

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Karagirl Newbie

Hello,

I was diagnosed with Celiac disease in 2004. I had completely negative results on all my blood work, but a biopsy showed flattened villi. My doctor diagnosed me with celiac disease. I finally gained weight, stopped having trouble with loose bowels etc....

This past November I had my first problem with abdominal pain, etc...severe loose bowels, and I ended in the E.R. (I was also being treated for thyroid nodules, been put on prednisone and synthroid, and it made me hyperthryoid). My endo sent me to a new digestive doc. (as I had moved from area where doc. was who diagnosed me with celiac).

I couldn't believe my ears today. He "suspects" I do not have celiac disease, that I have IBS (I've had ONE intestinal problem in 4 years!!!!!!) because my blood work all showed negative 4 years ago for celiac disease.

I'm floored. I'm a bit angry and defensive. A gluten free diet has changed my life. And I have this terrible feeling he wrote me off as "IBS" before I even opened my mouth. One of the medications I was taking during the "shrink the nodule" time was cross contaminated with gluten products, I talked with the drug company about this.

So, this gastroenterologist ordered all new serum tests: Tissue transglut, IgG, anti-gliadin antibody, anti endomysial anitbody, quantitatiave IgA level and another biopsy.

*sigh* WHY???? I feel like he is trying to rule out celiac now.

And if I go through these tests, shouldn't I be eating gluten??? I don't want to do that, I know where that leads.

Any advice would be so very appreciated.

Thank you

:(


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happygirl Collaborator

The best advice I can give you is to get a copy of all of your records (including the ones that show you have flattened villi) and find a doctor who knows something about Celiac.

Phyllis28 Apprentice

In my opinion you need to locate a new GI.

Your blood tests specifically for celiac will come back negative because you have been gluten free. The only reason to have additonal tests is to diagnose another problem.

Hope your feel better.

emorgan816 Newbie

I'm leaning towards find a new GI doctor! We do need to have blood work done once every year to make sure our diets are remaining gluten-free, so I would at least go ahead and get that done (especially if the last time was 4 years ago). But for him to just bluntly state you have IBS is insane - isnt that just undiagnosed celiac anyways!? ;) Why would he not feel this was a reaction to gluten, or perhaps some other food intolerance?

If you are not comfortable with this new doctor then you need to be an advocate for your own health and find a new one. That is the one thing I've learned thru this whole process - we need to speak up and not be afraid to fire our doctors.

Good luck!

Elizabeth Secora

gluten-free since March 2007

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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
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    • GlorietaKaro
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