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Your Thoughts On My Symptoms Please


MrsStinky

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MrsStinky Newbie

Hi! I have been reading about celiac and the posts on this board for a while but this is my first post. I apologize for the long post but I have been having digestive issues on and off for a few years now, and wanted to run my history and symptoms by "the experts":

My mother has a wheat allergy, though she says she is fine with barley and rye. She says she has been tested for celiac several times, and "thinks" she had a biopsy done, and each time was negative. My oldest brother has issues with dairy and wheat, and limits both, but neither are totally eliminated from his diet.

As a child I was dairy intolerant, more specifically to milk and ice cream. It would cause an upset stomach and throwing up. Throughout my life I have had unidentified aches (not cramps or charley horses) in my legs, that frequently keep me up at night or off my feet in the day.

I had very regular BM's throughout life until Dec 2005. I got a case of food poisoning and it took several weeks for my digestive track to work at all, and then it didnt seem to work the way it had before. I became very bloated, constipated and somewhat gassy in the months following. I had always weighed about 115-120, and in this time my weight went up to 123-127. At the time I was also taking Lexapro for depression. I went to see a gastro in May 2006. She did a blood test for Celiac and when the results came back negative so she put me on a cocktail of metamucil, miralax and zelnorm.

I remained on the these until August 2006. I was training in preparation for a marathon and after running a 16 mile run, I came back, had a normal BM, and then everything worked normally for the next year. I quit taking my cocktail of supplements/drugs. My weight returned to 115-120.

Fast forward to August 2007, I went on my honeymoon to French Polynesia. Every morning we ate fresh baquettes and croissants and every night had the most wonderful ice cream for dessert. I became constipated by the third or fourth day of the trip.

The constipation has remained since August, plus I am very bloated and terribly gassy. The gas begins after lunch and I offend myself with the stench. My weight is back up to 123-128 despite not much of a change in diet, and exercising more. My poor husband affectionately calls me "stinky" (thus my user name), he is sweet but it doesnt make a newlywed feel too sexy when mystomach looks like I am 5 months pregnant. I sit in my office everyday hoping no one comes in so they do not smell me! I do have BM's but mostly ribbons and rabbit turds, and never feel fully evacuated. When I am pushing during a BM it sometimes feels like my insides (intestines/stomach maybe) are tender/sore feeling.

I went to see a dietician to see if my diet contained enough fiber. I was definately getting enough fiber from varied sources, and drinking enough water. She had me do a couple weeks dairy free. I didnt notice a difference digestion wise during this time, but did find out soy products give me terrible stomach aches. Also when I returned to consuming dairy, the first time/only time I tried drinking real cow's milk my stomach blew up like a balloon, and I felt yucky all afternoon.

I then tried a week wheat free and had diahrea one day for the first time in years without a laxative, and some semi-normal bowel movements other days, as well as a decrease in the gas. My constant hunger and "need" to eat every 2-3 hours diminished.

The dietician suggested seeing the gasto again to try to get a diagnosis of a wheat allergy or intolerance.

So what do you all think? Does it sound like celiac type symptoms or just some bad constipation??


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jerseyangel Proficient

It's a possibility....based on everything you've said, I would make an appt with a GI and tell him/her you want the Celiac Panel run. (blood test)

It's important they do the complete panel--

Anti-Gliadin (AGA) IgA

Anti-Gliadin (AGA) IgG

Anti-Endomysial (EMA) IgA

Anti-Tissue Transglutaminase (tTG) IgA

Total Serum IgA

It's also vitally important for you to keep eating gluten right up to the test--to even go "gluten-lite" will skew the results. The gas is an indication that you are eating something that you are very intolerant to--this happens to many of us pre-diagnosis. Good luck :)

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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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