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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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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
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    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
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