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KristaleeJane

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KristaleeJane Contributor

So after thinking that I would never find out why I felt like a peice of #*@! for so long

Symptoms including:

Migranines, Fatigue, stomach issues, low blood sugar, puffiness, muscle cramps and spasms, possible arthritus, never diagnosed though, acne, ichyness etc.

I had an upper GI done, came back normal, had some sort of breath test done where they look for a bacteria for ulcers, came back normal. My doctor said she would like to do some blood work on me, I didn't even know what she was testing me for. She called me 2 days later to come back as she would need to do further testing. My results were very high, normal for the antibody is 20, mine was 92, so she gave me a referal to a specialist for the biopsy, now I am just waiting.

Dying to start the gluten free diet, but waiting patiently, first you have to do consultation, and then you get your appointment for the biopsy, could be a while. In the mean time life is on hold I guess, we had plans to have a baby, but looks like that may not be possible for a while.

Does anyone know what other tests I should ask my doctor to do since my levels were so High of the anitbody. What blood work should I have done, to check my vitamin levels, and is there any other tests that I should have done for osteoperosis, since I have been have a lot of muscle pains and spasms.

Any help would be appreciated

thanks


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ravenwoodglass Mentor

If you have had positive blood work then you have a reaction to gluten. It is your choice whether you want to biopsy or not. The biopsies have also been know to be falsely negative. You have 22 ft of small intestine and if damage is patchy or in an area that the scope can not get to then you will have a false negative. You can also be told the test is negative when preceliac changes are present but not recognized or not yet 'full blown, villi totally destroyed, celiac.'

You should ask your doctor to do a full blood work up on all vitamin and mineral blood levels, do a CBC,a complete blood count to check for anemia and make sure they check folate and B12 levels, they can call sometimes call in the tests to avoid waiting for an appointment. Worth asking. You also should have a bone density scan, another thing that they may just call or send in an order for with your recent bloodwork.

Do be sure to try the diet, strictly even if those biopsies are negative. The blood work is really pretty diagnostic in itself when it is positive. I am sure others will be on with any tests I may have forgotten, I hope you get some relief soon.

KristaleeJane Contributor
If you have had positive blood work then you have a reaction to gluten. It is your choice whether you want to biopsy or not. The biopsies have also been know to be falsely negative. You have 22 ft of small intestine and if damage is patchy or in an area that the scope can not get to then you will have a false negative. You can also be told the test is negative when preceliac changes are present but not recognized or not yet 'full blown, villi totally destroyed, celiac.'

You should ask your doctor to do a full blood work up on all vitamin and mineral blood levels, do a CBC,a complete blood count to check for anemia and make sure they check folate and B12 levels, they can call sometimes call in the tests to avoid waiting for an appointment. Worth asking. You also should have a bone density scan, another thing that they may just call or send in an order for with your recent bloodwork.

Do be sure to try the diet, strictly even if those biopsies are negative. The blood work is really pretty diagnostic in itself when it is positive. I am sure others will be on with any tests I may have forgotten, I hope you get some relief soon.

Thank-you so much for your responcse, I will make sure to follow up with the blood work and bone densily scan. I will definalty do a strict gluten free diet starting after the biopsy regardless of the results, considering how high my blood test came back.

Thanks again for your advise, really appreciate it

Wonka Apprentice
Thank-you so much for your responcse, I will make sure to follow up with the blood work and bone densily scan. I will definalty do a strict gluten free diet starting after the biopsy regardless of the results, considering how high my blood test came back.

Thanks again for your advise, really appreciate it

Once I finally had the appointment with the GI specialist (took 3 months) I was in having a biopsy within a week.

MDRB Explorer
So after thinking that I would never find out why I felt like a peice of #*@! for so long

Symptoms including:

Migranines, Fatigue, stomach issues, low blood sugar, puffiness, muscle cramps and spasms, possible arthritus, never diagnosed though, acne, ichyness etc.

I had an upper GI done, came back normal, had some sort of breath test done where they look for a bacteria for ulcers, came back normal. My doctor said she would like to do some blood work on me, I didn't even know what she was testing me for. She called me 2 days later to come back as she would need to do further testing. My results were very high, normal for the antibody is 20, mine was 92, so she gave me a referal to a specialist for the biopsy, now I am just waiting.

Dying to start the gluten free diet, but waiting patiently, first you have to do consultation, and then you get your appointment for the biopsy, could be a while. In the mean time life is on hold I guess, we had plans to have a baby, but looks like that may not be possible for a while.

Does anyone know what other tests I should ask my doctor to do since my levels were so High of the anitbody. What blood work should I have done, to check my vitamin levels, and is there any other tests that I should have done for osteoperosis, since I have been have a lot of muscle pains and spasms.

Any help would be appreciated

thanks

If you have made up your mind to get the biopsy: whatever you do, do NOT go gluten free prior to having the endoscopy! I went gluten free for six months before deciding to get tested. After seeing the gastroenterologist I was told that I needed to go back on the gluten for 4 weeks before the biopsy for it to be accurate. They were the WORST 4 weeks of my life! My body was just starting to heal and reacted quite severly to the gluten being re introduced.

Good luck :)

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      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
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      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
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      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
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