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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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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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