Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Getting Ready For The Biopsy


spoticus

Recommended Posts

spoticus Rookie

I had eliminated gluten for three weeks (maybe three and a half total) in July in order to see if some of the ailments I had been suffering from would go away. Sure enough they did. The day I reintroduced gluten back in I thought i swallowed knives( a friday). I didn't have gluten the next day but still suffered from horrible tummy cramping and heartburn and burping. I knew by Sunday I'd be talking to the dr Monday. So I followed her suggesting and started eating gluten regularly Aug 4. For days I didn't know if I was going to vomit, or run have "D"....my tummy ached and was tender until the 18th.... I saw my dr again that day. She ordered a biopsy for Sept 29th. I am diligently eating a couple pieces of bread a day until then.

My question is this... First I had the horrible reflux an burping and tummy pain and constipation troubles only to be followed by diarrhea. Acne came back... After 7 days my joints became tender again to use and to touch (in my hands) and I got a huge migraine. Then the puffiness came, in my hands, feet, eyes, sinuses... The aching in my joints and muscles have been awful.

However, the threshold seems to keep moving up. So as of today I do not get stabbing stomach pains. I sometimes have a wave of nausea, but I can eat, although nothing sounds good. I can tolerate my joints today, I just do not feel motivated or energetic.

So it has evolved from intense reactions to tolerable from Aug 1 to Aug 21.

Is this normal for some?

I'm overwhelmed with the possibility of this being celiac but I'm equally overwhelmed if it isn't because I felt so wonderful when I was gluten free.

I appreciate any feedback or comments you can share.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ShayFL Enthusiast

Your tests may come back negative because you were gluten-free and could have healed in that time. Most believe a few slices of bread a day is NOT ENOUGH. And you should be eating gluten heavily for 3-4 months BEFORE the test to get an accurate result.

So here is your issue. You know that gluten-free makes you feel better and gets rid of your symptoms. What are you going to do if the tests come back negative???

Tests are just that....tests.

The proof is in the diet. You already have your answer, but only you can decide if you want to be healthy.

Letting a doctor tell you that you are not Celiac because the tests come back negative can actually shorten your life, not to mention keep you miserable.

So be prepared.....you are likely not glutened enough to come back positive.

Hopefully you will and you will have the gold standard dx and can remove the gluten again become a medical statistic.

spoticus Rookie
Your tests may come back negative because you were gluten-free and could have healed in that time. Most believe a few slices of bread a day is NOT ENOUGH. And you should be eating gluten heavily for 3-4 months BEFORE the test to get an accurate result.

So here is your issue. You know that gluten-free makes you feel better and gets rid of your symptoms. What are you going to do if the tests come back negative???

Tests are just that....tests.

The proof is in the diet. You already have your answer, but only you can decide if you want to be healthy.

Letting a doctor tell you that you are not Celiac because the tests come back negative can actually shorten your life, not to mention keep you miserable.

So be prepared.....you are likely not glutened enough to come back positive.

Hopefully you will and you will have the gold standard dx and can remove the gluten again become a medical statistic.

Wow - really? I can heal in 3 weeks? I had no idea... the most common thing I could find was months of gluten free.... That is good to know so I don't have too high expectations. Thanks

Gerri Explorer

Hi Spoticus

I am having celiac biopsy September 4th. I am to eat 5 gluten a day, which I do. I have been back on gluten since the middle of July. I can tell you it's going to get lot worse.

I have been to hospital twice, and urgent care twice.

1. liver enzymes went very high after being down to normal

2. diabetis out of control

3. increase dramatically all the symtoms your having (GERDS, leaky gut, IBS, constipation (with diarrhea chasing it out :)

4. vertigo

5. eyes nearly swelled shut, and aching badly (latest symptom on top of rest)

6. Kidney infection

7. lupus symtoms increase, and also sjogrens

8. Increase in pain

9. Fatigue beyond belief, right after getting out of bed in morning

10. depression, anxiety increasing

11. auditory processing disorder increasing

12. severe sleep apnea becoming worse

13. athritis pain increasing

14. bloating severe (look nine months pregnant - miracle of science - but not of celiac)

15. swelling in hands increasing

16. increase in asthma

I am not tolerating gluten any better.

After biopsy I am going off gluten and not going back on it, celiac or not. Already told by Urgent care that I was Celiac. I have to have biopsy because Gastro going to check esphogus on way through. I am concerned because of many years of severe allergies to drugs (sulfa, sulfites, sulfates, sulfur and all derivatives (which is in everything), broncial asthma, severe sleep apnea, mild copd, possibly causing cancer. Only reason I haven't given up going for biopsy.

Hugs

Gerri

spoticus Rookie
Hi Spoticus

I am having celiac biopsy September 4th. I am to eat 5 gluten a day, which I do. I have been back on gluten since the middle of July. I can tell you it's going to get lot worse.

I have been to hospital twice, and urgent care twice.

1. liver enzymes went very high after being down to normal

2. diabetis out of control

3. increase dramatically all the symtoms your having (GERDS, leaky gut, IBS, constipation (with diarrhea chasing it out :)

4. vertigo

5. eyes nearly swelled shut, and aching badly (latest symptom on top of rest)

6. Kidney infection

7. lupus symtoms increase, and also sjogrens

8. Increase in pain

9. Fatigue beyond belief, right after getting out of bed in morning

10. depression, anxiety increasing

11. auditory processing disorder increasing

12. severe sleep apnea becoming worse

13. athritis pain increasing

14. bloating severe (look nine months pregnant - miracle of science - but not of celiac)

15. swelling in hands increasing

16. increase in asthma

I am not tolerating gluten any better.

After biopsy I am going off gluten and not going back on it, celiac or not. Already told by Urgent care that I was Celiac. I have to have biopsy because Gastro going to check esphogus on way through. I am concerned because of many years of severe allergies to drugs (sulfa, sulfites, sulfates, sulfur and all derivatives (which is in everything), broncial asthma, severe sleep apnea, mild copd, possibly causing cancer. Only reason I haven't given up going for biopsy.

Hugs

Gerri

I dont' feel so alone with your story. My goal was/is at least to eat 23 g of gluten a day for the 5 1/ 2weeks I have left. What do you mean by 5 gluten a day? I don't know how to establish what equals 23grams.... there is so much information out there i.e. 1 slice of bread equals 4.8 g of gluten and 1 slice of bread equals 10 g gluten. hmmmm So i've been eating a piece with each meal and for my two snacks a day. I think I'm getting mouth sores ...

I am sooo sorry to hear of your pain - it sounds just awful. I'm worried about cancer too. I've already had thyroid cancer and hashimoto's. I would love to hear back about your biopsy and results! I hope all your hard work is enough..........I will be thinking of you...especially at night with the sweats and the constant fatigue :) ~ Bridget

Gerri Explorer
I dont' feel so alone with your story. My goal was/is at least to eat 23 g of gluten a day for the 5 1/ 2weeks I have left. What do you mean by 5 gluten a day? I don't know how to establish what equals 23grams.... there is so much information out there i.e. 1 slice of bread equals 4.8 g of gluten and 1 slice of bread equals 10 g gluten. hmmmm So i've been eating a piece with each meal and for my two snacks a day. I think I'm getting mouth sores ...

I am sooo sorry to hear of your pain - it sounds just awful. I'm worried about cancer too. I've already had thyroid cancer and hashimoto's. I would love to hear back about your biopsy and results! I hope all your hard work is enough..........I will be thinking of you...especially at night with the sweats and the constant fatigue :) ~ Bridget

Hi Bridget, 1 bread equals one gluten - one cup of pasta one gluten (I believe) - I am to have five gluten a day. I didn't eat that much gluten before setting up for celiac biopsy. If your saying 4.8 g for one bread and your going up to 23 grams that means about six slice of bread. Man I have to eat one more bread.

I believe I have thyroid problems, but my doctor just won't listen. Also have a cyst on my adrenal gland.

Bridget, I will be thinking of you --- I have nice air conditioning - wear next to nothing so no sweats - besides don't sweat even during hotest days, when outside, wearing long sleave shirt.

Oh we are going to fine shape for the biopsy. Hugs

Gerri (tashabear@hotmail.com)

gfp Enthusiast
I dont' feel so alone with your story. My goal was/is at least to eat 23 g of gluten a day for the 5 1/ 2weeks I have left. What do you mean by 5 gluten a day? I don't know how to establish what equals 23grams.... there is so much information out there i.e. 1 slice of bread equals 4.8 g of gluten and 1 slice of bread equals 10 g gluten. hmmmm So i've been eating a piece with each meal and for my two snacks a day. I think I'm getting mouth sores ...

I am sooo sorry to hear of your pain - it sounds just awful. I'm worried about cancer too. I've already had thyroid cancer and hashimoto's. I would love to hear back about your biopsy and results! I hope all your hard work is enough..........I will be thinking of you...especially at night with the sweats and the constant fatigue :) ~ Bridget

Can I ask WHY you want to do this?

1) A negative biopsy for celiac disease is not definitive unless its post mortem.

2) A biopsy can be done to look for other things (such as cancer) without needing to eat gluten. Indeed it will be easier to see in there without all the inflamation.

3) Eating gluten is making you ill, after he biopsy will you keep eating it even if it makes you ill and the biopsy is negative?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



spoticus Rookie
Can I ask WHY you want to do this?

1) A negative biopsy for celiac disease is not definitive unless its post mortem.

2) A biopsy can be done to look for other things (such as cancer) without needing to eat gluten. Indeed it will be easier to see in there without all the inflamation.

3) Eating gluten is making you ill, after he biopsy will you keep eating it even if it makes you ill and the biopsy is negative?

Sure - of course..

Since medically speaking the gold standard for a positive dx for an MD is the duodenal biopsy as well as supporting labs, I am willing to "play along" so that I can be heard by the medical community when I say - no thanks, I would not like medication to treat the symptoms for migraines, more medications for allergy symptoms, more medications for arthritic joints.... Or more importantly more suggestions that I need anti-depressents for these unsubstantiated claims of aches and pains and tiredness.

Personally I have found my experiences w/ medicine to be pretty barbaric a lot. For 9 years in a row in order to prepare for thyroid whole body scans I had to withdraw from all synthroid for 4 to 6 weeks prior to the scan. This meant again, aches, pains, lethargy, cold, memory issues..... the consequences of that could also be measured for months after the event (i.e. cholesterol, depression). Preparing for these events also called for a special diet that was iodine free.

Any support (financially or by government) that I could potentially get would require an official dx approved by the governing agencies, if you will. And since Dr.Fine's methods are still unvalidated and not generally accepted as 'true' results.. I am playing along like a good patient.

I've lived 38 years feeling awful... and the three weeks were pretty darn awesome (gluten free)...6 more weeks of living in discomfort, pain, etc etc... is a blip on the screen of a long life if it gives me a chance for a positive show and explanation of years of asking for help.

However - on the flip side- Sept 30 positive result or not - i'm gluten free. I will of course take into my hands control of my general well being. I could not walk this walk, and do this if it weren't for communities like this that irregardless of what happens at the dr's office in Sept - I can turn to for help and guidance.

That's it in a nutshell really.

glutenewbie Newbie

My biopsy results were negative, even though my blood test was positive. I had increased my gluten intake for a few weeks before the biopsy, but prior to that I was gluten-free for a while. I really don't think I included enough gluten in my diet to make the results positive. I just didn't want to feel so bad that I couldn't function! So if you're getting a biopsy soon, make sure you eat as much gluten as you can (I would suggest every meal). Good luck with your biopsy!

Luhts Newbie
My biopsy results were negative, even though my blood test was positive. I had increased my gluten intake for a few weeks before the biopsy, but prior to that I was gluten-free for a while. I really don't think I included enough gluten in my diet to make the results positive. I just didn't want to feel so bad that I couldn't function! So if you're getting a biopsy soon, make sure you eat as much gluten as you can (I would suggest every meal). Good luck with your biopsy!

Do doctors make you go gluten free and then go back on just to torture you? It makes no sense! If the blood test is positive, why don't they do the biopsy right away, before you go gluten-free?

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - suek54 replied to suek54's topic in Dermatitis Herpetiformis
      5

      Awaiting dermatitis herpetiformis confirmation following biopsy

    2. - trents replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    3. - catnapt replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    4. - trents replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    5. - catnapt posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,257
    • Most Online (within 30 mins)
      7,748

    KariNoMoreGluten
    Newest Member
    KariNoMoreGluten
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • suek54
      Thank you all for your advice and the dermatitis herpetiformis article. The latter made me realise I had stopped taking my antihistamine, which I will restart today. The Dapsone has cleared the rash entirely but I still get quite a bit itching, absolutely nothing to see though. I know its notoriously hard to clear and its still relatively early days for me.  The iodine issue is very interesting. I do eat quite a bit of salt because I have Addison's disease and sodium retention is an issue. I also have autoimmune hypothyroidism, not sure how a low iodine diet would play into that? Because of my Addison's I am totally steroid dependent, I take steroids 4 x daily and cannot mount any defence against inflammation. I need to increase my meds for that. Now that I know what is wrong I can do just that if Im having a bad day. Life is very sweet, just so damn complicated sometimes! Hey ho, onwards. Thank you again for your advice.  
    • trents
      So, essentially all of the nutrition in the food we eat is absorbed through the villous lining of the small bowel. This is the section of the intestinal track that is damaged by celiac disease. This villous lining is composed of billions of finger-like projections that create a huge amount of surface area for absorbing nutrients. For the celiac person, when gluten is consumed, it triggers an autoimmune reaction in this area which, of course, generates inflammation. The antibodies connected with this inflammation is what the celiac blood tests are designed to detect but this inflammation, over time, wears down the finger-like projections of the villous lining. Of course, when this proceeds for an extended period of time, greatly reduces the absorption efficiency of the villous lining and often results in many and various nutrient deficiency-related health issues. Classic examples would be osteoporosis and iron deficiency. But there are many more. Low D3 levels is a well-known celiac-caused nutritional deficiency. So is low B12. All the B vitamins in fact. Magnesium, zinc, etc.  Celiac disease can also cause liver inflammation. You mention elevated ALP levels. Elevated liver enzymes over a period of 13 years was what led to my celiac diagnosis. Within three months of going gluten free my liver enzymes normalized. I had elevated AST and ALT. The development of sensitivities to other food proteins is very common in the celiac population. Most common cross reactive foods are dairy and oats but eggs, soy and corn are also relatively common offenders. Lactose intolerance is also common in the celiac population because of damage to the SB lining.  Eggs when they are scrambled or fried give me a gut ache. But when I poach them, they do not. The steam and heat of poaching causes a hydrolysis process that alters the protein in the egg. They don't bother me in baked goods either so I assume the same process is at work. I bought a plastic poacher on Amazon to make poaching very easy. All this to say that many of the issues you describe could be caused by celiac disease. 
    • catnapt
      thank you so much for your detailed and extremely helpful reply!! I can say with absolute certainty that the less gluten containing products I've eaten over the past several years, the better I've felt.   I wasn't avoiding gluten, I was avoiding refined grains (and most processed foods) as well as anything that made me feel bad when I ate it. It's the same reason I gave up dairy and eggs- they make me feel ill.  I do have a bit of a sugar addiction lol so a lot of times I wasn't sure if it was the refined grains that I was eating - or the sugar. So from time to time I might have a cookie or something but I've learned how to make wonderful cookies and golden brownies with BEANS!! and no refined sugar - I use date paste instead. Pizza made me so ill- but I thought it was probably the cheese. I gave up pizza and haven't missed it. the one time I tried a slice I felt so bad I knew I'd never touch it again. I stopped eating wheat pasta at least 3 yrs ago- just didn't feel well after eating it. I tried chick pea pasta and a few others and discovered I like the brown rice pasta. I still don't eat a lot of pasta but it's nice for a change when I want something easy. TBH over the years I've wondered sometimes if I might be gluten intolerant but really believed it was not possible for me to have celiac disease. NOW I need to know for sure- because I'm in the middle of a long process of trying to find out why I have a high parathyroid level (NOT the thyroid- but rather the 4 glands that control the calcium balance in your body) I have had a hard time getting my vit D level up, my serum calcium has run on the low side of normal for many years... and now I am losing calcium from my bones and excreting it in my urine (some sort of renal calcium leak) Also have a high ALP since 2014. And now rapidly worsening bone density.  I still do not have a firm diagnosis. Could be secondary HPT (but secondary to what? we need to know) It could be early primary HPT. I am spilling calcium in my urine but is that caused by the high parathyroid hormone or is it the reason my PTH is high>? there are multiple feedback loops for this condition.    so I will keep eating the bread and some wheat germ that does not seem to bother me too much (it hasn't got enough gluten to use just wheat germ)    but I'm curious- if you don't have a strong reaction to a product- like me and wheat germ- does that mean it's ok to eat or is it still causing harm even if you don't have any obvious symptoms? I guess what you are saying about silent celiac makes it likely that you can have no symptoms and still have the harm... but geez! you'd think they'd come up with a way to test for this that didn't require you to consume something that makes you sick! I worry about the complications I've been reading about- different kinds of cancers etc. also wondering- are there degrees of celiac disease?  is there any correlation between symptoms and the amnt of damage to your intestines? I also need a firm diagnosis because I have an identical twin sister ... so if I have celiac, she has it too- or at least the genetic make up for having it. I did have a VERY major stress to my body in 2014-2016 time frame .. lost 50lbs in a short period of time and had severe symptoms from acute protracted withdrawal off an SSRI drug (that I'd been given an unethically high dose of, by a dr who has since lost his license)  Going off the drug was a good thing and in many ways my health improved dramatically- just losing 50lbs was helpful but I also went  off almost a dozen different medications, totally changed my diet and have been doing pretty well except for the past 3-4 yrs when the symptoms related to the parathyroid issue cropped up. It is likely that I had low vit D for some time and that caused me a lot of symptoms. The endo now tells me that low vit D can be caused by celiac disease so I need to know for sure! thank you for all that great and useful information!!! 
    • trents
      Welcome, @catnapt! The most recent guidelines are the daily consumption of a minimum of 10g of gluten (about the amount found in 4-6 slices of wheat bread) for a minimum of two weeks. But if possible stretching that out even more would enhance the chances of getting valid test results. These guidelines are for those who have been eating gluten free for a significant amount of time. It's called the "gluten challenge".  Yes, you can develop celiac disease at any stage of life. There is a genetic component but also a stress trigger that is needed to activate the celiac genes. About 30-40% of the general population possesses the genetic potential to develop celiac disease but only about 1% of the general population actually develop celiac disease. For most with the potential, the triggering stress event doesn't happen. It can be many things but often it is a viral infection. Having said that, it is also the case that many, many people who eventually are diagnosed with celiac disease probably experienced the actual onset years before. Many celiacs are of the "silent" type, meaning that symptoms are largely missing or very minor and get overlooked until damage to the small bowel lining becomes advanced or they develop iron deficiency anemia or some other medical problem associated with celiac disease. Many, many are never diagnosed or are diagnosed later in life because they did not experience classic symptoms. And many physicians are only looking for classic symptoms. We now know that there are over 200 symptoms/medical problems associated with celiac disease but many docs are only looking for things like boating, gas, diarrhea. I certainly understand your concerns about not wanting to damage your body by taking on a gluten challenge. Your other option is to totally commit to gluten free eating and see if your symptoms improve. It can take two years or more for complete healing of the small bowel lining once going gluten free but usually people experience significant improvement well before then. If their is significant improvement in your symptoms when going seriously gluten free, then you likely have your answer. You would either have celiac disease or NCGS (Non Celiac Gluten Sensitivity).
    • catnapt
      after several years of issues with a para-gland issue, my endo has decided it's a good idea for me to be tested for celiac disease. I am 70 yrs old and stunned to learn that you can get celiac this late in life. I have just gradually stopped eating most foods that contain gluten over the past several years- they just make me feel ill- although I attributed it to other things like bread spiking blood sugar- or to the things I ate *with* the bread or crackers etc   I went to a party in Nov and ate a LOT of a vegan roast made with vital wheat gluten- as well as stuffing, rolls and pie crust... and OMG I was so sick! the pain, the bloating, the gas, the nausea... I didn't think it would ever end (but it did) and I was ready to go the ER but it finally subsided.   I mentioned this to my endo and now she wants me to be tested for celiac after 2 weeks of being on gluten foods. She has kind of flip flopped on how much gluten I should eat, telling me that if the symptoms are severe I can stop. I am eating 2-3 thin slices of bread per day (or english muffins) and wow- it does make me feel awful. But not as bad as when I ate that massive amnt of vital wheat gluten. so I will continue on if I have to... but what bothers me is - if it IS celiac, it seems stupid for lack of a better word, to intentionally cause more damage to my body... but I am also worried, on the other hand, that this is not a long enough challenge to make the blood work results valid.   can you give me any insight into this please?   thank you
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.