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New Here...could I Finally Be On To Something?


Evie4

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Evie4 Apprentice

Hi there, new here


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mftnchn Explorer

Yes you are on the right track. 20% or more of celiac have constipation, and another large group switch off between D and C.

Now that you are gluten free you won't be able to get accurate blood tests or biopsy. So if you want a gold standard diagnosis you'll need to eat gluten for several weeks.

Enterolab would still work for you up to a year gluten-free. It won't be accepted by most doctors, other than a few really sharp celiac doctors, but can help be a confirmation to your choice to go gluten-free.

I had a similar history to you. gluten-free has been only one piece of the puzzle. Initially my C got a lot better than got worse again, although overall after many months it is substantially better shown by my ability to cut way back on magnesium and Vit C which I needed before to make me go.

I now know that I have problems with carbohydrate digestion so cannot have grains, starches, etc. and am folowing SCD currently--also a gluten-free diet.

What I would suggest is do whatever testing you want, then go gluten-free for several months. If there are lingering symptoms keep posting here because many folk have that experience and have found answers that work for them.

ShayFL Enthusiast

Welcome!

Removing gluten for 3 weeks can sometimes be enough for regular Celiac bloodwork to be negative. And even your villi could have healed enough to give a negative biopsy.

If you want testing, your best bet now is Enterolab. It doesnt matter if you have been gluten free (I think up to a year). If you can afford it, get the genetic test too. This will let you know if you have Celiac genes.

If you dont want testing, stay the course, but ELIMINATE ALL GLUTEN: Wheat, Barley and Rye and all of their derivatives.

For many this means natural foods like: meats, eggs, nuts, veggies, fruits, squashes, potatoes, rice, corn, etc. Simple spices (McCormicks will list wheat and most of theirs is gluten-free).

After you have healed sufficiently, you can add in some gluten-free convenience foods.

Remember the only 100% accurate way to test is POSITIVE RESPONSE TO THE DIET. But if you are like me, you want tests to tell you something.

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    • 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.
    • Ello
      I have always eaten gluten and never stopped until my recent episode. I started more wheat products as my Dr. requested for the Tissue Transglutaminase Iga Antibody. mye result Value <1.0 Value interpretation: <15.0 Antibody not detected > or =15.0 Antibody detected I do not understand any of it. After eating all that wheat product my body exploded with all sorts of symptoms. I stop gluten ASAP. I am still in the healing process. I started having issues after my surgery. 
    • trents
      Welcome to the celic.com community @Ello! You say you had a blood test for celiac disease after eating gluten for 2 weeks. Were you gluten free before that? Had you ever been officially diagnosed with celiac disease previously? You say the result of the blood test was 1.5. Can you provide the name of the test and the reference range for negative vs. positive for the test? I ask because different labs used different reference ranges so scores without a reference range aren't very helpful.
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