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Is It Celiac Or Something Else?


jennyg

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jennyg Newbie

Hi,

This is my 1st time on here.

I, too had a similar report. I had upper endoscopy and colonoscopy on Sept. 25th. I had lost a lot of weight without trying. That's really the only symptom besides a dull headache I was having everyday. I was thinking it was all due to going thru "the menopause". I was also having mild anemia, but my iron levels were not below normal and I was not lacking in any of the other vitamins she tested for (like folate, B12, etc.) Also, my white blood cell count was a little below normal. They said that could flutuate. hmmm..

When I got a copy of the report it said:

Abnormal mucosa in the duodenum compatible with nodularity duodenal bulb; relatively flattened mucosa D2

(cold forceps biopsies performed for histology at the D2 r/o sprue)

In my followup appt with the doc all she could say was it came back negative and "it didn't show up under a microscope". Then she said I should get more calories in my diet, like 3000 calories a day of anything I wanted and come back in 3 months. She did recommend seeing a dietician (which my insurance won't cover because I have no diagnosis). Dietician said she thought it sounded like Celiac. So, I've been on a gluten free diet (trying, anyway) for 3-1/2 weeks. Have not gained any weight, but don't have the headaches. hmmm...

I really need advice or support from someone going thru the same thing. Some people don't believe I should be on this diet if the doctor doesn't say I should.

Thanks to anyone for listening :)


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YoloGx Rookie
Hi,

This is my 1st time on here.

I, too had a similar report. I had upper endoscopy and colonoscopy on Sept. 25th. I had lost a lot of weight without trying. That's really the only symptom besides a dull headache I was having everyday. I was thinking it was all due to going thru "the menopause". I was also having mild anemia, but my iron levels were not below normal and I was not lacking in any of the other vitamins she tested for (like folate, B12, etc.) Also, my white blood cell count was a little below normal. They said that could flutuate. hmmm..

When I got a copy of the report it said:

Abnormal mucosa in the duodenum compatible with nodularity duodenal bulb; relatively flattened mucosa D2

(cold forceps biopsies performed for histology at the D2 r/o sprue)

In my followup appt with the doc all she could say was it came back negative and "it didn't show up under a microscope". Then she said I should get more calories in my diet, like 3000 calories a day of anything I wanted and come back in 3 months. She did recommend seeing a dietician (which my insurance won't cover because I have no diagnosis). Dietician said she thought it sounded like Celiac. So, I've been on a gluten free diet (trying, anyway) for 3-1/2 weeks. Have not gained any weight, but don't have the headaches. hmmm...

I really need advice or support from someone going thru the same thing. Some people don't believe I should be on this diet if the doctor doesn't say I should.

Thanks to anyone for listening :)

Hi Jenny,

Welcome to celiac.com! You should find it a very informative and supportive place. Many people here have had your same problems and been helped.

I suggest you stay off gluten and trace glutens entirely for say three to six months and then challenge it by having some gluten (for some its a year). Its also very possible that the endoscopy wasn't accurate since sometimes its hard to find the right place where it lies in the intestines. Its also possible to have celiac like symptoms elsewhere than in the intestines....If you respond negatively to gluten its very likely you have celiac though to determine that you need to be like a detective.

You might feel better being off gluten whether or not you have celiac. Many have an allergy to gluten that is not a full blown case of celiac--plus gluten isn't fully digestible for anyone. If its simply an intolerance its an easier way to be since its a lot less inconvenient say when you are travelling or eating out since then CC wouldn't really be a factor.

Nevertheless it is good to figure out what your body can and can't handle since celiac can cause a variety of degenerative diseases (including cancer, heart disease, kidney disease, glaucoma, schizophrenia and dementia etc. etc.) and possible other autoimmune disorders. Fibromyalgia like symptoms and RA as well as Lupus and Schogrens are very common for instance. If you feel better without gluten however go for it. If you need to avoid trace glutens even that can be figured out too--by avoiding them also for the 3 to 6 months or more and then challenging that eventually.

Its also very possible you have other or additional food allergies or food sensitivities that could be causing the weight loss. Celiac makes your intestinal walls more permeable so undigested proteins go into the blood stream, which then overloads your liver with the resultant toxicity plus it causes inflammation elsewhere (like those headaches). You then can easily become allergic to all kinds of things. Its best to try and figure out what those might be. Recently for instance I discovered I am intolerant to fruit as well as the nightshade family (potatoes, tomatoes, peppers). Many here have other grain intolerances and have to follow a low specific carbohydrate diet.

I have found a variety of basic herbs also helps like marshmallow root caps and dandelion caps and ideally yellow dock or oregon grape root caps (or boil the herb) help heal the lining of the intestines and deal with the toxicity to you liver, skin and intestines etc. Don't use alcohol based tinctures since they have gluten in the alcohol usually.

Don't be shy about asking questions.

Good luck!

jennyg Newbie
Hi Jenny,

Welcome to celiac.com! You should find it a very informative and supportive place. Many people here have had your same problems and been helped.

I suggest you stay off gluten and trace glutens entirely for say three to six months and then challenge it by having some gluten (for some its a year). Its also very possible that the endoscopy wasn't accurate since sometimes its hard to find the right place where it lies in the intestines. Its also possible to have celiac like symptoms elsewhere than in the intestines....If you respond negatively to gluten its very likely you have celiac though to determine that you need to be like a detective.

You might feel better being off gluten whether or not you have celiac. Many have an allergy to gluten that is not a full blown case of celiac--plus gluten isn't fully digestible for anyone. If its simply an intolerance its an easier way to be since its a lot less inconvenient say when you are travelling or eating out since then CC wouldn't really be a factor.

Nevertheless it is good to figure out what your body can and can't handle since celiac can cause a variety of degenerative diseases (including cancer, heart disease, kidney disease, glaucoma, schizophrenia and dementia etc. etc.) and possible other autoimmune disorders. Fibromyalgia like symptoms and RA as well as Lupus and Schogrens are very common for instance. If you feel better without gluten however go for it. If you need to avoid trace glutens even that can be figured out too--by avoiding them also for the 3 to 6 months or more and then challenging that eventually.

Its also very possible you have other or additional food allergies or food sensitivities that could be causing the weight loss. Celiac makes your intestinal walls more permeable so undigested proteins go into the blood stream, which then overloads your liver with the resultant toxicity plus it causes inflammation elsewhere (like those headaches). You then can easily become allergic to all kinds of things. Its best to try and figure out what those might be. Recently for instance I discovered I am intolerant to fruit as well as the nightshade family (potatoes, tomatoes, peppers). Many here have other grain intolerances and have to follow a low specific carbohydrate diet.

I have found a variety of basic herbs also helps like marshmallow root caps and dandelion caps and ideally yellow dock or oregon grape root caps (or boil the herb) help heal the lining of the intestines and deal with the toxicity to you liver, skin and intestines etc. Don't use alcohol based tinctures since they have gluten in the alcohol usually.

Don't be shy about asking questions.

Good luck!

jennyg Newbie

Thanks so much for the information.

This is all so new to me and any insight

is appreciated.

The diet is kind of overwhelming.

I had no idea that gluten is in so many products.

I guess most people (especially me) have no idea what

they are putting in their bodies

when buying all the easy prepared foods.

Thanks again!

YoloGx Rookie
Thanks so much for the information.

This is all so new to me and any insight

is appreciated.

The diet is kind of overwhelming.

I had no idea that gluten is in so many products.

I guess most people (especially me) have no idea what

they are putting in their bodies

when buying all the easy prepared foods.

Thanks again!

You are quite welcome. There are lists on the home pages of celiac.com that tell you what to avoid and what not. Some are more sensitive than others. I happen to be one of the ultra sensitive ones, but not everyone is. You can also use the search engine to find out info. on a variety of topics people have posted on this site. It is complicated at first, especially all the cross contamination (CC) and trace glutens found even in asperin etc.

I used to think I was gluten free but wasn't. I was still making myself with all these trace glutens and CC. So therefore the detective business. However it does get easier over time...Even eating out. Local celiac boards can be very helpful since members often list places its easier to buy gluten free food and restaurants that have a gluten-free menu.

The main thing at first is to eat simply and with less sugar (often one has candida or fungal overgrowth with this condition) and probably no milk products since most with celiac need to avoid milk at first until their intestines heal.

Bea

LizMonte Newbie

Hi, I'm a newcomer to this forum, also. I joined because I was just diagnosed with gluten intolerance/celiac with a simple genetic test. I have MS, but so far no particular digestive disorders. So I'm doing what you're doing -- cutting the gluten out of my diet. And I agree with you, it's hard at first. I can see that I'm going to be doing a lot more cooking from scratch instead of using convenience foods.

The genetic test was done by Entero Lab. (www.enterolab.com) They have also developed a non-invasive stool analysis which is supposed to be more sensitive than the standard blood test. They say that most of the immune response to gluten happens in the gut, so testing the stool makes sense.

The really good news is that you don't need a doctor's order to get the tests done, and they are relatively inexpensive.

This could give you a definite answer as to whether or not you have celiac.

Liz

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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