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To Test Or Not To Test


megyates

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megyates Newbie

Hello, I've been sick since September 2007, I was diagnosed in December of 07 with having food allergies, never having any kind of allergies before I thought that this was really interesting. Nevertheless I did everything I could to avoid milk, eggs, wheat, fish and shellfish. Milk and eggs being the main culprits behind my violent reactions. I never noticed a reaction specifically to wheat so I continued to eat it since it is so hard to work out of a diet. I went to an allergist finally in September 08 who told me that he didn't believe I was allergic to fish or shellfish but to abstain from wheat, milk and eggs entirely. Immediately after following his rules, my everlasting stomach ache was gone and I felt like a new person! When I went back 2 weeks later he told me that I ought to look up celiac disease and see if any of it sounds familiar or like I might have it. He told me he's not a specialist but that it sounded like that's what I have. That night I accidentally had sour cream and waited impatiently to throw up all night and I never did. I looked up celiac disease just then and realized that when all of this started I was able to take a lactaid with milk and not feel the effects and after a while it stopped helping. All of my symptoms matched those of celiac disease, my father has diabetes type 1 and my mother has thyroid disease and fibromyalgia and I have fibromyalgia, (these types of disorders are not uncommon with my family- unfortunately) my sister has been diagnosed with IBS and my dad was diagnosed in the '50's with a wheat allergy. I talked to my family practitioner (a navy doctor) and she said she didn't see any reason to put me through the pain of testing since I would have to be eating gluten in order to test accurately. Well now I am about 2 months into this gluten free diet and I've accidentally eaten gluten and I'm miserable. I obviously need to see a specialist to help me work through this but I don't know what the next step is and if I really need to test. Any advice or help would be greatly appreciated, I don't know anyone that has this disease so I'm feeling rather alone with it. Thanks so much.

Megan


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Hello, I've been sick since September 2007, I was diagnosed in December of 07 with having food allergies, never having any kind of allergies before I thought that this was really interesting. Nevertheless I did everything I could to avoid milk, eggs, wheat, fish and shellfish. Milk and eggs being the main culprits behind my violent reactions. I never noticed a reaction specifically to wheat so I continued to eat it since it is so hard to work out of a diet. I went to an allergist finally in September 08 who told me that he didn't believe I was allergic to fish or shellfish but to abstain from wheat, milk and eggs entirely. Immediately after following his rules, my everlasting stomach ache was gone and I felt like a new person! When I went back 2 weeks later he told me that I ought to look up celiac disease and see if any of it sounds familiar or like I might have it. He told me he's not a specialist but that it sounded like that's what I have. That night I accidentally had sour cream and waited impatiently to throw up all night and I never did. I looked up celiac disease just then and realized that when all of this started I was able to take a lactaid with milk and not feel the effects and after a while it stopped helping. All of my symptoms matched those of celiac disease, my father has diabetes type 1 and my mother has thyroid disease and fibromyalgia and I have fibromyalgia, (these types of disorders are not uncommon with my family- unfortunately) my sister has been diagnosed with IBS and my dad was diagnosed in the '50's with a wheat allergy. I talked to my family practitioner (a navy doctor) and she said she didn't see any reason to put me through the pain of testing since I would have to be eating gluten in order to test accurately. Well now I am about 2 months into this gluten free diet and I've accidentally eaten gluten and I'm miserable. I obviously need to see a specialist to help me work through this but I don't know what the next step is and if I really need to test. Any advice or help would be greatly appreciated, I don't know anyone that has this disease so I'm feeling rather alone with it. Thanks so much.

Megan

Hi Megan, and welcome to the forums.

Gluten intolerance can be a rather lonely experience and a difficult one to make decisions about. It all comes down to an individual's needs. A goodly number of the folks here, myself included, have no official diagnosis and feel no need of it, because the treatment is the same regardless--avoid gluten. Others feel they need the diagnosis or want to make sure nothing else is going on so get the testing done. But so many of us cannot bear the thought of going back to gluten consumption, especially when the testing so often turns out negative anyway (no, it is not 100% reliable, either the blood test or endoscopy). And unfortunately, when you go back to gluten after being off it, you do react more violently than before.

If you will check around the forums a bit you will find a lot of discussion on whether to test or not, and others will probably reply here too. It will all come down to what you are comfortable with and whether or not you can face going back to another three months of eating gluten to try to ensure the tests are accurate (you will already have healed a lot in the last two months, and need to be eating gluten for that long for the tests to be accurate).

Good luck with your decision-making and feel free to ask more questions.

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    • Scott Adams
      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.
    • trents
      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  
    • MicG
      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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