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Forensicmom

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Forensicmom Newbie

I have had digestive issues for a few years and my dr's have tried different things. None of them considered Celiac's until I asked about it. They did the traditional blood test, which was negative. They also took a few biopsies during an upper endoscopy a few weeks ago that came back negative as well. I mentioned to my doctor that when I'm feeling bad (with the nausea) that the only thing that makes me stomach feel better (most of the time) is crackers, bread, etc. She said that that's a clear indicator that gluten is NOT the problem. She said that if it was, then I would react to it, not feel better.

Well, I've read on a few websites that gluten doesn't react right away and can take 24 hours or more, which is why it's hard to diagnose. They said that it initially makes you feel better but it's a delayed reaction.

Can anyone tell me if this is true? I also read that there are NO accurate tests for this and that the ONLY way to know for sure is to go TOTALLY gluten free for at least 3 months.

I do not want to try a drastic diet if I'm not even sure that gluten is the problem. It's very confusing, which is made worse since I'm getting opposite information then what my doctor is telling me.


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Lisa Mentor
I have had digestive issues for a few years and my dr's have tried different things. None of them considered Celiac's until I asked about it. They did the traditional blood test, which was negative. They also took a few biopsies during an upper endoscopy a few weeks ago that came back negative as well. I mentioned to my doctor that when I'm feeling bad (with the nausea) that the only thing that makes me stomach feel better (most of the time) is crackers, bread, etc. She said that that's a clear indicator that gluten is NOT the problem. She said that if it was, then I would react to it, not feel better.

Well, I've read on a few websites that gluten doesn't react right away and can take 24 hours or more, which is why it's hard to diagnose. They said that it initially makes you feel better but it's a delayed reaction.

Can anyone tell me if this is true? I also read that there are NO accurate tests for this and that the ONLY way to know for sure is to go TOTALLY gluten free for at least 3 months.

I do not want to try a drastic diet if I'm not even sure that gluten is the problem. It's very confusing, which is made worse since I'm getting opposite information then what my doctor is telling me.

Yes, it is true that the available diagnostic means is not as accurate as we would like at this time. There can be false negatives with the blood test as well as the endoscopy/biopsy exams. Not all roads lead to Celiac, but it's wise to be tested due to years of digestive issues.

Reaction time can vary from person to person. But, it's more common for a reations to be delayed (such as 24 hours) when a person has been on the diet for some time and some healing has taken place.

Can you post the blood test that you were given

I would suggest a trial diet. Try it for several weeks and be as accurate as possible. You can then introduce gluten and check your reaction.

Mike M Rookie
Well, I've read on a few websites that gluten doesn't react right away and can take 24 hours or more, which is why it's hard to diagnose. They said that it initially makes you feel better but it's a delayed reaction.

Can anyone tell me if this is true?

I agree with Momma Goose's response. May be time for a "trial" gluten free diet. Also, in my opinion, you are a prime candidate for having a stool analysis for gluten intolerance done. A company that is called Enterolab does this. Some posters on here are not fans of Enterolab. I do believe they can help in many cases, especially like your situation. As far as making you feel better after eating gluten? This was how it was for me in the very end before being diagnosed. Sometimes I would be so sick I could not eat for 3 or 4 days at a time. When I finally would eat something, the only thing I wanted was regular (wheat) spaghetti with ketchup on it (gross huh?) and I felt much better for a day or so and then back to sick.....It was a vicious cycle. Hope this helps, All the best, Mike

Forensicmom Newbie

Thanks so much for responding. Digestive issues can be a very frustrating thing and it's nice to have other people to talk to about this.

My only blood test for Celiac's was done (1-16-09) and it says:

IGA, serum 212

Gliadin AB (IGA) >3

Tissue Transgluta,minase AB IGA >3

I have NO idea what that means but the dr told me they were normal. The biopsy results were also normal, according to the GI doctor, but I haven't seen the actual results. The only things that showed up in my blood that weren't in the normal range were: Ferritin 7, Hemoglobin 11.2, Hematocrit 32.6

I started taking Nexium 2 weeks ago. Can anyone tell me whether I should give this a few more weeks to see if it works or should I just start watching the gluten now? I'm afraid to try too many things at once and then not be able to tell whether it's the lack of gluten or the acid meds that are working.

Going gluten free scares me a bunch since there's gluten in just about everything and the thought of giving up all my favorite foods and drinks is not appealing to me, although I do want to feel better. Is there any easy way to do a trial diet?

How do you deal with gluten when you go out? What about parties, functions, etc? Are you able to eat out?

Oh, I have heard about the Enterolab tab from another site but have heard that it's pretty expensive and most doctor's won't send you for it. Would it still be necessary if you go on the diet instead?

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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
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    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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