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I Still Don't Know What's Wrong With Me


Sandi*

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Sandi* Apprentice

I've head digestive problems for as long as I can remember, mostly constipation, pain, gas, and horrible bloating. I was diagnosed with IBS a couple years ago. I've also been tested for fructose and lactose malabsorption and for celiac disease but all tests were negative. Here are my test results:

t-Transglutaminase (tTG) IgA 1 U/mL

t-Transglutaminase (tTG) IgG 1 U/mL

Immunoglobulin A, Qn, Serum 10 L mg/dL

The thing is, I was negative for celiac disease but my IgA is really low so I know that can give a false negative. However, my GI doc also proceeded with an endoscopy anyway, and found nothing. I've also had the camera pill, found a few unspecified lesions but that was it.

My questions are, if my villi were flattened, would the camera pill see that, or is it not as precise? Also, is it possible to still have celiac disease (not just gluten sensitivity but actual celiac disease) that was somehow missed with the scope?

I moved last year so I need to find a new GI anyway so maybe I'll have them do the tests again...I do feel better not eating gluten but I've never lasted long enough (four months or a strict diet at the most) to see real results, my results were only mixed so I went back to eating gluten.


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darlindeb25 Collaborator
Also, is it possible to still have celiac disease (not just gluten sensitivity but actual celiac disease) that was somehow missed with the scope?

Absolutely possible to have the disease and have it be missed by an endoscopy. Dr. Peter Green spoke at one of our supoort groups last night, and he said, an endoscopy is only able to go about 6" into the intestine, and the damage could be much deeper...he says a positive blood test is a diagnosis...this is a huge change in opinion for him.

Then, on the other hand, it is also just as possible to have a gluten intolerance without celiac, although one day I think the scientist will realize it is all one thing. People have a gluten intolerance can be much sicker than someone with celiac disease, and it is all an autoimmune reaction, no matter which you have.

My sister is a diagnosed celiac, for 9 years last March...I went gluten free 9 years ago this month. My neuro did a celiac screening on me last June, I came back with double DQ1 genes, which as of now, most doctors believe cannot be celiac...my doctor says I do have it. I am super sensitive to gluten, and react to all grains, which can conceivably contain low levels of gluten simply from cross contamination. Many gluten intolerant/celiacs are able to do ok with very low levels of gluten.

In my opinion, you should go gluten free, and give it more time than 4 months. A body cannot heal in 4 months.

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    • xxnonamexx
      What about digestive enzymes that I hear help? I take align 5x probiotics daily.
    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
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