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Confused Doctor ..


kare

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kare Newbie

Hi all, Im new here.

My symptoms are: bloated abdomen after i eat ANYTHING, loss of 12 kgs in a few months (un-intentional), unusually gassy, constipated and fatigued (doctors have always told me i was just aneamic).

My doctor sent me for bloodtests, he was certain i would test positive for celiacs though my blood tests came back perfect - even my iron was great! the only thing my blood samples showed were my salt levels, which were unusually low.

the doctor is concerned and he has booked me in for a gastroscopy next month to determine what is happening and if my intestine/bowel has been damaged.

he says it is still possible i may test positive to celiacs with the gastroscopy and other possibilities are a sugar intollerance or lactose intollerance..

he has written on his referral: severe abdominal bloating and weight loss of 12kgs. cause unclear. bloods were unhelpful - all normal. to exclude coeliac and disacchiariose (spelling?) deficiency.

is coeliac similiar to celiacs? and can someone give me some idea how long a gastroscopy goes for and what side effects i may experience after, if any?

thanks in advance!


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psawyer Proficient

Hi and welcome.

Coeliac is a variant spelling of celiac used in the UK and some other countries. They are the same thing.

I was out during my two gastroscopies, so I don't remember how long they took. I had colonoscopies done at the same time, which lengthens the procedure. The preparation for a colonoscopy is not any fun. You should not expect any side effects from either procedure.

ang1e0251 Contributor

You might consider posting your blood results here with the lab's ranges. If a person is IGA deficient, the bloodwork appears normal even if you have celiac disease.

The endoscopy just took a few minutes. With the anesthesia, I don't remember any of it. I didn't have any discomfort after. I would do it again without fear.

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    • knitty kitty
      So you're saying that you think you should have severe intestinal damage since you've had the symptoms so long?   DGP IgG antibodies are produced in response to a partial gluten molecule.  This is different than what tissue transglutaminase antibodies are  produced in response to.   TTg IgA antibodies are produced in the intestines in response to gluten.  The tTg IgA antibodies attack our own cells because a structural component in our cell membranes resembles a part of gluten.  There's a correlation between the level of intestinal damage with the level of tTg antibodies produced.  You are not producing a high number of tTg IgA antibodies, so your level of tissue damage in your intestines is not very bad.  Be thankful.   There may be reasons why you are not producing a high quantity of tTg IgA antibodies.  Consuming ten grams or more of gluten a day for two weeks to two months before blood tests are done is required to get sufficient antibody production and damage to the intestines.  Some undiagnosed people tend to subconsciously avoid lots of gluten.  Cookies and cakes do not contain as much gluten as artisan breads and thick chewy pizza crust.  Anemia, diabetes and thiamine deficiency can affect IgA antibody production as well.   Do you carry genes for Celiac?  They frequently go along with EDS.
    • rei.b
      I was tested for celiac at the same time, so I wasn't taking naltrexone yet. I say that, because I don't. The endoscopy showed some mild inflammation but was inconclusive as to celiac disease. They took several biopsies and that's all that was shown. I was not given a Marsh score.
    • knitty kitty
      Food and environmental allergies involve IgE antibodies.  IgE antibodies provoke histamine release from mast cells.   Celiac disease is not always visible to the naked eye during endoscopy.  Much of the damage is microscopic and patchy or out of reach of the scope.  Did they take any biopsies of your small intestine for a pathologist to examine?  Were you given a Marsh score? Why do you say you "don't have intestinal damage to correlate with lifelong undiagnosed celiac disease"?   Just curious.  
    • rei.b
      I was tested for food allergies and environmental allergies about 7 months before I started taking Naltrexone, so I don't think that is the cause for me, but that's interesting!  The main thing with the celiac thing that is throwing me off is these symptoms are lifelong, but I don't have intestinal damage to correlate with lifelong undiagnosed celiac disease.
    • trents
      Welcome to the forum, @Kara S! Warrior bread is a grain free bread product. Google it. There are commercial mixes available, I believe, Youtube videos and many recipes. 
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