Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Dr. Or Enterolab And Diagnosis Or Not


bahrbdoll

Recommended Posts

bahrbdoll Rookie

So, I haven't had much success with answers to what's wrong with me- my insurance will pay for genetic testing, so do you think that it would be benifical to start w/ my Dr. and if I don't get anything usefull then do entero lab? What are the benefits of having an actual diagnosis? I do have 3 daughters i'm worried about. Thanks

I guess I should have mentioned I've been gluten-free for 3mo.- and I am seeing some improvements


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ang1e0251 Contributor

If it would be helpful to your daughters, then you should consider getting the dr's dx. See where the dr wants to take the testing. It's hard to go back later if you decide you want testing down the road and have been gluten-free for awhile.

Lisa Mentor

These are the tests to request from your doctor:

Anti-gliadin antibodies (AGA) both IgA and IgG

Anti-endomysial antibodies (EMA) - IgA

Anti-tissue transglutaminase antibodies (tTG) - IgA

Total IgA level.

Make sure that you are on a full gluten diet, until all testing is exausted. Enterolabs can test you for sensitivites, but they cannot diagnose for Celiac.

Good luck an take a walk around this place. It's full of wonderful information.

LDJofDenver Apprentice
So, I haven't had much success with answers to what's wrong with me- my insurance will pay for genetic testing, so do you think that it would be benifical to start w/ my Dr. and if I don't get anything usefull then do entero lab? What are the benefits of having an actual diagnosis? I do have 3 daughters i'm worried about. Thanks

I guess I should have mentioned I've been gluten-free for 3mo.- and I am seeing some improvements

If your medical insurance will pay for genetic testing I'd do it, especially since you don't have to be eating gluten to have that done (you mentioned you've been gluten-free for a few months).

A lot of celiacs on this forum (and out in the world in general) don't have a confirmed medical diagnosis (are self-diagnosed, in effect). My son was diagnosed by diet, by his GI doc, 11 years ago or so, which was good enough for him (and the doc!) after many many years of suffering and misdiagnosis. The GI doc's mother had celiac disease and doc took one look at my son's history and told him what was suspected, and put on a sort of Atkins diet to confirm. Both were delighted at my son's response and that was that. He began living gluten free.

I am diagnosed by both positive blood work and small intestine biopsy. A reason I see, by comparison of my son's to my case, is that with a medical diagnosis people (the public, family, schools, doctors/medical community) seem to take it more seriously and don't question you. Medical people are scientists and they always like "proof." However, for a large percent of celiacs, especially ones whose blood work came up negative, they have all the proof they need by the dramatic improvements once on a gluten free diet.

bahrbdoll Rookie

Thank You so much! That was the perfect answer, just what I needed to hear. I guess I'm the type of person who feels like I need it in black and white somehow someway. I'm just really having a hard time w/ Dr. telling me nope, no celiacs even though I litterally have experienced just about every symptom I've come across. yet, I'm improving slowly but surely being gluten-free- I just worry about the fact this is for life and I would like to know 100%, specially when it affects my girls. Thank you again

Amyleigh0007 Enthusiast

I finally got a doctor's diagnosis because of my genetic testing done through Entrolab. My doctor did not take me seriously when I first went in for the blood test. It was one year later with my gentic testing in hand did he sit and really listen to me. When he found out I had been gluten free for one year with fantastic results on top of having one Celiac gene and one gluten sensitivity gene he diagnosed me with Celiac. Since your insurance will pay for the genetic testing I would go ahead and have it done. You do not need to be eating gluten for it to be accurate. But, if you plan on having the blood test done to test for Celiac you should begin eating gluten again, at least for a few months. Three months gluten free is long enough for your body to begin to heal and you might not get accurate results.

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,055
    • Most Online (within 30 mins)
      7,748

    Jlsmith111
    Newest Member
    Jlsmith111
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Well, you've done both stages of testing now, the blood testing and the scope/biopsy so there is no reason to postpone trialing a gluten-free diet. And, yes, we get many reports on this forum from people with similar diagnostic experiences that leave them without desired clarity. My take would be your daughter is in the early stages of developing active celiac disease, perhaps transitioning from NCGS (Non Celiac Gluten Sensitivity) to celiac.
    • Heatherisle
      Sorry, typing error, not strophic, should read strophic!!!! Did it again, atrophic, not strophic, (flippin technology)
    • Heatherisle
      Hi  My daughter has had her endoscopy and biopsies done but still none the wiser as to whether it’s coeliac even though she has many of the signs and symptoms. Gastroenterologist not 100% convinced as herEMAb blood test was negative even though her TTG Ab19 was positive at 19, lab range was 0.0-7.0. Bulb D1 biopsy potentially looked a little flat/strophic, D2 relatively unremarkable. Also found some oesophagitis and mild gastritis, biopsy taken from there. She has also to hand take another stool sample for faecal Calprotectin which I’ve never heard of!! Als advised to trial a gluten free diet. Just wondering if anyone has had similar results. Thanks so much
    • knitty kitty
      Welcome to the forum, @Natalia Revelo! Yes, I've been in a similar situation.  You can read about my journey in my blog here. I found most doctors and others do not pay much attention to vitamins.  Herbal supplements can be helpful, but they can't help as much as supplementing with vitamins.  You're not deficient in herbs, you're deficient in essential nutrients. Vitamins are chemical compounds that our bodies cannot make.  The body must absorb theses essential vitamins from what we consume.  The Gluten Free diet can be low in these vitamins.  Gluten free processed facsimile foods are usually not fortified nor enriched with vitamins to replace those lost in processing like gluten containing foods are required to do.  Malabsorption of celiac disease can cause deficiencies in these essential vitamins as well.  Correction of nutritional deficiencies is essential.  Doctors are not required to complete many hours of nutritional education (twenty hours compared to seven years in medical schools funded by big pharma companies).   There are nine water soluble vitamins, the eight B vitamins and Vitamin C, four fat soluble vitamins, A, D, E and K.  There are about a dozen trace minerals heeded, too.  Without these, our bodies' health slowly deteriorates.   Iron deficiency requires not only iron, but the eight essential B vitamins, and Vitamin C to make red blood cells.  The B vitamins and magnesium and other trace minerals like boron are needed to build the bone matrix.  Vitamin D is needed to regulate the immune system, make hormones and build bones and healthy joints.  Vitamin D helps with depression. The eight essential B vitamins are needed for brain function.  Deficiency in Thiamine B 1 and the other B vitamins can cause weight loss, anorexia, depression, as well as anxiety and panic attacks.   I suffered through the same symptoms because my doctors did not recognize nutritional deficiencies.  I had studied nutrition before switching to Microbiology at university, because I wanted to find out what those vitamins were doing inside the body.  They are instrumental in repairing and healing our bodies.  They are necessary for proper brain function.  Nutritional deficiencies develop over time and our health declines on a sliding scale as our vitamin stores are depleted and not restocked.  Nutritional deficiencies can drag on for years.   Blood tests for nutritional deficiencies in the B vitamins are notoriously inaccurate.  The best way to see if you're deficient is to take B vitamins and look for health improvements.  High dose thiamine can help immensely.  Mitochondria die if there's insufficient thiamine, adding to poor health.  Thiamine Mononitrate is frequently used in vitamin supplements because it won't deteriorate in a jar on a shelf, Thiamine Mononitrate is shelf stable, and is as unreactive in the body as in a jar on a shelf.  Other forms of thiamine are easier for our bodies to utilize.  Benfotiamine promotes intestinal healing.  The form of thiamine called TTFD (tetrahydrofurfuryl disulfide) improves brain function, mental health problems, and therefore body function.   Celiac disease greatly affects ones ability to absorb essential nutrients.  Correction of nutritional deficiencies quickly is important because, well, we've seen how bad our health can get if deficiencies are allowed to drag on for years.  We cannot eat sufficient food to correct  nutritional deficiencies.  Supplementation with essential vitamins and minerals is required.    
    • Natalia Revelo
      TLDR: Despite following a very strict gluten-free diet for 15 years, I have dealt with multiple physical and mental health issues for years, which improved with supplements. My gastro doesn't provide any solution on how to improve nutrient absorption because my MARSH is normal. Dear all, Sorry for the long post but I really need help. I was diagnosed 15 years ago with very severe symptoms (weight loss, tiredness, diarrhea, fainting, hair loss, numbness in hands and feet, anxiety). Since then I have followed a very strict gluten free diet. With time I became extremely sensitive and just a few normal bread crumbs laying on the table while I eat can make me sick if I visit someone. At home my husband and child eat gluten free because I can definitely not have gluten at home. Despite physical improvements after going gluten free, my life as training as a scientist was marked by panic attacks, severe anxiety and depression while trying to obtain my PhD and working as a postdoc. 7 years ago I started to have mini burnouts, fibromyalgia-like symptoms (e.g. unbearable pain in joints and muscles) and not being able to perform at my job. 5 years ago while being pregnant my ferritin levels were practically zero and after delivering my child, my body completely collapsed. I could not walk for the first 2 years postpartum due to severe pelvic floor issues, diastasis, bladder pain and fatigue, which led to me not able to work and getting a massive burnout. Unfortunately my GP was very dismissive of all my symptoms. Eventually I was diagnosed with osteoporosis and this led me to conclude that I have been going through nutrient deficiencies for years, if not decades. With the help of an orthomolecular dietitian I started taking supplements and my pelvic floor and diastasis improved a lot (I think my body was unable to produce collagen for tissue strength) and my burnout started to improve (it seems my brain could not work due to lack of nutrients). My gastroenterologist is too busy to take me seriously, and he doesn't believe my deficiencies are real because he doesn't see it on paper (despite me having low erythrocyte counts and low ferritin). I ended up visiting a functional doctors and she could see deficiencies in magnesium, copper, omega-3, iodine, sodium and markers of inflammation and my microbiota is very imbalanced. She also found that I am allergic to milk protein and eggs and those were giving me IBS symptoms, plus there is a FODMAP group making me sick but haven't found out which. The costs of the supplements I get from the functional doctor and the tests she does are very expensive and I have to pay out of my own pocket. It's very expensive but I'm finally getting stronger and I feel like I have a completely different brain, no anxiety or depression, which is amazing after decades of feeling miserable. I convinced the gastro to check my MARSH score and while in the gastroscopy they did see scar tissue in my duodenum, the histological exam shows no damage in the MARSH score. Therefore, my gastro says I'm fine, but I'm obviously not fine. My question is if anyone has been in this situation, and how can I move forward. I suspect that the inflammation caused by milk and egg could have contributed to poor absortion. The functional doctor gave me iron infusions and my ferritine levels went up and I felt amazing, but after a few months the levels go down again. Somehow I cannot keep the iron in my body. I want to know if there is any possibility of healing my gut. The functional doctor is giving me herb supplements that heal the gut, and I tried taking glutamine but it burns my bladder (I have intersticial cystitis). I really need to go back to work, but first I need my body to have steady health and anergy.  Thanks for any help! 
×
×
  • Create New...