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How Many People Here Had Negative Bloodwork, Negative Biopsy But Still Respond To Gluten-free Diet?


glutenmommy

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glutenmommy Rookie

All of my bloodwork came back normal on the complete celiac panel. I'm still waiting on the results of my endoscopy done last Friday, but my doctor said he didn't see any evidence of villi damage during the procedure. I haven't had ANY gluten since last Wednesday; ALL of my diarrhea is gone (usually 7-10 times per day! yuck), ALL of the gas and bloating is gone; ALL of the heartburn is gone!!! I have lost nearly 5 lbs of bloating and intracellular fluid. I already knew I would respond to the diet because I did an elimination diet earlier this summer.

It doesn't really matter to me whether I have a diagnosis of "celiac" or not. I'm just wondering how many of you are like me: negative all the way around but still respond beautifully to the diet. (Of course, I suppose my endo could still come back positive -- I'll post as soon as I get the results)

Thanks!


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tarnalberry Community Regular

my blood tests were 'inconclusive' (most doctors would have read them as negative), but I had been gluten free for two weeks.

I never did an endoscopy.

I did a 'gluten challenge' - I ate a large amount of gluten after having been gluten free. felt awful.

the bloating, bourbourygmi (gurgling noises going through the intestines - turns out it's not normal to have a lot of that), and inconsistent stool cleared up, but I was never *hugely* symptomatic.

my doc and I both decided, it feels better to not eat gluten than to eat it, so I don't eat it. asfaik, I do not have a 'formal' celiac diagnosis.

CHARBEEGOOD Newbie
All of my bloodwork came back normal on the complete celiac panel. I'm still waiting on the results of my endoscopy done last Friday, but my doctor said he didn't see any evidence of villi damage during the procedure. I haven't had ANY gluten since last Wednesday; ALL of my diarrhea is gone (usually 7-10 times per day! yuck), ALL of the gas and bloating is gone; ALL of the heartburn is gone!!! I have lost nearly 5 lbs of bloating and intracellular fluid. I already knew I would respond to the diet because I did an elimination diet earlier this summer.

It doesn't really matter to me whether I have a diagnosis of "celiac" or not. I'm just wondering how many of you are like me: negative all the way around but still respond beautifully to the diet. (Of course, I suppose my endo could still come back positive -- I'll post as soon as I get the results)

Thanks!

CHARBEEGOOD Newbie
All of my bloodwork came back normal on the complete celiac panel. I'm still waiting on the results of my endoscopy done last Friday, but my doctor said he didn't see any evidence of villi damage during the procedure. I haven't had ANY gluten since last Wednesday; ALL of my diarrhea is gone (usually 7-10 times per day! yuck), ALL of the gas and bloating is gone; ALL of the heartburn is gone!!! I have lost nearly 5 lbs of bloating and intracellular fluid. I already knew I would respond to the diet because I did an elimination diet earlier this summer.

It doesn't really matter to me whether I have a diagnosis of "celiac" or not. I'm just wondering how many of you are like me: negative all the way around but still respond beautifully to the diet. (Of course, I suppose my endo could still come back positive -- I'll post as soon as I get the results)

Thanks!

I understand how you feel. I was diagnosed with multiple food allergies but never told I had celiacs. I have had an endoscopic done as well as an up GI endoscopic done as well. My results came back negative but with my allergies (Soy, Oat and most recently lactose intolerant) it was decided that a gluten free diet would be the wisest move. I also have several family members that are gluten intolerant. It took several tests and in some cases years for the results to be conclusive.

Good Luck hope you continue to feel better.

buffandpuff Newbie

O.k. have been gluten free on an elimination diet for almost 8 weeks. The dr. decided to do an anitbody test anyway, even though I told him I wasn't going to eat gluten again just for the test. Obviously, the blood work came back negative. He has "clinically" diagnosed me because he said I had many of the symptoms, but medically it's not in my record. I guess that's not such a bad thing because I won't be given a hard time about pre-existing conditions. I recently had an endoscopy but they never checked the small intestine because that's not what we were looking for at that point. Anyway, I'm in the same boat as you -- but honestly I feel so good w/o it, it doesn't matter to me whether I have a piece of paper with a diagnosis.

nora-n Rookie

I had negative tests too.

nasalady Contributor

I had negative results for both biopsy and blood work but my gastro said he had expected that because I was on high doses of prednisone and Imuran for my autoimmune hepatitis, and these drugs will also suppress the celiac autoantibodies and allow the villi to re-generate. He diagnosed me based on my response to the gluten-free diet, my family history of celiac disease, genetic marker HLA DQ8, and my talent for developing AI diseases.


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homemaker Enthusiast

Count me in this group too! I had negative bloodwork...and went gluten-free before the endoscope...

Didn't bother...I did order enterolab gene and stool complete...should come in a few days..

I have had positive results going gluten-free, I have been gluten-free for two weeks now! :)

elye Community Regular

My husband had "negative" results on the blood panel and the endoscope, but a very high count of the antibodies in his stool through Enterolab. There was also a large percentage of fat in his stool, which is suggestive of gluten/malapsorption issues.

He started eating gluten-free right after we got the stool results, and all of his gastrointestinal symptoms were gone within a couple of weeks.

So count him in!

pufffee Apprentice

Hi

Wow, It is so nice to hear so many people with my situation. I to was negative in blood and biopsy. I was told by another specialist that a biopsy is useless unless you take a minimum of 6 biopsys to test for Celiac. I have been gluten free now for several weeks, although I am feeling much better, I am still bloated everyday. I figured I might have Lactose intolerence since Milk, cheese, and other milk products have been in my life before and after going gluten free. I have only been lactose free for a couple of days and feel better EXCEPT when I was eating pepperonis with my rice crackers. Pepperonis have Lactic Acid Starter Culture(the only unique ingredient I can find). My stomach immediatley blows up and gurgles. I only put one in one together today after reading the internet for what seemed like hours to learn what LASC is. Wonder if anyone else is Dairy free and had similar problems. This could be a major break through for me. My Dr only gave me a genetic blood test for Lactose intolerence so that was pointless. Rather then right test with solution or breath test. It is amazing how quick Dr's are to eliminate or choose a diagnosis to shut you up. THANKS in Advance

nora-n Rookie

Hi, the genetic test for lactose intolerance works the other way around, meaning if you are negative on that test, your lactose intolerance comes from something else, like celiac or gluten intolerance.

Skye-N Newbie

I had stopped eating gluten for a couple of months and felt amazingly better when I took the blood test, which of course came out negative. The doctor just told me that I didn't have it. I later went to a Celiac specialist who told me that the test is only acurate while still eating gluten. I get extremely ill even with small amounts so I have not been willing to make myself sick just for the sake of a test result. I have another friend who tested negative even though she and her family all have it.

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    • trents
      Certainly, it would b wise to have a gene test done if your physician is open to it as it would provide some more data to understand what's going on. But keep in mind that the genetic test for celiac disease cannot be used as to diagnose celiac disease, only to establish the potential to develop active celiac disease. About 40% of the general population possess one or both of the primary genes known to be associated with the development of active celiac disease but only about 1% of the population actually develop active celiac disease. So, the gene test is an effective "rule out" tool but not an effective diagnostic tool.
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      Had Quaker gluten-free oatmeal last night and my stomach is a mess today. NO flu but def stomach stuff. Anyone else?
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      So you would be good with the diagnosis and not worry to check genetics etc etc? Appreciate your words!
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      As recommended by @Flash1970, you may want to get this: https://www.amazon.com/Curist-Lidocaine-Maximum-Strength-Topical/dp/B09DN7GR14/
    • Scott Adams
      For those who will likely remain gluten-free for life anyway due to well-known symptoms they have when eating gluten, my general advice is to ignore any doctors who push to go through a gluten challenge to get a formal diagnosis--and this is especially true for those who have severe symptoms when they eat gluten. It can take months, or even years to recover from such a challenge, so why do this if you already know that gluten is the culprit and you won't be eating it anyway?  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--but those in this group will usually have negative tests, or at best, elevated antibodies that don't reach the level of official positive. Unfortunately test results for celiac disease are not always definitive, and many errors can be made when doing an endoscopy for celiac disease, and they can happen in many ways, for example not collecting the samples in the right areas, not collecting enough samples, or not interpreting the results properly and giving a Marsh score.  Many biopsy results can also be borderline, where there may be certain damage that could be associated with celiac disease, but it just doesn't quite reach the level necessary to make a formal diagnosis. The same is true for blood test results. Over the last 10 years or so a new "Weak Positive" range has been created by many labs for antibody results, which can simply lead to confusion (some doctors apparently believe that this means the patient can decide if they want more testing or to go gluten-free). There is no "Weak Negative" category, for example. Many patients are not told to eat gluten daily, lots of it, for the 6-8 week period leading up to their blood test, nor asked whether or not they've been eating gluten. Some patients even report to their doctors that they've been gluten-free for weeks or months before their blood tests, yet their doctors incorrectly say nothing to them about how this can affect their test, and create false negative results. Many people are not routinely given a total IGA blood test when doing a blood screening, which can lead to false negative interpretations if the patient has low IGA. We've seen on this forum many times that some doctors who are not fully up on how interpret the blood test results can tell patients that the don't need to follow a gluten-free diet or get more testing because only 1 of the 2 or 3 tests done in their panel is positive (wrong!), and the other 1 or 2 tests are negative.  Dermatologists often don't know how to do a proper skin biopsy for dermatitis herpetiformis, and when they do it wrongly their patient will continue to suffer with terrible DH itching, and all the risks associated with celiac disease. For many, the DH rash is the only presentation of celiac disease. These patients may end up on strong prescriptions for life to control their itching which also may have many negative side effects, for example Dapsone. Unfortunately many people will continue to suffer needlessly and eat gluten due to these errors in performing or interpreting celiac disease tests, but luckily some will find out about non-celiac gluten sensitivity on their own and go gluten-free and recover from their symptoms. Consider yourself lucky if you've figured out that gluten is the source of your health issues, and you've gone gluten-free, because many people will never figure this out.    
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