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Celiac Disease?


star7

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star7 Newbie

Hey everyone,

I know that I have posted a while ago, but I was just wondering people opinions. I used to have a lot of gastrointestinal symptoms of off and on diarrhea and constipation and abdominal pain. It started about four years ago. I still have the gastrointestinal to this day. I had an endoscopy and colonscopy back then, and the GI doctor saw that my small intestine was inflamed. He thought I could have celiac, and then the biopsy came back negative. They diagnosed me with IBS Then I developed a swollen knee, a year later. They thought I had a tear in my meniscus and a discoid lateral meniscus. After surgery, I found out that I could have rheumatoid arthritis. So after seeing two rheumatologists, they believed I had an inflammatory arthritis and fibromyalgia. Then, I developed a new symptom of urinary urgency. I always felt like I had to go but it was not always real. I got referred to a neurologist, and they thought it could be MS. I never got the MRI though. They thought the urinary urgency could be pelvic floor dysfunction or just was making it up. I can't take it. I feel as though I am trapped in my body and can't travel. So after all this, I still have not gotten a diagnosis, but in thinking back through everything..my rheumatologist thought that I should get another endoscopy just to make sure everything went right for the first..and that it couldn't be celiac. Is there any possibility this all could be caused by celiac? Is it possible to get a false negative biopsy. Do you think it would be smart to get tested again? Or should I just go on a gluten free diet and find out? I know it will be hard, but if it can help anything I would do it. I just would also like to be formally diagnosed. Any suggestions would be appreciated. Thanks


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GFinDC Veteran

Yes, you can have a false negative biopsy. Or a false negative blood test. Also you need to stay on gluten for the tests to have a chance of detecting celiac. It is also possible you have gluten intolerance. Either way you would need to be gluten free for life.

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    • trents
      Maybe celiac but maybe NCGS that was misdiagnosed as IBS morphing gradually into celiac. Is NCGS a new category to you? It shares many of the same GI symptoms with celiac disease but does not damage the small bowel lining like celiac.
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    • Scott Adams
      Welcome @Natalia Revelo, your experience is profoundly difficult and, sadly, not entirely unique within the celiac community. It's the frustrating reality of "silent" or ongoing damage that isn't captured by the MARSH score alone, which only measures active villous atrophy. Your normal biopsy suggests your diet is preventing the classic autoimmune attack, but it doesn't mean your gut has fully healed or that other issues aren't at play. The inflammation from your newly discovered milk and egg allergies is a huge clue; this constant allergic response can create a low-grade inflammatory environment that severely hampers nutrient absorption, effectively creating a "leaky gut" scenario independent of celiac damage. This is likely why your iron stores deplete so rapidly—your body is both unable to absorb it efficiently and may be losing it through inflammation. While the functional medicine path is expensive, it's clearly providing answers and relief that traditional gastroenterology, focused solely on the gluten-free diet and biopsy results, is missing. To move forward, continue the gut-healing protocols your functional doctor recommends (perhaps exploring alternative options to glutamine that won't irritate your cystitis), maintain your strict avoidance of all allergens and irritants, and know that true healing is a multi-faceted process. You might seek a second opinion from a different gastroenterologist who is more knowledgeable about non-responsive celiac disease and the complex interplay of food allergies and micronutrient absorption, but your current path, while costly, seems to be leading you toward the steady health you need.
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    • Heatherisle
      That was just the visual report, so need to wait for confirmation or otherwise from the results. They did take a biopsy from the upper end of the duodenum(D1). D2 looked unremarkable on the camera. Just wish we didn’t have to wait so long for the results as she’s naturally a very anxious person. But thanks so much for taking the time to answer me
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