Jump to content
  • 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

Gi Doc Appointment, Questions To Ask


kayo

Recommended Posts

kayo Explorer

My appointment with Dr. Cheney of the Celiac Center at Beth Israel Deaconness Medical Center (Boston MA) is finally coming up this week. I've waited about 5 months for this appointment. I'm looking forward to working with their nutritionist too.

When I made the appointment way back in November I did not yet have my enterolab results. I now know that the bloodwork shows a gluten and soy intolerance (in addition I am super lactose intolerant).

My dairy, gluten and soy free diet is going very well and I have never felt better. I've lost a lot of inflammation and space, rather than weight. So many of my symptoms are simply gone.

I have been so disappointed in the past couple of years with trying to get a doctor to acknowledge and understand these food intolerances and how they affect my overall health, my RA (rheumatoid arthritis) & Sjogren's. I've been rying to figure this out for years to no avail. I'm worried my hopes are up that Dr. Cheney will be the doc who finally helps figure this out.

I'm preparing a list of questions before I go but having a hard time organizing my thoughts. I feel like I've been shot down by so many docs who just want to shove pills down my throat. They have no interest in learning or understanding the why's. That's what I want from this appointment. Someone who will join me in figuring out if it's celiac or non-celiac, is it Crohn's, colitis? etc. To me IBS, which I was diagnosed with bout 5 years ago, doesn't mean a thing. It's just a lazy diagnosis too easily handed out.

So what types of things would you ask? or types of things you have asked your own GI doc?

Got any tips for me before I take the plunge?

I'm not sure I want to have the scope done. It seems invasive and I can't tolerate general anesthesia due to RA complications. Also, I'm not willing to go back on dairy, soy or gluten just to have testing done. So I'm wondering what this doc can do for me that I haven't done myself by sticking to the diet.

Thank you in advance for your input!

I'll be sure to update this post after my appointment too.

  • 3 weeks later...

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



Celiac.com Sponsor (A8-M):



Mac55 Apprentice

Good luck with your appointment! I really don't have any useful info, as I haven't traveled down that road, yet. I'm sure others will be able to help. I'm thinking of go BI too. My neurologist and endocrinologist are there and it seems like they have a pretty good Celiac Center. I'll be very interested to hear how your appt goes. I hear you on not just wanting to shove meds down your throat. My experiences with other departments there has been very good. At my last neuro appointment (for silent migraines) they even told me they don't like to keep people on meds long-term and hope to find the cause. Both also call me directly. One just called the other day to check on me after my mom was there for her appointment. Can't ask for better care than that. Good luck! I'd love to hear an update!

Mac55 Apprentice

Just saw the date on your post. How did your appointment go??

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      132,202
    • Most Online (within 30 mins)
      7,748

    PatBurnham
    Newest Member
    PatBurnham
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  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.
    • Xravith
      I'm very confused... My blood test came out negative, I checked all antibodies. I suppose my Total IgA levels are normal (132 mg/dl), so the test should be reliable. Still, I'm not relieved as I can't tolerate even a single biscuit. I need to talk to my doctor about whether a duodenal biopsy is necessary. But it is really possible to have intestinal damage despite having a seronegative results? I have really strong symptoms, and I don't want to keep skipping university lectures or being bedridden at home.
    • Scott Adams
      They may want to also eliminate other possible causes for your symptoms/issues and are doing additional tests.  Here is info about blood tests for celiac disease--if positive an endoscopy where biopsies of your intestinal villi are taken to confirm is the typical follow up.    
    • Scott Adams
      In the Europe the new protocol for making a celiac disease diagnosis in children is if their tTg-IgA (tissue transglutaminase IgA) levels are 10 times or above the positive level for celiac disease--and you are above that level. According to the latest research, if the blood test results are at certain high levels that range between 5-10 times the reference range for a positive celiac disease diagnosis, it may not be necessary to confirm the results using an endoscopy/biopsy: Blood Test Alone Can Diagnose Celiac Disease in Most Children and Adults TGA-IgA at or Above Five Times Normal Limit in Kids Indicates Celiac Disease in Nearly All Cases No More Biopsies to Diagnose Celiac Disease in Children! May I ask why you've had so many past tTg-IgA tests done, and many of them seem to have been done 3 times during short time intervals?    
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.