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Please Help, Scared And Unsure


Mandy Armfield Jennings

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Mandy Armfield Jennings Newbie

Hello everyone. My name is Mandy and I am a 25 yr old happily married stay at home mom with a 17 month old. I am getting ready to go through testing for Celiac Disease. I wanted to get on here and tell you (celiac "survivors") my symptoms and story and see if you have any input or suggestions.

I have always had "bowl problems" but nothing significant in high school or college. A year into my marriage, my husband and i hit a very rough patch. He was a youth pastor at a church in our small town, and he was fired due to him finding out some inmoral things going on behind the scenes. We were mocked and chastised and lied about in this silly small town...and i began going through depression. Because of the deep depression I lost my job which was our sole income. Things got really hard..and I was very hurt and lonely. I began to gain weight very quickly but nothing had changed in my diet. I started having diarrhea 9 out of 10 times going to the restroom. Would have to go to the bathroom almost immediatley during most meals and sometimes in the middle of a meal. My mom would always say that I had IBS. In two years time I had gained 100 pounds (with not much of a diet change) and I am so lethargic and tired. For five years I have suffered from the severe diarrhea and abdominal pains. in 2008 I got pregnant. During my pregnancy i began to develop pimple like itchy blisters on my arms...only around my elbows and the top of my arms. They have left terrible scarring and 17 months after my son being born, I still have them terribly on my arms. I also in these 5 years have developed a good size "hump" on the back on my neck which drs are saying is early signs of osteoperosis and arthritus.

So there is my story. Im sorry its so long and drawn out but i need someone to listen and understand...i feel so lonely and afraid! My dr said she does not know much about celiac disease and she ordered me to try Gluten-Free diet and have a colonoscopy. but im reading around the internet that i need an endoscopy instead? PLEASE HELP!

Mandy


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psawyer Proficient

Hi, Mandy, and welcome to the board.

The symptoms you describe are all consistent with celiac disease, but could have other origins.

You are correct that a colonoscopy can neither diagnose nor rule out celiac disease. However, in cases such as this, a colonoscopy is wise to ensure that there is not some other condition causing, or contributing to, your symptoms.

An endoscopy can be done at the same time as a colonoscopy. The prep requirements for the endoscopy are a subset of those for the colonoscopy. A positive biopsy showing damage to the villi is a conclusive diagnosis of celiac disease. But, if you are already on a gluten-free diet, the chances of a false negative increase significantly.

If what you have is, in fact, celiac disease, you have found a wonderful support resource right here.

Wolicki Enthusiast

Mandy

If your doctor is doing the Celiac panel blood test, you need to keep eating gluten, or you could get a false result. Same for the biopsy. Usually, you have your blood test, if it's positive, then the biopssy. If you have positive blood work, many believe that is enough for a diagnosis, and you can start the diet, strictly.

It is possible that you have gluten intolerance, which has the same symptoms, but will not show up on a blood test.

Keep reading here, you will learn lots and get a ton of support.

Janie

mushroom Proficient

It is possible that you have gluten intolerance, which has the same symptoms, but will show up on a blood test.

Janie

I think Janie meant to say, "will NOT show up on a blood test."

Wolicki Enthusiast

I think Janie meant to say, "will NOT show up on a blood test."

THanks for catching that Neroli!

reeetz Rookie

Hi Mandy...

I just thought that I would put my input in on your situation. I agree with what everyone is saying. You do need to be eating gluten to have the blood test not screwed up. I also think a Colonoscopy is a good idea, but ask to see if you can get an edoscopy at the same time. The first doctor I went to said that he would "check" for Celiac disease during the colonoscopy. Umm...yeah...come to find out that is not possible.

I went to a new doctor who knew a lot more about Celiac. When asking about the colonoscopy and if it can detect Celiac...they said no. Not at all. They also did the blood test but it was after I was on the diet for 6 weeks and feeling so much better.

Just some advice, be assertive with your doctor. Let them know what you know and what you want done. It is your health.

nutralady2001 Newbie

I would also have your thyroid gland checked and have these tests run

TSH

FREE T3

FREE T4

TgAb and TPO antibodies for Hashimoto's Disease, another autoimmune disease that kills the thyroid gland. I have both Hashimoto's Disease and Coeliac Disease as do a number of others here I believe.

iron including ferritin

Vitamin D

Vitamin B12


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Mandy Armfield Jennings Newbie

Thank you all for your responses. I am going to call my dr today and request and endoscopy at the same time and also a blood test. I will let you all know the results when they come in. Thanks so much for your help.

Brien Rookie

It sounds like you may have both a hypothyroid issue and Celiacs - check it out with your Doctor.

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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
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    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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