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Newbie Here, Dx With "partially Treated celiac disease" & Gastritis


creekprincess

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creekprincess Newbie

Hi everyone,

i'm a newly somewhat diagnosed celiacs person. i had an EGD on monday and the doctor told my husband that i had a abnormal tissue in my duodenum that was consistant with celiac disease. I got the biopsy results today and they said that i have gastritis and partially treated celiacs disease. the celiacs diagnosis totally surprised me because i don't have very many symptoms. i have been on prilosec for 2 1/2 years for heartburn.

so, my questions are: if it's partialy treated, and i didn't know that i had it, does that mean it's in the early stages? also, i've read that gastritis has to be treated with meds, where celiac disease isn't. is there anyone out there that has both, and how is it working out for you? (my GI has me on carafate now too).

i have been gluten-free for 2 days only, so i'm binging on gluten til monday and doing my bloodwork then. does anyone have any suggestions about getting one doctor in charge of all of this? who would be the best-primary or GI doc?

and thank you so much for having so much info in this forum. it has really helped so far!!

creekprincess


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buffettbride Enthusiast

Chances are your GI will be more knowledgeable than a regular doc. My experience is very few regular docs are familiar enough with Celiac to give correct information. The reason for this is doctors practice MEDICINE, so they are apt to treat your ailmeints with medication. Since Celiac requires no medication, only diet compliance, it's very hard for doctor types to get their arms around it. Just my opinion of course.

It's funny that you say that you haven't had symptoms but you've been on Prilosec for 2.5 years for heartburn. What you thought of as heartburn was a symptom of the Celiac. Perhaps you'll find that by following the gluten free diet, those meds won't be entirely necessary any more unless another condition specifically calls for it.

Once you get really into eating gluten free, you'll realize quickly how much knowledge you'll have about the diet, ingredients, safe/unsafe foods, etc. even compared to many "professionals." I often find that to be the case.

I wish you the best in your healing and recovery.

sandsurfgirl Collaborator

Chances are your GI will be more knowledgeable than a regular doc. My experience is very few regular docs are familiar enough with Celiac to give correct information. The reason for this is doctors practice MEDICINE, so they are apt to treat your ailmeints with medication. Since Celiac requires no medication, only diet compliance, it's very hard for doctor types to get their arms around it. Just my opinion of course.

It's funny that you say that you haven't had symptoms but you've been on Prilosec for 2.5 years for heartburn. What you thought of as heartburn was a symptom of the Celiac. Perhaps you'll find that by following the gluten free diet, those meds won't be entirely necessary any more unless another condition specifically calls for it.

Once you get really into eating gluten free, you'll realize quickly how much knowledge you'll have about the diet, ingredients, safe/unsafe foods, etc. even compared to many "professionals." I often find that to be the case.

I wish you the best in your healing and recovery.

Exactly. Even many GI docs are clueless about celiac so stick with the doc who is diagnosing you because he sounds pretty knowledgable.

Your GI issues are celiac symptoms and you may have other health issues that you are not attributing to celiac. For instance, I started having anxiety attacks and feeling like I was crawling out of my skin about a year ago. I have a happy home life and it made NO sense whatsoever. After 2 days gluten free the attacks disappeared. As did my shortness of breath and constant asthma troubles.

I also had chronic infections, sinus and bronchial mostly. The infections were a complication of untreated celiac disease. You can have fatigue, insomnia, the list goes on and on and on.

Don't expect a doctor to "treat" you for celiac. The only treatment is gluten free diet and it's lifelong. In the absence of symptoms damage still happens because it's autoimmune. Most doctors can't give you much guidance on the gluten free lifestyle. That's what we're here for. ;) And books, etc.

Reba32 Rookie

the GI doctor that did my endoscopy was absolutely useless as far as information about Celiac and going gluten free was concerned. She just kept saying "just avoid wheat, you'll be fine". No mention ever of barley or rye or any products that are made with either. When I corrected her, she pretty much said "yeah, whatever".

Arrogant so and so. I worry for any other patients she may have diagnosed with Celiac who don't have the wherewithall to do any research on their own. She is seriously useless.

Honestly, you're probably best off with this website and the Living Gluten Free for Dummies book. The website has constant updates, and the Dummies book is a good read.

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      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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