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I Feel Like I'm Trying Too Extract Teeth With A Spoon While Hitting My Head Against A Brick Wall.


Coinkey

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Coinkey Apprentice

So, I got my lab results back. The first walk-in doctor I saw ordered a Celiac panel, he didn't talk much but at least he listened and considered what i said. then he went on holiday and won't be back till the end of the summer. :( My results came back and they called me to go in and discuss the results. New doctor, he talks more and listens less. My results are negative for TtG but everything else is normal except ferritin and vitamin D. He says "if you feel better when you don't eat gluten then keep that up. It's not worth bothering with a biopsy at this point because most of the time tests for celiac are negative." okay, so true. Except for the fact that he tells me all of this as he is backing out of the room and walking away. Thanks dude. So, I walked out of the room with him and kept asking some questions, "so if all those test are negative, why does it hurt so much when I eat gluten? What does the slightly low ferritin level mean?" Then he says, "just keep eating gluten free, maybe the problem with gluten will go away eventually" and walks away. I walked out rather frustrated. So, yeah, I'll keep eating gluten free because I am a totally awesome person without it but it's frustrating that the doctors don't answer questions and that the tests are negative. It's all in my head then. One day I'll wake up and eat toast for breakfast and be absolutely fine, that's what the doctor seems to think. I just need someone to tell me I'm not insane, it's not all in my head and also what those ferritin and vitamin D levels are (both "low").


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lucia Enthusiast

You're the opposite of insane. Sounds like you're doing a really good job of taking care of yourself, despite the obstacles. Did you know that on average it takes 9 years in the U.S. for a celiac to be diagnosed after getting symptoms? The American medical community is simply not very good at dealing with celiac - diagnosing it or treating it. I suggest reading this article focused on Dr. Peter Green who is an expert on celiac at Columbia University Medical School. He's pretty great. Here is a relevant section of the article.

Celiac disease is a master of disguise because it may strike any section of the small intestine, with each section being responsible for the absorption of different vitamins and minerals and associated with different biochemical changes in the body. Even the most diligent doctors have difficulty spotting it.

Kay DH Apprentice

So, I got my lab results back. The first walk-in doctor I saw ordered a Celiac panel, he didn't talk much but at least he listened and considered what i said. then he went on holiday and won't be back till the end of the summer. :( My results came back and they called me to go in and discuss the results. New doctor, he talks more and listens less. My results are negative for TtG but everything else is normal except ferritin and vitamin D. He says "if you feel better when you don't eat gluten then keep that up. It's not worth bothering with a biopsy at this point because most of the time tests for celiac are negative." okay, so true. Except for the fact that he tells me all of this as he is backing out of the room and walking away. Thanks dude. So, I walked out of the room with him and kept asking some questions, "so if all those test are negative, why does it hurt so much when I eat gluten? What does the slightly low ferritin level mean?" Then he says, "just keep eating gluten free, maybe the problem with gluten will go away eventually" and walks away. I walked out rather frustrated. So, yeah, I'll keep eating gluten free because I am a totally awesome person without it but it's frustrating that the doctors don't answer questions and that the tests are negative. It's all in my head then. One day I'll wake up and eat toast for breakfast and be absolutely fine, that's what the doctor seems to think. I just need someone to tell me I'm not insane, it's not all in my head and also what those ferritin and vitamin D levels are (both "low").

Low "ferritin" (iron) and vitamin D levels are common in Celiac disease, the iron suggests anemia. Actually low D is common in the general populace. I caught the flu last Sept and a couple of weeks later had bad reactions to bread, such as stiff joints, muscle aches, D, lethargy, brain fog, etc. I went off gluten in November, and then had the Celiac Panel in Jan. It was negative (due to gluten-free probably), as well as a panel two years ago (because of a rash like DH that is now gone after 6 month gluten-free). I had a endoscopy and biopsy that were also negative, these were probably also false negatives because there was only 1 biopsy and I was gluten-full for only 1 week. As the previous poster indicated, even GIs have poor knowledge of gluten enteropathy and they tend to dismiss symptoms as something else. Mine said I only (only!) have a 10% chance of Celiac because I am HLA-DQ8 positive. He dismissed ALL of my symptoms as due to diverticulitis (infected pockets in colon). Needless to say my colon was fine. He never gave me a diagnosis for the gluten problem. You have to do what is best for you. If gluten makes you sick, then listen to that. Doctors spend too much time believing test results and not enough listening to patients and their symptoms. Getting used to gluten-free is a huge life change. I went into a big grocery store today to see if they had frozen dinners I could buy for lunches. Strange experience wandering the aisles and knowing that there is little that I can eat without getting sick. Once you are over the grieving process and frustrations, gluten-free is a much better life change. We're eating much better than when we ate breads and processed foods. Try to find a doctor that listens to you; they are like every other profession in terms of their abilities and not.

  • 2 weeks later...
notme Experienced

boy, i guess i really got off easy with my doc, then. i have been having digestive problems for years and was misdiagnosed by other doctors. i had been feeling progressively worse to the point of not eating very much because it was such a pain in the butt (lol - sry couldn't resist) i didn't even go in to complain about my intestinal issues. i have high blood pressure and had to go for my six-month check. i was down to 110 lbs (am 5'8" always been thin but my weight hung right around 125 or so. my dr. (he is a D.O. not even a GI dr.!) asked me what was going on. i said same old, same old. i have sucky guts. so he looks at the rash on my scalp and asked me exactly what happens when i eat. i said sometimes i'm ok and sometimes the meal moves through me like a freight train. he writes down "celiac disease. gluten-free diet. align" on a prescription pad and hands it to me. i said, dude. that's not happening! i am making my annual trip to nj where i am eating nothing but pizza. and drinking many beers. he just looked at me a little sideways and told me to pay attention to what i am eating/drinking when i get sick. well, whattayaknow. there it was. it took me a few months of denying it but last weekend i was really, really sick. and really, really tired of being sick. i feel 1000% better!! and pretty glad my doc is a smart guy. especially after reading on here that so many have been misdiagnosed!

Wenmin Enthusiast

Maybe your doctor didn't know enough about the gluten intolerances to answer your questions and this was his quick escape. Find a doctor that specializes in Celiac Disease, maybe you won't feel so neglected as you did this time and he/she will feel more confident answering your questions...

Wenmin

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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