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Negative Celiac Panel-Positive Symptoms?


Larrylyn

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Larrylyn Newbie

Hi..I'm new here. Been diagnosed with severe IBS for 20 years. Chronic intestinal problems, gas, bloating, etc, Doc put me on donnatal for years. Tested for everything but Ciliacs. Finally diagnosed severe IBS and I've just had to live with it for years.

One daughter, age 40, has been showing same symptoms as my IBS and has visited 4 docs over the past year. One decided to do a ciliac panel........came back positive. Did a biopsy and it came back positive. Another daughters daughter, my granddaughter, has complained of stomach aches for years, she's 7. Because of the family ties she had a blood test and biopsy done. Both came back positive. I have a 36 yr old son who has the same symptoms. We all went gluten free for 5 weeks.................all symptoms disappeared or lessoned.

My kids decided I needed to be tested. I went back on gluten for 1 week.............thought I was going to die! Pain, gas, intestinal problems....worse than before I went off it! Made a docs appointment for the panel...........it came back negative! Doc wants me to go back on gluten for 3-4 weeks and then be retested.............If I was misdiagnosed for 20 years should I go back on it to be retested? He's also talking about a colonoscopy and biopsy after the retest..............with a high insurance deductible not something I want to do if not necessary. Any advice or opinions?


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mushroom Proficient

Hi..I'm new here. Been diagnosed with severe IBS for 20 years. Chronic intestinal problems, gas, bloating, etc, Doc put me on donnatal for years. Tested for everything but Ciliacs. Finally diagnosed severe IBS and I've just had to live with it for years.

One daughter, age 40, has been showing same symptoms as my IBS and has visited 4 docs over the past year. One decided to do a ciliac panel........came back positive. Did a biopsy and it came back positive. Another daughters daughter, my granddaughter, has complained of stomach aches for years, she's 7. Because of the family ties she had a blood test and biopsy done. Both came back positive. I have a 36 yr old son who has the same symptoms. We all went gluten free for 5 weeks.................all symptoms disappeared or lessoned.

My kids decided I needed to be tested. I went back on gluten for 1 week.............thought I was going to die! Pain, gas, intestinal problems....worse than before I went off it! Made a docs appointment for the panel...........it came back negative! Doc wants me to go back on gluten for 3-4 weeks and then be retested.............If I was misdiagnosed for 20 years should I go back on it to be retested? He's also talking about a colonoscopy and biopsy after the retest..............with a high insurance deductible not something I want to do if not necessary. Any advice or opinions?

Your family history pretty much gives the answer. 60% of celiacs are first diagnosed with IBS before the docs wake up! And the average waiting time for diagnosis is 13 years (see post on here from Admin. today) with some waiting up to 20 years (raises hand, except I self-diagnosed :rolleyes: )

Unless you want to spend a lot of money and put yourself though misery, I think you pretty much have your answer. More and more doctors are coming around to the idea that a positive response to the diet is diagnostic in itself, especially considering your familly genetic history. I would not bother with the blood testing, but if for some reason your symptoms do not totally resolve you may want to consider the endoscopy to make sure there is nothing else going on. Apart from that, I would eat gluten free, consider myself finally diagnosed, go forth and by happy and healthy. You may want to consider the fact that you have been malabsorbing nutrients for years and are probably deficient in Vitamins D, B12, folate, and minerals zinc, potassium, iron (very important), among others, and may have a low functioning thyroid. If your insurance would cover a blood test for these it would be well worth while doing. For me it was D, B12, folate and thyroid. You can take an OTC methylcobalamine sublingual B12, and a D3 supplement (cholecalciferol) and you need to take bunches of it to start with because it takes a while to refill your tank. You can't get into too much trouble with these supplements. (I took a prescription of 50,000 iu of D3 one a week for several months; not I take one only once a month.) Thyroid needs to be tested and monitored by a doctor, as does iron (ferritin).

Good luck on your road to good health. :)

Skylark Collaborator

Mushroom has given you great advice. Don't feel like you need a "doctor's note" to eat gluten-free. If the challenge is making you sick it's not worth it, as you may provoke other autoimmune health problems doing it.

Tell your doctor exactly how sick you got, and that you're not willing to gluten challenge any further and can he please check your nutritional status as if you were celiac. If he's not helpful you may want to consider switching doctors.

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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).
    • ThomasA55
    • 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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