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Had Appt With Gi Dr Today And Confused About Something He Said


SaraKat

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SaraKat Contributor

I had my consultation with the GI Dr this morning after getting a positive blood test last week. I told him that I was concerned about damage to my intestine since I am 35 and didn


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ravenwoodglass Mentor

While we are born with the genetic predisposition to develop celiac it can hit at any age. Usually there is a triggering event, in women that can be childbirth it can also be a severe emotional, physical stress or an illness. Some of us with the genes never develop it. Since you have been symptomatic for a year chances are that you developed it a year ago. Try not to worry too much, stay on gluten until after your endo is done and then as soon as the test is finished start on the diet. You don't need to wait for the results to begin. You can use the time before the endo to learn what you need to learn about the lifestyle and what you need to do to keep yourself safe. Do also encourage other family members to be tested.

mushroom Proficient

If you have asymptomatic celiac, as far as I know there is no way of telling how long you have had it. It is true that some babies are born with it, but people are diagnosed with celiac at various stages of life, and the onset of symptomatic celiac usually requires a 'trigger' of some kind - physical trauma, infection, stress, childbirth are examples of triggers.

Since the disease appears to be entirely genetically based, you will have inherited at least one celiac gene from either your mother or father. However, possession of the gene does not automatically guarantee that you will develop the disease, unless it is 'triggered'.

His comment about your height relates to the fact that celiac children generally have growth problems, both in height and weight.

So yes, it is possible that your disease has only just been triggered and you have not done much damage. In fact, a lot of people test positive for blood antibodies and negative on biopsy because there has not been enough damage to the villi in the small intestine (measured on the Marsh scale) to confirm a diagnosis of celiac. Most wise doctors will tell you not to eat gluten anyway if you have positive blood antibodies, especially if you have resolution of symptoms with the diet.

SaraKat Contributor

Thanks for your responses! I have been pretty stressed the last couple years (trying to decide if we want kids). It has been on my mind a ton and I still don't know for sure. I wonder if that contributed!

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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
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      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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