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Doctor Won't Help Me


Rdv22222

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Rdv22222 Rookie

Hello. My doctor just called and said my celiac blood tests were negative. When I asked him for a skin biopsy, he said, "maybe sometime we could do that".

He is referring me to a Gastroenterologist. He said they could look at my slightly elevated liver enzymes.

I asked him about the rash on my elbows, back, buttocks, scalp, neck, knees and he said he didn't know what it was.

I am going to be tested for celiac again at the gastroenterology office, since this is something they can do. My doctor told me that the endo and colonoscopy tests were "very expensive" and that I "don't have insurance". I told him that I could make payments.

I am tired of my doctor always talking about money. I think it is time to get another doctor.

I still believe I have celiac because I have all the symptoms. I am very discouraged, but I appreciate all the comments and support I get here on this forum. I pray for all of you every day.

Rita


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kareng Grand Master

you could go to a dermatologist for the biopsy of your rash. I believe they take samples next to the lesion.

williamsburg000 Rookie

Hi Rita,

I'm based in the UK, so not too sure how much the US healthcare system differs - but could you raise your concerns with the Gastroenterologist?

A few years back I also had raised liver enzymes and was diagnosed with NAFLD. Looking back what I actually had was autoimmune liver disease caused by the Celiac.

I know how hard it is to navigate a way around the medical professonals as well as coping with this condition, but if you feel it's Celiac, that's what counts - unfortunately from my experience it can take a while for others to catch-up with us.

captaincrab55 Collaborator

you could go to a dermatologist for the biopsy of your rash. I believe they take samples next to the lesion.

I ended up with 4 stitches after the biopsy. It took 2 weeks for the results that were off the charts... It was a bit costly, but I only had to pay 20% after insurance payment... The "Gold Standard" still requires a Positive Blood Test to confirm it... One could just use the Iodine Test and accept the results.

Keep in mind that my Drematologist read my Blood Test results as High and the GI office read it as Borderline Celiac.. I changed my GI and he read the Blood Teast results as High too...

Skylark Collaborator

If your insurance is bad, remember that you do not have to get a formal diagnosis to go gluten-free for a while and see if the symptoms go away. It usually takes a few months for everything to settle down.

Aphreal Contributor

What? Dr's not listening to their patients? Surely you jest (Insert sarcasm)

What other celiac symptoms do you have? Do dietary changes help? Have you eliminated anything yet?

That will be your best bet in controlling symptoms of celiacs but like the above poster I would have a dermatalogist biopsy the leasion itself and see what they say first. In the meantime though, I would start looking heavily at what your eating. hang in there, you will find much support here.

ravenwoodglass Mentor

You mention that you don't have insurance. If you really need a doctors diagnosis do check and see if you qualify for one of the low or no cost insurance programs or perhaps even Medicaid. You may not qualify but it doesn't hurt to check and you can have some savings and a job and still qualify for some of them.

If you feel you can stick to the diet without a doctors diagnosis then you can try simply eliminating gluten. It may take a while to heal and you should eat as much whole unprocessed food as you can but if you need the diet your body will respond to the diet.


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cassP Contributor

Rita- i would also suggest you obtain a paper copy of your Celiac blood test for your own use. every doctor orders different tests for Celiac- and sometimes they're incomplete. OR they don't read them right, OR they're borderline numbers that still could be suspect.

so, in addition to finding a good GI & Derm- def. start with having your own copy of your blood test for your file.

good luck

lizard00 Enthusiast

And once you get your test results, post them here. You'd be surprised at how good the folks around here have become at reading them :)

Hopefully you'll get a GI who is well versed in celiac. Just make sure you are well informed when you go, that way you will be able to tell if you want to continue working with that particular doctor.

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      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
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      You state in an earlier post that you don't have celiac disease. Here in this post you state you will "be doing another test". What will this test be looking for? What kind of celiac disease testing have you had done? If you have used a Entero Labs it sounds like you have had stool testing done for celiac disease which is not widely accepted as a valid celiac disease diagnostic testing method. Have you had blood antibody testing for celiac disease done and do you realize that for antibody testing to be valid you must have been eating generous amounts of gluten for a period of weeks/months? 
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    • catsrlife
      Back at the end of July I got this rash on both of my forearms. It started on my right and continued to the left. It was on the top and side. The rash has bumps that would pop with clear liquid if scratched. They would almost crystalize and scab up. They reminded me of chicken pox. They would scab for weeks and not heal much at all except for the blood clotting. If the scab was scratched off, it would bleed and bleed until it scabbed up again. The skin has lost its pigment where the scabs are. I figured it was probably either the plant I had trimmed around the 15th or some reaction to the magnesium complex I was taking or an allergic reaction to the asthma meds I was on. I stopped the asthma meds and the magnesium. The rash seemed to get better but when I took the asthma meds it flared up again so I went to the urgent care as my doctor was unavailable. The UC doctor said it probably wasn't the meds and asked about my diet. I said I was strict keto. I usually am, but there is a story around this. I feel amazing on keto. When I eat sugar, wheat, and starchy veggies I feel horrible. Blood sugar goes up, IBS type symptoms, brain fog, etc. But I have a horrible addiction to carbs so I blow it sometimes and after Mom died in 2023, I fell off the wagon. No rashes, just weight gain. I finally went back on keto and then around that time had a piece of pizza (or so, it's hard to stop the carb rush.) So I was strict keto, off and on. She ignored that and prescribed some allergy meds. It didn't go away.  What was happening by then was that the rash was now on my upper elbows, both of them, on the back of my arms. It starts with a very itchy bump, spreads around it and sometimes just burns like crazy and other times just itches. Then it started on the sides of my knees on the oustide, a little bit down the sides of the calves. It's not as bad there as it is on my arms even though it comes and goes (and so does wheat in my diet.) I then got three tiny blisters on each hand, 3 on the insdie of my index finger on the right hand and 3 on the inside of middle finger of my left hand. There is still a little scab there even though it was two weeks ago. No more have appeared on the fingers. But right now the back of the arms above my elbows are starting to itch. At some point I started to think mites from the possum that was sneaking into our house but it's been 3 months and they would be dead already. It wouldn't be from humans because I don't go near any humans although I did take an Uber to the doctor and the bus back. Plus, it's symmetrical. It starts on one side and is almost identical on the other.  I did my DNA with Ancestry and MyHeritage. I don't have the HLA-DQ2 or HLA-DQ8. I do have HLA-DQ2.2. I took the blood test but it was negative. Then again, I don't eat wheat every day. I rarely eat it except for lately when I've been preparing for the blood test if I have to take it again. I don't like to. It makes my joints hurt, gives me brain fog, stomach problems, I sleep in the middle of the day, etc. I have a doctor appointment tomorrow. I hope that she will be more serious about this than the UC doctor was.  So I have no idea. With my luck they'll magically disappear before the doctor appointment. That's what happens with everything.
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