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Positive Celiac Blood Work...


Dee777

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Dee777 Rookie

Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee


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adab8ca Enthusiast

Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee

Welcome!

With very positive blood work and a positive response to the diet, I would say that you are good to go. Other tests you may want to ask for are iron, B vitamins, Vit D as these are things that can be low in Celiac disease and should be monitored.

You still may want to check with your doctor with what they recommend. I had very very high blood work but totally atypical symptoms, so I had the biopsy (that the GI said looked like celiac while he was poking around in there). Even so, my GP was positive it was Celiac from the blood work but my symptoms were so unknown to the DR's around here that she just wanted to make sure we left no stone unturned.

Good luck, any questions, ask away!

ada

Dee777 Rookie

Welcome!

With very positive blood work and a positive response to the diet, I would say that you are good to go. Other tests you may want to ask for are iron, B vitamins, Vit D as these are things that can be low in Celiac disease and should be monitored.

You still may want to check with your doctor with what they recommend. I had very very high blood work but totally atypical symptoms, so I had the biopsy (that the GI said looked like celiac while he was poking around in there). Even so, my GP was positive it was Celiac from the blood work but my symptoms were so unknown to the DR's around here that she just wanted to make sure we left no stone unturned.

Good luck, any questions, ask away!

ada

Thank you very much for your quick reply! I am very much looking forward to learning as much as I can about Celiac, and maybe will be able to hopefully help someone else out someday lol

Apaprently my doctor is sending me for more blood tests this week he did say something about anemia etc. but to be honest my head was still just hearing celiac... Anyway, he sent me to the dietitian the next day and seems to have things rolling for me, so I am quite grateful for that!

Thanks again!

Dee

mushroom Proficient

It seems like you have a good doctor who is on top of things. Yes, anemia is very common, so is low Vit. D and B12, potassium, magnesium, calcium, zinc. I had low levels of all these except calcium. It is important to have your doctor check your levels because you may need prescription strength supplements for some things, especially D3. I still get injections of B12 because I can't handle the sublinguals that most people take to bypass the gut which is not doing a very good job of absorbing things right now.

I am glad you found the dietitian helpful. If we can help you in any way with foods, recipes, etc., just holler :D There is a very good recipe section on the forum and googling gluten free and ( ) whatever, will bring up thousands more. Frankly, because of other intolerances I get most of my recipes here or elsewhere on the net, not out of cookbooks, although one good cookbook will help - maybe Gluten Free for Dummies or something else your dietitian recommended.

Most of us end up taking some form of probiotic to promote healing in the gut, and many take digestive enzymes because gluten seems to put the pancreas on holiday and it does not produce the enzymes we need to digest our food. Speaking of enzymes, lactase is made in the area of the small intestine which is damaged by gluten so you should skip milk, cream, ice cream for a few months until you have had a chance to heal. It is possible other dairy will give you problems too - you will just have to try and see,

To address your initial question of whether you should have a biopsy, the people to whom this seems to matter the most are doctors and schools (who need the piece of paper to provide a gluten free environment for children) also those gluten intolerants who feel that they will not adhere to the diet without the piece of paper. For the rest of us, we know that the treatment is the same regardless of the piece of paper, so if we want to feel better we just don't eat gluten and don't worry about whether or not we are sufficiently damaged to test positive on the biopsy. :)

Good luck on your healing journey.

frieze Community Regular

Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee

Since you have been gluten free for 7 days, it is likely too late to arrange an endoscopy.

ravenwoodglass Mentor

You would need to go back on gluten and stay on it until the biopsy. I would take your doctors diagnosis and be happy he is educated enough to give you one. Many doctors are now skipping the biopsy when the bloods are positive as the endo has a high risk of a false negative anyway. Stay on the diet and consider yourself diagnosed.

Dee777 Rookie

Wow! Thank you all so very much for your input, it is so very much appreciated. Yes, I am very grateful to have a doctor who is as wonderful as mine is. He always takes the time to listen, and more often than not we end up chatting about our families etc before I leave. Such a nice man, and a caring one. He didn't give up on me, encouraged me when I was getting fed up with the tests and depressed and sometimes even irritable with him for digging into my health issues with such vigor lol. I owe him my life.

I am so very glad I stumbled in here last night, I was truthfully getting a little fed up as I was starting to focus more on what I couldn't eat than what I could and I am typically not a negative person. This is fabulous, I look forward to learning much from you all! Have a fabulous day!

Dee


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    • Mmoc
      Thank you kindly for your response. I have since gotten the other type of bloods done and am awaiting results. 
    • Aretaeus Cappadocia
      I wanted to respond to your post as much for other people who read this later on (I'm not trying to contradict your experience or decisions) > Kirkland Signature Super Extra-Large Peanuts, 2.5 lbs, are labeled "gluten free" in the Calif Costcos I've been in. If they are selling non-gluten-free in your store, I suggest talking to customer service to see if they can get you the gluten-free version (they are tasty) > This past week I bought "Sliced Raw Almonds, Baking Nuts, 5 lbs Item 1495072 Best if used by Jun-10-26 W-261-6-L1A 12:47" at Costco. The package has the standard warning that it was made on machinery that <may> have processed wheat. Based on that alone, I would not eat these. However, I contacted customer service and asked them "are Costco's Sliced Almonds gluten free?" Within a day I got this response:  "This is [xyz] with the Costco Member Service Resolutions Team. I am happy to let you know we got a reply back from our Kirkland Signature team. Here is their response:  This item does not have a risk of cross contamination with gluten, barley or rye." Based on this, I will eat them. Based on experience, I believe they will be fine. Sometimes, for other products, the answer has been "they really do have cross-contamination risk" (eg, Kirkland Signature Dry Roasted Macadamia Nuts, Salted, 1.5 lbs Item 1195303). When they give me that answer I return them for cash. You might reasonably ask, "Why would Costco use that label if they actually are safe?" I can't speak for Costco but I've worked in Corporate America and I've seen this kind of thing first hand and up close. (1) This kind of regulatory label represents risk/cost to the company. What if they are mistaken? In one direction, the cost is loss of maybe 1% of sales (if celiacs don't buy when they would have). In the other direction, the risk is reputational damage and open-ended litigation (bad reviews and celiacs suing them). Expect them to play it safe. (2) There is a team tasked with getting each product out to market quickly and cheaply, and there is also a committee tasked with reviewing the packaging before it is released. If the team chooses the simplest, safest, pre-approved label, this becomes a quick check box. On the other hand, if they choose something else, it has to be carefully scrutinized through a long process. It's more efficient for the team to say there <could> be risk. (3) There is probably some plug and play in production. Some lots of the very same product could be made in a safe facility while others are made in an unsafe facility. Uniform packaging (saying there is risk) for all packages regardless of gluten risk is easier, cheaper, and safer (for Costco). Everything I wrote here is about my Costco experience, but the principles will be true at other vendors, particularly if they have extensive quality control infrastructure. The first hurdle of gluten-free diet is to remove/replace all the labeled gluten ingredients. The second, more difficult hurdle is to remove/replace all the hidden gluten. Each of us have to assess gray zones and make judgement calls knowing there is a penalty for being wrong. One penalty would be getting glutened but the other penalty could be eating an unnecessarily boring or malnourishing diet.
    • trents
      Thanks for the thoughtful reply and links, Wheatwacked. Definitely some food for thought. However, I would point out that your linked articles refer to gliadin in human breast milk, not cow's milk. And although it might seem reasonable to conclude it would work the same way in cows, that is not necessarily the case. Studies seem to indicate otherwise. Studies also indicate the amount of gliadin in human breast milk is miniscule and unlikely to cause reactions:  https://www.glutenfreewatchdog.org/news/gluten-peptides-in-human-breast-milk-implications-for-cows-milk/ I would also point out that Dr. Peter Osborne's doctorate is in chiropractic medicine, though he also has studied and, I believe, holds some sort of certifications in nutritional science. To put it plainly, he is considered by many qualified medical and nutritional professionals to be on the fringe of quackery. But he has a dedicated and rabid following, nonetheless.
    • Scott Adams
      I'd be very cautious about accepting these claims without robust evidence. The hypothesis requires a chain of biologically unlikely events: Gluten/gliadin survives the cow's rumen and entire digestive system intact. It is then absorbed whole into the cow's bloodstream. It bypasses the cow's immune system and liver. It is then secreted, still intact and immunogenic, into the milk. The cow's digestive system is designed to break down proteins, not transfer them whole into milk. This is not a recognized pathway in veterinary science. The provided backup shifts from cow's milk to human breastmilk, which is a classic bait-and-switch. While the transfer of food proteins in human breastmilk is a valid area of study, it doesn't validate the initial claim about commercial dairy. The use of a Dr. Osborne video is a major red flag. His entire platform is based on the idea that all grains are toxic, a view that far exceeds the established science on Celiac Disease and non-celiac gluten sensitivity. Extraordinary claims require extraordinary evidence, and a YouTube video from a known ideological source is not that evidence."  
    • Wheatwacked
      Some backup to my statement about gluten and milk. Some background.  When my son was born in 1976 he was colicky from the beginning.  When he transitioned to formula it got really bad.  That's when we found the only pediactric gastroenterologist (in a population of 6 million that dealt with Celiac Disease (and he only had 14 patients with celiac disease), who dianosed by biopsy and started him on Nutramegen.  Recovery was quick. The portion of gluten that passes through to breastmilk is called gliadin. It is the component of gluten that causes celiac disease or gluten intolerance. What are the Effects of Gluten in Breastmilk? Gliaden, a component of gluten which is typically responsible for the intestinal reaction of gluten, DOES pass through breast milk.  This is because gliaden (as one of many food proteins) passes through the lining of your small intestine into your blood. Can gluten transmit through breast milk?  
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