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Nervous Newbie Needs Advice


PMC

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PMC Newbie

Hello All, I've been reading on this site for about a week now, haven't posted because I'm trying to tell myself that this is not what is happening to me. I go tomorrow for my intestinal biopsy and have had a blood test that came back "weakly positive. I'm curious if anyone has had a weakly positive blood test and a negative biopsy. Is that possible or am I only in denial about the possibility of having this condition?

I don't see myself as having alot of the same digestive issues as many of you describe. I have had some IBS symptoms for many, many years, but mostly constipation or loose bowels, typically not diarrea. I've never noticed any changes after eating gluten foods and until recently thought this was normal for me until getting a virus while on a cruise ship. I've been home for 2 months now, and have not felt "normal" since before the vacation.

I do however recognize many of the other symptoms that I have had going back to my teen years, I am now 46 years old. When I was young, I was plagued by canker sores, often having 10 or more at a time, I also had sores in my scalp that I would scratch constantly until they bled. All of that seemed to go away after my pregnancy at 18 years old, as well as my long thick hair which began to thin considerably. I never had another canker sore until I was 45, my son however started getting them at a young age and had them as bad if not worse than I did.

Fast forward many years, I can't recall anything specific except that I never felt quite right. I would go to the doctor and left feeling as if i were a hypochondriac - a label I was given by my parents long before! I've since had extreme bouts with migraine headaches which I had for years but stopped suddently after seeing a chiroprator, anxiety, depression, thinning hair, weight gain and in the last 15 years ibs symptoms and in the last 5 years or so my memory has gotten significantly worse and I often cannot focus or concentrate. I can watch a movie or tv show and can't remember anything hours later or can't follow a fast adventure type move!

I'm feeling very anxious as I type all of this, my heart is racing, I'm scared of what is to come! I'm nervous about the disease, the damage and the diet. I'm so overwhelmed I don't know where to start! Most of my family members have already dismissed this as if it is not serious, and just more of my needless worrying. I'm pretty sure, with the exception of one of my sisters and my husband that I will not get any support from anyone else.

I know it could be much worse and feel guily for feeling sorry for myself especially about all of my favorite foods, especially moms cooking that I may never be able to eat again. Bread and pasta are probably my most favorite foods and I haven't heard many good things about the gluten free options that are available. I worry about never being able to travel or eat out without risk of contamination.

I'm worried about my son as well, he has many of the symptoms when he was an infant which seemed to improve as he got a little older until his teenage years when the canker sores, bad acne and intestinal problems which really started after a major move and change in schools which effected significanlty psychologically. The drs blamed it all on nerves and blew us off, I feel so guilty for not digging deeper!

I'm sorry the long winded post! Any advice would be greatly appreciated!

Thanks,

Patty


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divamomma Enthusiast

Positive is positive. I have never heard of anyone being positive on the blood test and negative on the biopsy. False negatives are more common. I know it is hard, take it one step at a time. This forum is extremely helpful and you will learn lots by reading posts. Good luck!

txplowgirl Enthusiast

Welcome!

Take a deep breath, count to 10 and relaaaaxxxxx. :)

You've come to the right place.

I'll be 47 in May and I have had problems off and on since I was 8, same as you. In my opinion a slight positive is like being a little bit pregnant. Either you are or you're not. You are at least gluten sensitive if not downright Celiac.

You need to go on the diet. I guarantee you that in 6 months you will be glad that you did.

Yes, it can be overwhelming at first, but it does get easier with time. You have years worth of damage so it will take a long time to get to the optimum you. Things you never imagined that have bothered you will dissapear.

I had canker sores and sores on my scalp for over 20 years that would never go away no matter what I did. After going gluten free and making sure my shampoo was wheat free my sores are gone. They went away within 6 weeks.

I would also advise take your son on this journey too. I bet he will start feeling a lot better also.

We will support you, that's what this website is for. If it hadn't been for this site and the members on here I would have been lost. We are here to support you, answer your questions and help guide you. We are looking forward to helping you.

GFinDC Veteran

Actually, it is very possible to have a positive antibody test and a negative biopsy. Lots of posts on this board about that happening. I think what Divamomma meant to express is that positive antibodies are a sign of problems, wether or not the biopsy confirms villi damage. I hope she doesn't smack me up the side of the head for that! :-)

The enteroscope is a scary looking long snakey thing that seems like it should be able to reach all the nether regions of innerspace. But the small intestine is 22 feet long, and you know it ain't going to reach all the way through that length. So maybe your villi damage is at 7 feet instead of 2 feet into the small intestine? No way the enteroscope will find it. Another issue is that the villi damage is rated on a scale, called the Marsh scale. Little damage to high damage, or 1 to 4 level Marsh. So what if you are at .5 Marsh? Damage but not enough to be seen by a microscope tech yet? Or some other less than detectable state? Or the microscope tech is having a bad day and can't focus on the view like I have problems with sometime focusing on the computer screen?

The goal really should be to detect and correct the problem before it gets to the stage of causing obvious damage. If your symptoms clear up on the gluten-free diet, it is best to stay gluten-free. Tests don't overrule reality.

I don't play a doctor on TV or know anyone who does. :) Real doctors etc feel free to correct my blurb.

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      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
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      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
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      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
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