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Where To Go From Here?


fourtoone

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fourtoone Newbie

I gave birth 3 months ago and shortly after started symptoms of bad anxiety, high blood pressure, headaches, fatigue and insomnia. My sister is gluten intolerant, but only used the elimination diet and food allergy tests as her guide. We believe she is celiac as the symptoms she had nearly put her on her death bed until she went gluten free. Since I share a good majority of the symptoms she had, I started the testing process. I had the antibody test and genetics test (through Prometheus Labs), both came back negative. Food allergy test showed very mildly allergic to wheat and dairy products, nothing else. Thyroid is normal. I've been gluten/dairy free for 7 weeks and haven't noticed any huge improvement. What I have noticed is when I get busy doing something, the symptoms seem to subside. But if I sit down and do nothing or think about the symptoms or stress over them and what's causing them, they come right back.

So where do I go from here? Can I still be gluten intolerant with the test results I've had? Should I be looking more into post partum depression and treating that?


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mushroom Proficient

Welcome to the board. There are two things you should know about the testing you have had done. The first is that there is an approximate 20% false negative rate on the blood tests. The second is that I believe Prometheus tests only for the DQ2 and DQ8 genes because these are the only two accepted celiac genes in the U.S. However, in Europe there are other recognized celiac genes than these.

It is true that you could be having some kind of post partum reaction; however, it is also true that childbirth is one of the triggers of celiac disease. If you do in fact possess a celiac gene, that does not automatically mean that you will have celiac disease. There seems to have to be a triggering event, some physical or emotional stress or trauma that sets the process in motion, and childbirth is known to be one of these.

For some, the current testing for gluten sensitivity just doesn't work, and celiac is a disease process measurable by testing caused by gluten sensitivity. However, it has been proven by Dr. Alessio Fassano and his colleagues there is gluten sensitivity outside of celiac disease (which the patients have known for a long time but not the doctors). There is, however, no testing procedure to identify this. Oftentimes, we are left only the option of trying the gluten free diet and seeing if it works.:o

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      Thanks to both of you for your responses!  Sadly, even after several years of very strict gluten avoidance, I remember the symptoms well enough that I am too frightened to risk a gluten challenge— heartbeat and breathing problems are scary— Scott, thank you for the specific information— I will call around in the new year to see if I can find anyone. In the meantime, I will carry on has I have been— it’s working! Thanks also for the validation— sometimes I just feel crushed by disbelief. Not enough to make me eat gluten though—
    • trents
      Welcome to the celiac.com community, @GlorietaKaro! As Scott indicated, without formal testing for celiac disease, which would require you to have been consuming generous amounts of gluten daily for weeks, it would be not be possible to distinguish whether you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). Their symptoms overlap. The difference being that celiac disease is an autoimmune disorder that damages the lining of the small bowel. We actually no more about celiac disease than we do about NCGS, the mechanism of the latter being more difficult to classify. There are specific antibody tests for celiac disease diagnosis and there is also the endoscopy/biopsy of the small bowel lining. Currently, there are no tests to diagnose NCGS. Celiac disease must first ruled out. Researchers are working on developing testing methods to diagnose celiac disease that do not require a "gluten challenge" which is just out of the question for so many because it poses serious, even life-threatening, health risks. But we aren't there yet.
    • lalan45
      That’s really frustrating, I’m sorry you went through that. High fiber can definitely cause sudden stomach issues, especially if your body isn’t used to it yet, but accidental gluten exposure can feel similar. Keeping a simple food/symptom journal and introducing new foods one at a time can really help you spot patterns. You’re already doing the right things with cleaning and separating baking—also watch shared toasters, cutting boards, and labels like “may contain.”
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