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Your Takes On Diagnosis


heather Goble

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heather Goble Rookie

Hi,

I have just recently had blood tests and biopsy, both came back negative. When I went to the doctor today for the biopsy results I actually met with the phsyicians assistant (who didn't do the biopsy, but read me the results). After hearing my symptoms he said he was very surprised the tests came back negative. I told him that I was off of gluten for a month and a half before testing and only went back on for a couple of weeks for the test (the dr said I only needed to eat gluten for 3 days prior to testing). The physicians assistant that I saw today said he wasn't sure if that would skew the results or not, but told me to just assume I have celiac due to my symptoms. Not really a diagnosis and a long story to explain to everyone that inquires. I guess I'm a little frustrated. Any advice ( I have been gluten free since the day is the biopsy, I just can't eat it) I'm just uneasy of the somewhat diagnosis.

Thanks!


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Dr. B Newbie

Signs of a gluten intolerance are not always found in the intestines via a biopsy. Other organs can be affected.

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Proteins from other foods, which leak through the intestines, might be causing your discomfort.

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Many people in situations such as yours eat the paleolithic diet (no grain diet) for awhile (several months) and then might re-introduce proteins, one at a time, to see if the proteins from that particular food causes them discomfort. Also, once the candida is gone, and the holes in the intestines are healed up/closed up, one can tolerate other proteins better because they don't leak through the intestines anymore.

ravenwoodglass Mentor

Go ahead and stick with the diet being aware it can take a bit of time to heal. Not all of us have candida issues and even if you do that doesn't mean you would be able to add gluten back in if you are gluten intolerant or celiac. Going with a whole food diet is the quickest way to heal as there is less risk of cross contamination that way.

JonnyD Rookie

I had very positive bloodwork as well as family history so I went Gluten-Free right away. I had a biopsy done a month later but never had any gluten before. My GI said it could take 6 months to a year to fully recover so he wasn't too concerned. My biopsy show some moderate signs but not slam dunk atrophy. It's been almost three months Gluten-Free and I'd never go back on gluten. If Gluten-Free agrees with you, stick with it.

heather Goble Rookie

Just wondering how seriously to take the "your results are negative, but assume you have celiac" the doctor said he couldn't believe they came back negative due to the symptoms I have. I guess I was just looking for a yes or no answer and am afraid family and others won't take the "assume that you have it" as a real diagnosis. I'm tired of explaining it already....

Dr. B Newbie

I think the best test is "go gluten free and see if you feel better". If you do, then you tested positive for gluten intolerance. Just tell "family" that you tested positive. Are they going to want to see the actual test results?

Chemical tests are not always accurate. You know how you feel better than anyone else. I would never put my health in the hands of a medical doctor, or believe 100% in their tests.

Cara in Boston Enthusiast

I had a similar situation. After my son tested positive, I had the blood test done and it came back very positive. I went gluten-free (but only for about 2 weeks) before seeing the GI. He did more blood tests and endoscopy (said the short time gluten-free shouldn't make a difference). Everything came back negative. Went on gluten challenge (3 months) but only did it 1/2 way. At 6 weeks he tested me again (blood only) and it was still negative. By this time my son has been diagnosed with a biopsy and since I have all the symptoms I saw no reason to continue.

My doctor is certain I don't have celiac disease but diagnosed me with gluten intolernace. Whatever. Treatment is the same so I don't really care. I'm pretty sure I have celiac disease. Why else would the original blood test be so positive?

Cara


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ked85 Newbie

I also tested negative with a very deep family history of celiac and intolerance. The doctor wanted to put me on IBS pills and I said NO. I immediately went on a gluten free diet after the nurse told me that it did not test for intolerance and I already feel a difference after a week and a half. Also, people claim there's a false negative rate of about 20% (not sure how accurate that is), but it just goes to show - do what makes you feel good. If removing gluten works for you, maybe try the diet and then reintroduce it to your system at a later date and see how your body reacts. That's what I plan to do.

Dr. B Newbie

I think the high gluten content in grains now-a-days makes grains an undesirable food for human consumption. I have read that tens of thousands of years ago that wheat berries were plump and juicy, and contained very little gluten. Today

ked85 Newbie

So, reintroducing gluten to your diet in the future may not be the healthiest way to go.

Those are very good (and educational) points. Thank you for that information! Definitely want to do some more research out of curiosity now.

heather Goble Rookie

Thanks everyone for the helpful info. I have pretty bad reactions when I eat even a small amount. Usually get a really itchy rash which lasts for about a day, headache, fatigue, and terrible joint pain (which lasts for several days). All of which I have had before going gluten free, but now much worse. I know I can't eat it, so I don't.

sb2178 Enthusiast

That rash could be biopsied for a definitive diagnosis. Check out the DH board for details on the testing as it's finicky.

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    • Theresa2407
      Usually when I digest gluten or wheat I have a 4 hour window before reacting.  If it is immediate it may be an intollerence to another food.  Dairy, Frutose, and bacteria (SIBO) will react with many of the celiac disease symtoms.Has your Doctor ran a  Fructose test which is measuring your Fruit Sugar?  A Hydrogen Beath Test which checks your intestinal bacteria and Dairy?After my biopsy and blood work, these (3) tests were also ran, along with allergy tests, which allery test was sent out of State.  It was a mouth swab. How fast you heal depends on the diet you are following… The following are my personal recommendations to healing. I talk to many newly diagnosed people who start the gluten-free diet with pasta, breads, snacks, and pizza. After a month or so, they do not know why they don’t feel any better and still are sick with their original symptoms: They worry the diet is not working for them. For some there may be other factors involved, but most just aren’t letting their body heal properly. I blame the internet, and misinformation it contains. People want a quick fix, not realizing this is a life long disease. They need a good support group, with people who have been through this and knows what works!  This is what I have found will work for you.                                                                                            First 6 weeks should be:                                                                                                                                 lean meat (beef, pork, chicken, turkey, salmon, sardines, buffalo, deer)                                                   fresh vegetables (steamed or roasted with a little Olive Oil) with 2 cups per day being raw (5 servings; a serving is 1/2 cup)                                                                                                                                      fresh fruit (3 servings; include strawberries, blackberries and blueberries daily)  Makes good shakes with Almond milk.                                                                                                                                        A hand full of almonds daily (pecans and walnuts can be substituted)                                                        brown rice, lentils, Citrucel daily (or the equivalent) Good source of fiber. I use Calm because my body doesn’t absorb Magnesium and I only need to take once in evening.                                                    No dairy of any kind (milk, cheese, yogurt, No breads, No past,  No oats, No pizza, No gluten-free beer, No snacks like cake, biscuits, pies, donuts.                                                                                                Many dietitians will tell you to follow a gluten free diet but you have to heal first. Don’t misunderstand me, dietitians are our friends and help us.                                                                                              10% of people with gluten-free will be intolerant to dairy                                                                                  10% can not tolerate oats                                                                                                                     After the six weeks, you can start to add these foods back into your diet. 1 new food every 4 days; this way you know if you react to this food.                                                                                                  Oats shouldn’t be tried for 1 year after being diagnosed; then start with 1/3 of a cup. Only gluten-free Oats are acceptable.                                                                                                                                              You should have results within 3 days of following a correct healing diet. Bloating should be leaving, migraines should be gone. Might take bowels a little longer to respond. If you start with 5 times a day on the Citrucel and cut back as your bowels return to normal; then use 1 Tbsp. daily. 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I talk to many newly diagnosed people who start the gluten-free diet with pasta, breads, snacks, and pizza. After a month or so, they do not know why they don’t feel any better and still are sick with their original symptoms: They worry the diet is not working for them. For some there may be other factors involved, but most just aren’t letting their body heal properly. I blame the internet, and misinformation it contains. People want a quick fix, not realizing this is a life long disease. They need a good support group, with people who have been through this and knows what works! This is what I have found will work for you. First 6 weeks should be: lean meat (beef, pork, chicken, turkey, salmon, sardines, buffalo, deer) fresh vegetables (steamed or roasted with a little Olive Oil) with 2 cups per day being raw (5 servings; a serving is 1/2 cup) fresh fruit (3 servings; include strawberries, blackberries and blueberries daily) a hand full of almonds daily (pecans and walnuts can be substituted) brown rice lentils Citrucel daily (or the equivalent) Good source of fiber. No dairy of any kind (milk, cheese, yogurt) No breads No pasta No oats No pizza No gluten-free beer No snacks like cake, biscuits, pies, donuts. Many dietitians will tell you to follow a gluten free diet but you have to heal first. Don’t misunderstand me, dietitians are our friends and help us. 10% of people with gluten-free will be intolerant to dairy 10% can not tolerate oats After the six weeks, you can start to add these foods back into your diet. 1 new food every 4 days; this way you know if you react to this food. Oats shouldn’t be tried for 1 year after being diagnosed; then start with 1/3 of a cup. Only gluten-free Oats are acceptable. You should have results within 3 days of following a correct healing diet. Bloating should be leaving, migraines should be gone. Might take bowels a little longer to respond. If you start with 5 times a day on the Citrucel and cut back as your bowels return to normal; then use 1 Tbsp. daily. This works if you have constipation or diarrhea. Meanwhile make sure you have had a Dexa test (bone density) and a blood test to check your vitamin and mineral levels: Zinc, D,K,B,C and iron levels. Don't take supplements while healing as your body is not accepting them and they will flush through your body. Have you had a breath test for Dairy, Fructose, and bacteria overgrowth? Should have done when first diagnosed. Remember to have a tTg IgA blood test repeated at 6 months then every year after, with another scope done in 3 years. Only way to know if you are healed. I don’t have all the answers; we are learning everyday new ways of doing things, but this is a start! Remember to have a tTg IgA EMA blood test repeated at 6 months then every year after 
    • Wheatwacked
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    • Rogol72
      I cut out the rice because it was affecting my stomach at the time ... not necessarily dermatitis herpetiformis. It was Tilda Basmati Rice, sometimes wholegrain rice. I was willing to do whatever it took to heal. Too much fiber also disagrees with me as I have UC.
    • trents
      But you didn't answer my question. When you consume gluten, is there an identifiable reaction within a short period of time, say a few hours?
    • Scott Adams
      You can still have celiac disease with negative blood test results, although it's not very common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/   
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