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Trying To Understand Cd


Tami

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Tami Newbie

I have had stomach problems most of my life...diarrhea, cramping, bloating, nausea. I never knew what caused it. I decided last fall that I was tired of "knowing where all bathrooms were" and planning my day around if I could leave the house and not need to be close to bathroom and went to the doctor.

I had been told before that it was IBS. The doctor asked me about my family history. My sister has crohns disease and IBS. So, he arranged for some tests to be done, colonoscopy, small bowel follow through and some blood work. All came back fine. I told him about the burning around my belly button area. he then metioned celiac disease, i had never heard about. They did a blood test. while waiting for the results, I found this website and found out some other symptoms that I have: fatigue, head aches, achiness, joint pain, brain fog, head twitching. The bloodwork came back positive. I had an endoscopy done, it came back negative. The doctor said that he could not diagnose me with celiac disease with a negative biopsy. But, if I went off gluten for 2 weeks and my symptoms went away then it was celiac disease. he didn't mention about me seeing a dietician. I have been learning on my own. I did really well for a while, then we had a death in the family, summer picnics, reunions and I fell off the wagon. So...my symptoms are back except for the pain in my stomach. So, I am writing this to encourage others and myself that it is worth it to stay gluten free. Should I look for another doctor? or just find a support group close to where I live to cope with living gluten free? My sister told me that it may be a good thing that he didn't diagnose me with celiac disease because of getting approved for life insurance. I have been struggling. Thanks for letting me vent :)


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KaitiUSA Enthusiast

I would go with the blood tests in this case and stay gluten free. A negative biopsy does NOT rule out celiac. It simply says there is either no damage or sporadic damage that they missed.

I would find a good doctor who knows alot about celiac. Obviously this clown of a doctor wasn't too bright when it came to that.

This site will help you out with foods and products that you can have. It really gets so much easier.

Carriefaith Enthusiast

I think it would be a good idea to get a second opinion on this. Which blood test was positive? Because a positive tissue transglutamase blood test is highly specific for celiac disease. Like Kaiti said, if the biopsy was negative the doctor may have missed the damage. Either way, I think that it is a very good idea to stick with the gluten-free diet since you had a positive blood test and feel better on the diet.

Tami Newbie
I think it would be a good idea to get a second opinion on this. Which blood test was positive? Because a positive tissue transglutamase blood test is highly specific for celiac disease. Like Kaiti said, if the biopsy was negative the doctor may have missed the damage. Either way, I think that it is a very good idea to stick with the gluten-free diet since you had a positive blood test and feel better on the diet.

<{POST_SNAPBACK}>

Thanks for the information...I am realizing that I cannot do this on my own now and will be looking for a new doctor.

Do most doctors usually say that it is not celiac disease, if the biposy is negative?

Carriefaith Enthusiast
Do most doctors usually say that it is not celiac disease, if the biposy is negative?
It depends on the doctor. My doctor had to do the biopsy, but others are satisified with the positive blood test(s).
KaitiUSA Enthusiast

Some blood tests are pretty specific and the tTG test will be taking the place of biopsies for diagnosis in kids soon. I was diagnosed by blood tests alone..the doctor didn't even want a biopsy because the results came back really indicating celiac plus I have one of the main genes for celiac as well.

Some doctors like to do blood test then biopsy but others don't feel the need for biopsies. I for one think they are not worth the time in alot of cases(in some cases they are good though) because they can miss so much.

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    • trents
      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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