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Is Contamination Unlikely?


milkmommy

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milkmommy Apprentice

I've been gluten free for almost 3 months but am still sicker than ever. After previously posting on here, I got many responses saying I was probably being contaminated by gluten. This seemed very likely given my situation but I just found out my ttg levels have dropped to normal range. They are 14 and <20 is normal.

Can you have normal ttg with contamination???


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Skylark Collaborator

I'm sorry you're still feeling sick. You are probably not getting CC if your TTG has dropped back to normal. What your Dr. probably didn't tell you is that a Marsh 3 biopsy typically takes a couple years to heal, and can take as long as five years if the damage is really bad. At three months with the TTG down, now your body can start to repair damage.

I also had to go casein-free/soy-free when I first got off gluten to be rid of the stomach trouble. I could only digest those foods after about a year gluten-free. You might try eliminating some of the common problem foods like dairy, soy, and corn to see if any of those are making you feel ill from non-celiac intolerances.

kareng Grand Master

I'm sorry you're still feeling sick. You are probably not getting CC if your TTG has dropped back to normal. What your Dr. probably didn't tell you is that a Marsh 3 biopsy typically takes a couple years to heal, and can take as long as five years if the damage is really bad. At three months with the TTG down, now your body can start to repair damage.

I also had to go casein-free/soy-free when I first got off gluten to be rid of the stomach trouble. I could only digest those foods after about a year gluten-free. You might try eliminating some of the common problem foods like dairy, soy, and corn to see if any of those are making you feel ill from non-celiac intolerances.

That's what I was going to say! :)

GlutenFreeManna Rising Star

I've been gluten free for almost 3 months but am still sicker than ever. After previously posting on here, I got many responses saying I was probably being contaminated by gluten. This seemed very likely given my situation but I just found out my ttg levels have dropped to normal range. They are 14 and <20 is normal.

Can you have normal ttg with contamination???

Normally I would agree with Skylark but I remmember your post about your husband not supporting your diet and completely disregarding your efforts to make a safe gluten-free area for you. Unless this situation has changed you can still be getting contaminated and getting sick from it. many people become more sensitive (symptom-wise) to small amounts of cc after they go gluten free. I'm of the opinion (based on my personal experience and reading on this board a lot) that you can test negative while still getting small amounts of gluten that make you sick as a dog. If this were not the case we would not have to tell people to load up on gluten prior to testing, there would not be as many false negatives and people that respond well to diet despite negative results. There are plenty of people that go gluten "lite" prior to testing instinctively and then they get a negative. Your negative result is a good sign that you are on the right track as far as eliminating MOST gluten but it does not mean that you have not been getting sick from CC. I also really think you should consider other intolerances, but only if you have gotten the gluten spreading husband to be more understanding.

milkmommy Apprentice

Thanks for the fast replies!!

I've been trying to figure out if maybe there are other intolerances but have now gotten to the point were everytime I eat solid food I get nauseous, abdo pains. It doesn't seem to matter what it is, even plain white rice!!

I've only been having liquids today but still have symptoms plus a headache from hunger.

I called my gi yesterday who still hasn't got back to me. I doubt he will be much help considering he still maintains my biggest problem is ibs and that I need to eat fiber, (even though I already told him fiber/residue foods make me worse).

As for the contamination, I'm still in a highly glutened environment but have given up the battle and just make sure I wash my hands often and make my own food.

ravenwoodglass Mentor

As for the contamination, I'm still in a highly glutened environment but have given up the battle and just make sure I wash my hands often and make my own food.

Have you gotten condiments, butter etc for just your own use and replaced the stuff you need to keep gluten free like your own dedicated toaster, strainers etc? There is quite a bit of stuff we shouldn't 'share' with gluten eaters.

dilettantesteph Collaborator

Have you thought about setting up your own mini kitchen? You could get a dorm fridge, microwave and hotplate and put it somewhere there is a sink. Then keep out of the kitchen. At the least it would give your husband the message that at least you are taking this seriously. If it works, he might be more supportive.

My husband was more supportive once my health improved so he knew that gluten really had been the problem.


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ravenwoodglass Mentor

My husband was more supportive once my health improved so he knew that gluten really had been the problem.

That was the case with my family also.

T.H. Community Regular

That sounds somewhat similar to my daughter. A few months ago, everything she put into her stomach hurt, no matter what, even if it was a glass of water! I saw what she had to go through, where she was hungry but it always hurt so much she didn't want to eat - so much sympathy for you, hon!

Here's what they tested her for, in case it helps, and what seems to be her biggest issues. She has been improving, but it's still not 100%.

- H. pylori infection of the gut

- Crohn's disease. This is hard to diagnose. There's no cure. It needs dietary changes and sometimes steroids (diet is different for each sufferer, so it needs the help to see what's working).

- Food allergies - not a prick test, though. That doesn't do much. We did food journal, with my daughter (the allergist will be looking at blood testing potentially later).

- environmental allergies - prick test fine for these.

My daughter turned out to have some nasty environmental allergies that were being inhaled, getting down her throat and into her stomach, and were inflaming her stomach and intestines a lot. That was making everything go through it hurt. She has a few food allergies too that we have to avoid to avoid the pain.

She is also pretty darn sensitive to gluten. When she's gotten glutened, for 4-7 days following, she's so inflamed inside she reacts to everything going through her gut with pain.

When we reduced her exposure to her allergens and got very strict with the gluten-free issues, her stomach pain has almost completely disappeared. Getting more gluten cc makes the pain come back, getting more of her allergens makes any cc pain last longer and be more intense, best we can tell.

We're still concerned there might be something else, because she has a couple abnormal lab tests, but we're waiting to visit with specialists, still on it.

don't know if any of this is for you, but I hope that some of it might be able to help. :-)

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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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