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Diagnosis Confusion


jaxonweb

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jaxonweb Newbie

My doctor told me about a month ago that he thought I had Celiac, and after reading about the symptoms I thought the same. However I had an EGD yesterday and afterwards the doc said that it was very unlikely that I have celiac. Now I am really upset, because I am back where I started, not knowing what the problem is. He said he would take multiple biopses, but how can I know for sure how many he took? Now he wants to do an ultrasound. Are there any other test that are more reliable?

Also, what are some other problems that might have the same symptoms as celiac?


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Jnkmnky Collaborator

Did you have the blood test?

judy05 Apprentice
My doctor told me about a month ago that he thought I had Celiac, and after reading about the symptoms I thought the same. However I had an EGD yesterday and afterwards the doc said that it was very unlikely that I have celiac. Now I am really upset, because I am back where I started, not knowing what the problem is. He said he would take multiple biopses, but how can I know for sure how many he took? Now he wants to do an ultrasound. Are there any other test that are more reliable?

Also, what are some other problems that might have the same symptoms as celiac?

<{POST_SNAPBACK}>

You could have gluten sensitivity. My biopsy was negative, the villi were not damaged, and the gene test was negative, but I still can't tolerate gluten or milk.

My GI doc says there is no reason why I can't eat gluten, but it makes me sick everytime I eat it. I did a food sensitivity test thru York labs and it came back positive for cow's milk, egg whites, corn, yeast and of course wheat. It was not positive for oat, rye, or barley gluten. I am very careful but I can eat organic eggs, cheddar cheese and some corn with no problem. You have to go with what your body is telling you. Hope this helps.

As far as bloodwork, my IGA was 75 but dropped down to 30 after going gluten-free. I haven't had it tested since. A positive reaction to the diet is enough for me, I don't need a diagnosis.

jaxonweb Newbie

I have not had a blood test yet. My GI said it was not as reliable as the EGD. However I think his next plan is to do the blood test and an ultrasound.

After learning about the gluten-free diet I have paid more attention to how I feel after I eat, and was a little curious as to why some gluten foods made me sick and some didnt. For example... I go to Einstein bagels often. When I eat their cin-raisin bagel I feel bad, but if I eat their blueberry bagel I am fine... eventhough they both have gluten.

How do you go about taking a food sensitivity test?

kabowman Explorer

My EGD was negative and I refused to go back onto gluten for any blood tests - however, this does NOT mean that you don't have food intolerances. I agree with previous post, go with what you body tells you. My docs all seem pleased that I have found all the foods that bother me, even if I don't have a positive celiac disease dx. I am much happier and healthier, even if I do have to be super careful...I'm not sick anymore.

skbird Contributor

There is more to gluten intolerance than intestinal damage/enteropathy. I have all the stomach/gut reactions but no malabsorption, no Celiac gene, but I do have other obvious gluten intolerance symptoms. There is also neurological presenting gluten intolerance.

It's also possible the doctor didn't take enough samples when he did the endoscopy. That happens sometimes, from what I've read.

Gluten intolerance is nothing to sneeze at, just because it's not Celiac. It can lead to other auto-immune diseases. I, for example, am looking at a possible lupus diagnosis this Friday when I go to my rheumatologist. No one in my family has this or anything like this (lupus, other connetive tissue diseases) and I am the only one with obvious gluten reactions, though I have two genes linked to intolerance, so both my parents must have one each, mimimum.

If you feel better on a gluten free diet, then you should stick with that. Not being sick is worth the sacrafice! :)

Stephanie

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    • asaT
      Scott, I am mostly asymptomatic. I was diagnosed based on high antibodies, low ferritin (3) and low vitamin D (10). I wasn't able to get in for the biopsy until 3 months after the blood test came back. I was supposed to keep eating gluten during this time. Well why would I continue doing something that I know to be harmful for 3 more months to just get this test? So I did quit gluten and had the biopsy. It was negative for celiacs. I continued gluten free with iron supps and my ferritin came back up to a reasonable, but not great level of around 30-35.  Could there be something else going on? Is there any reason why my antibodies would be high (>80) with a negative biopsy? could me intestines have healed that quickly (3 months)?  I'm having a hard time staying gluten free because I am asymptomatic and i'm wondering about that biopsy. I do have the celiacs gene, and all of the antibody tests have always come back high. I recently had them tested again. Still very high. I am gluten free mostly, but not totally. I will occasionally eat something with gluten, but try to keep to a minimum. It's really hard when the immediate consequences are nil.  with high antibodies, the gene, but a negative biopsy (after 3 months strict gluten-free), do i really have celiacs? please say no. lol. i think i know the answer.  Asa
    • nanny marley
      I have had a long year of testing unfortunately still not diagnosed , although one thing they definitely agree I'm gluten intolerant, the thing for me I have severe back troubles they wouldnt perform the tests and I couldn't have a full MRI because I'm allergic to the solution , we tryed believe me  I tryed lol , another was to have another blood test after consuming gluten but it makes me so bad I tryed it for only a week, and because I have a trapped sciatic nerve when I get bad bowels it sets that off terribly so I just take it on myself now , I eat a gluten free diet , I'm the best I've ever been , and if I slip I know it so for me i have my own diagnosis  and I act accordingly, sometimes it's not so straight forward for some of us , for the first time in years I can plan to go out , and I have been absorbing my food better , running to the toilet has become occasionally now instead of all the time , i hope you find a solution 🤗
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