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Diagnosis


marciab

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marciab Enthusiast

Hi there. I have Chronic Fatigue Syndrome and Fibromyalgia. I recently went on the gluten free diet and noticed that I'm not as fatigued as I used to be. My doctor does not recommend being tested for celiac disease, since the diet is all they can do for me anyway. What do you think ? Does anyone else have CFS ?


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Merika Contributor

Hahaha, really, get tested. Really.

CFS was what my doc tried to diagnose me with 13 yrs ago. He *tried* but I didn't exactly fit his profile right, and he had nothing to offer for it, just said I had something like chronic fatigue. AFTER I then ended up in the hospital for what my friends called the "mystery illness" and -bing- 12 yrs later was diagnosed celiac. Woulda been nice to know then!!!!

I think it's important to know if you have it or not. Saying it's "just" controlled by diet is way underestimating things. If you suspected you had an infection and the doc said no big deal, we only have these pills to offer for it, you can take them for 2 weeks and see if you feel better.....would you?? Every single day??? But if he said we *know* you have an infection and you *must* take these pills every day to get better....would you??? Of course!

The diet, IMO, is hard to commit to unless you KNOW it will work. ANd what easier way to KNOW than to take a simple test? IF you have celiac, it is possible that your CFS will disappear (and was really celiac in disguise) and my guess is the fibromyalgia will improve - there are members of this list who also have that disease and can give you better stats on that than i could.

Merika

Guest nini

keep in mind that you would have to go back on a gluten containing diet in order for any testing to be accurate.

there are a lot of people here who have self diagnosed. I'm not one of them. I did "try" the diet years before my actual diagnosis but because I kept doubting myself I let another Dr. convince me that the diet was bad for me and my baby (I was pregnant at the time)... it took until my daughter was 3 and I was so sick I almost died before I got a real diagnosis. I find it easier to stick with the diet because I know for sure that I have Celiac.

But... you may also be one of those people who does not have Celiac but benefits from the diet. So if you decide to pursue testing and the test results are negative, you could still try the diet and see if it does help your symptoms.

I was diagnosed with fibromyalgia and cfs years before finding out about Celiac so I do believe there is a connection.

Ultimately it's up to you, but you need to be proactive and informed about your health.

marciab Enthusiast

Thanks for the info. I understand now how important the celiac diagnosis is as a motivator to stay on the diet. I am ready to cave after only 2 weeks.

However, there is a lot of disagreement on this website about the validity of the tests. Which is what my doctor was saying.

And honestly, I'm just not ready for another ### diagnostic test or more bloodwork or doctors !!!

Guest nini

having a positive dx is a good motivator, BUT you can dx yourself. Stay gluten-free for a while, really give it a good effort to stay 100% gluten-free and then you may want to do a "gluten challenge" that may be the only way for you to see that when you eat gluten your body doesn't like it. Personally I believe that nobody should be eating gluten, I think it's a major contributor to many health problems. So, if there is a way that you can convince your brain that gluten is poison to your body, then you may be able to fight those urges to cave.

KaitiUSA Enthusiast

If you do get tested get back on gluten. You need to be eating quite a bit of gluten for about 3 months prior to testing for it to be accurate. Otherwise it is pointless because antibodies start to go away and your body heals.

The complete panel is very efficient in testing and pretty accurate. The tTG is the best blood test for celiac(actually going to take the place of biopsies in kids) so as you can imagine it is a very good test. Some of the blood tests are just better than the others but I think the complete panel is important to have done.

If you think having a diagnosis is the only way to keep you on the diet 100% then you need to go get tested.

If you are ok with following the diet because you know your body has something going on with gluten that is fine to but you should really be comitted to the diet because there is a chance you could have it and it is not something to mess around with.

I am sick of doctors too...thankfully I finally was able to find a good one but let me tell you some are just clueless when it comes to celiac so don't always believe everything they say.

Also, the disorders you have are commonly associated with celiac.

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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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