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Endoscopy Done This Morning; Doctor Now Thinks Celiac Disease After Tests Were Negative


emcoats

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emcoats Newbie

I had my upper endoscopy done this morning. My GI now thinks I have celiac disease after my blood tests were negative and the CT scan didn't show anything.

My duodenum (the first smart of the small intestine) was completely flat with no ridges. My stomach was red and inflamed which he told me was gastritis, and my esophagus showed signs of acid reflex. I actually got to see the pictures and I was amazed by what I saw. I knew something was wrong and I wasn't taking just lactose intolerance for an answer. Anywho, my GI took some biopsies and won't have the results until next week. He also stated that the lactose intolerance is caused by celiac disease, which I didn't know until a member of this board mentioned it in a previous post of mine. He told me in my last appointment that I was lactose intolerant, but I knew it was more than that because I don't have diarrhea, I'm always constipated. He wants me to start taking lactase pills before meals, start gluten-free and he wants to see me in 3-4 weeks to see how I am feeling.

I'm scared because I know this is will be a major life style change for me and I don't accept change very well. I know gluten-free food is very expensive and I keep wondering how can I afford this? I also have a 5 year old daughter who is always constipated but does not complain of her stomach hurting or show signs of bloating. Should I have her tested, just in case?

Can some one please give me advice on how to accept this and how I go about finding gluten-free foods? I know I can find them on the internet, but does anyone know if any chained grocery stores like Kroger has a good selection of gluten-free foods?


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Ollie's Mom Apprentice

Yes, please have your daughter tested asap! If she does in fact have celiac, it will be a good thing to get a diagnosis for her at such a young age. And even if her testing is negative, if you feel better on the gluten-free diet, then you should do a trial for her as well. (Also, even if your biopsy comes back negative, you should stick with the gluten-free diet for at least three months to see if there is any improvement in your symptoms).

As for the cost of food - OK, I see this as a common concern for those starting gluten-free. But trust me, your grocery bill will likely go down after you start. The key is to buy whole foods - fruits, veggies, meats, rice, etc and cook things up yourself. Basically, stay to the outer ring of the grocety store, where all the fresh stuff is kept. Don't get lured into buying gluten-free processed foods that act as replacements for gluten foods (cookies, bread, etc). Those can be very expensive and may not agree with you while you are healing (especially during the first few months). It took me a few months to get used to making meal plans for the week (breakfast, lunch, and dinner) and constructing my grocery list around the plan. Now it's second nature.

Also, always be sure to have some snacks with you at all times (nuts, fruit, Lara bars, etc) so that you will always have something to eat on hand.

squirmingitch Veteran

The above link is to an invaluable thread which will answer just about any question you have.

And let me echo Ollie's Mom in what she said. Personally, my grocery bill has gone WAAAAAAAY down & I'm loving it! :)

guest134 Apprentice

Some people make celiac out to be worse than it is. It is a disease, and having a disease sucks, we would all prefer to be disease free, BUT as far as diseases go this is easily managed. You don't need annoying medication and gluten free is healthy and a lot of people would be better off without it to begin with.

-5 of the 6 food groups are naturally gluten free

- All liquors and most wines are gluten free, there are dozens of great tasting gluten free beers to replace the gluten filled ones

- Any food you can think of will have a gluten free alternative, once you get the hang of if you can make awesome food that tastes just as good as its gluten counter part

- The world is more aware of celiac and non celiac gluten intolerance than ever before, there will be many restaurants in your area that will know about cross contamination and will offer gluten free foods on their menus

-Official celiac diagnosis comes with tax benefits to cover the higher cost of food

Put it this way, you have the best disease you could get, easily managed, naturally healthy, and medication free. Not only that, of all the medical and non medical communities I have been on, none have close to the awesome and supportive members we have here. You will trade recopies life stories, and make new friends in the process. Don't be scared, I was, we all were, and I now look back at posts I made months ago and how bad I was freaking out and think to myself "wow that was really an overreaction".

Takala Enthusiast

Gluten free food isn't as expensive as slowly dying of malnutrition because the auto immune reaction is destroying your intestinal lining. If you want your kid to have a healthy and functional parent, you will do this. It merely requires one to make some substitutions on what brands of foods are purchased, tweaking a few recipes, and becoming a fanatical label reader. If you are lucky, you will not have a lot of additional food intolerances, or some really off-the-wall ones from a common ingredient in gluten free ingredients, even so, there are always work- arounds.

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But I want to knos if it would be enough to do damage.” NO - this is OCD brain at its best! Hijacking your thoughts and justifying it because of the very real fear of gluten contamination. That’s OCD all over. Like a devil in the driving seat. Fears that are based on some kind of reality are hard to argue with. Boss it back! Recognise this for what it is. OCD using fear of gluten as its excuse to keep you entrapped. Own the OCD in this scenario, don’t let it own you. Normal cleanliness rules apply. Washing your hands before you handle food you’re putting in your mouth is fine. Washing after the gym is normal. Once daily cleansing wipe of your phone etc. Even if you did go rubbing your hands all over surfaces and licking them there might be a trace exposure to gluten possible. But I’m guessing you don’t usually do that sort of thing. Even if you inadvertently were to ingest trace gluten - it won’t be enough to do damage, no. It takes weeks to months of at least a few hundred milligrams of gliadin daily for the innate immune system followed by the adaptive immune system in coeliac disease to kick in and start producing antibodies and cause villous atrophy. “3. Is an endoscopy (without biopsy) enough to tell if my intestines are healed? I’d pay privately if it could help and if i dont get a refferal. Or do i need a biopsy?” Only biopsy, as the gold standard of diagnosis, can tell for certain if villi have recovered. Having said that video capsule etc. can give an indication of any inflammation. “4. Could my job (powder coating, sandblasting, etc.) expose me to gluten or damage my intestines through air/dust?” Assuming your employer provides all necessary PPE - appropriate mask and overalls etc. All you can do is take the precautions that are advised according to risk assessments and regulations of the relevant industry governing bodies? (I don’t know what this would be in the USA. Sorry. But there’s safety and governing regs in the UK for this sort of thing. Assuming it would be very similar over the pond in fairness). “5. Do I need certified gluten-free toothpaste, hand soap, shampoo, or moisturizer? (For example: Vaseline and Colgate don’t contain gluten ingredients but say they can’t guarantee it’s gluten-free.)” This comes down to personal threshold of gluten tolerance. People that are highly sensitive may need certified products. Especially those with dermatitis herpetiformis - the skin manifestation of gluten sensitivity. Listen to your body on this one. “6. Is spices like pepper with “may contain traces of gluten” safe if no gluten ingredients are listed? Or does everything need to be labeled gluten-free?” This one is easy - when following a strict gluten free diet, avoid products that say May contain traces of gluten. But it does not have to be labelled gluten free. There are many foods naturally gluten free. 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