Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

My Gene Tests - So What's My Risk?


purplemaryjane

Recommended Posts

purplemaryjane Newbie

So I have assumed myself to have NCGI after negative serology a couple of years back. I am doubting this now, thinking back, so I figured maybe I'd have the genetic test done, and if low risk, not bother with the gluten challenge and testing, and just stop worrying.

Wrong!

Here's my results, hoping someone out there can tell me what my risk is (like 2%, 5% etc) since I can NOT for the life of me find this info.

Just fyi, I do have ankylosing spondylitis (diagnosed 2 1/2 years ago, went off gluten then after negative serology). I also have HLA-B27, feeling like I somewhat got the short end of the genetic lottery stick!!

Results: Positive for celiac disease-associated HLA alleles. (done by Kimball genetics)

Results: DQ2 (DQ!a*05/DQB1*02): positive

DQA1*05:01 or *05:05 detected

DQB1*02:01 or *02:02 Detected

DQ8 (DQB1*03:02): Positive

DQB1*03:02 Detected

I know 20-30% of the population have DQ2, but I wonder how many have DQ8? And how many people have both, like me?

If anyone has wise words, I'd love to hear them. In the meantime, I'm 2 months on lots of gluten, feeling tired, irritable, poor concentration, itchy all over, some mouth sores, joint pains, lots of the big C, gassy, upper abdo pains after eating and kind of heart burn feeling, and little (not itchy) bumps all over my neck, back and shoulders. I am having my labs done this week, then booking an endo regardless of the results. Then, going back off gluten, no matter what!! I don't do strict gluten avoidance though (as previously thought NCGI), and don't want to if I don't have to. I felt fine with that ....

Wishing I had my results already - waiting is no fun!!

Thanks :)


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



shadowicewolf Proficient

I have both genes. :)

Others probably know more than i do, but you aren't alone

1desperateladysaved Proficient

I was 4/4 of gene alleles! DQ8 yes and DQ2 yes. I hope you are off gluten very soon.

Diana

kareng Grand Master

Open Original Shared Link

"What percentage of those with the genes will develop celiac disease?

Less than 5% of those with one or both genes will develop the disease."

Open Original Shared Link

"If I have a gene for celiac disease, does that I mean I have it?

Genetics don’t diagnose celiac disease. They do, however, clarify whether an individual is “at-risk” for it. If this is the case, you should closely monitor your symptoms and submit to blood tests every 2-3 years or immediately upon the sight of symptoms. When the genetic predisposition for celiac disease was detected (on Chromosome 6) researchers noted that the genes were a necessary but not sufficient condition for the disease to develop. In fact, up to 1/3 of the U.S. population has the genes for celiac disease. Meaning, those who have the DQ2 or DQ8 gene can develop celiac disease at any time, but only about 5% of those people actually will."

pricklypear1971 Community Regular

I have a half gene of both. I am genetically at lower risk than average (according to LabCorp)....yet here I am.

Worry less about risk, more about what works.

If gluten-free works, it works.

cassP Contributor

my advice is: you have a dq2 & a dq8, you have SO MANY of the Gluten intolerant & Celiac symptoms, you've been on 2months now of heavy gluten eating.... ! Get a full Celiac panel NOW, and then GO OFF Gluten forever.. having 2 Celiac specific genes, PLUS having all the symptoms, and already having Anklosing Spondolitis.. i would assume if i was u, that continuing to eat gluten is a sure route to developing celiac (if you dont already have it)... many times- our antibodies dont show up on blood panels, and the damage to our S.I. doesnt show up on biopsies- untill the damage is already substantial...

just my personal opinion.. good luck to u, i hope u get a panel done now, since u have a better chance of getting an accurate reading since uve been eating it... also get the Total Iga Serum to see if you're Iga deficient, cause then all your Celiac panels could be false readings

Takala Enthusiast

I read your other post also.

My original intent with going on a grain free diet was to attempt to get my spinal arthritis symptoms under control. At the time I had been snookered into going into an HMO for health insurance because my spouse's co worker recommended them. What a mistake. The official policy of said HMO's so- called "treatment" for what I had was to be told to take over the counter anti inflammatories, aka NSAIDS. Like ibuprofen. That's it. Also, their POS alleged "rheumatologist" told me that I, previously diagnosed with this about 2 decades earlier at this point, did not have arthritis, only "fibromyalgia," but he would do an x- ray to see if there was anything wrong. Then he had to eat his words when of course there was something wrong plain to see, but there wasn't going to be treatment/further diagnosis, when I started developing all these neurological symptoms. You would not believe what some of these quacks said to me because they wanted to see the "end stage" which is when the vertebrae start to fuse in places, which I didn't have. This is why I always tell people that IF they have any choice in the manner, to RUN away from HMO's, especially so - called top rated HMO's, if they have any sort of chronic disease, because they will refuse to diagnose, verify, and treat your diseases, and try to get into a PPO, even if it costs more money. The HMO's have such nice statistics by making people who are actually sick get disgusted enough to leave them. The PPO's might also have some quacks, but at least you're not stuck with them. The person who finally scanned my "bright spot" brain lesions, which are a symptom of the neurological form of celiac, (if you bother to spend 10 minutes online in PubMed you can find this) still insisted, quote, "diet has nothing to do with this." :ph34r::angry:

By sticking to a strictly gluten free diet after initially doing a grain free, ultra low carb one (and dairy free, took a while to get some dairy back in) modified Specific Carbohydrate Diet (SCD) I was able to get most of neurological symptoms under remission, get the arthritis flares under control, and I do not take prescription drugs (knock on wood) nor daily over the counter drugs for this. I gradually regained my sense of balance, and the feeling in my hands, and FINALLY about 3 years ago got the feeling back in both my feet. I still have to be very vigilant about constantly doing physical therapy which I was taught to do roughly 18 years ago, in order to be able to "pass" as a normal person. I also have been taking multi vitamins high in the b vitamins, and calcium, mag, and D for what it seems is just about like forever, even before I found out that official celiacs are low in B vitamins, and I'm convinced that and the diet change has so far helped to somewhat preserve what is my ratty- looking spine. The best unexpected thing has been getting rid of the chronic kidney problems and the costochondritis, the inflammation in the ribcage which is undescribable until one experiences it. If my ribcage stiffens up, I know I have had a cross contamination problem.

I found that the stricter that I kept my diet clean of gluten, the better that I felt. Because I am not on daily meds, I am acutely aware of how I feel and react to this. But I also do not want to deal with any more rheumatologists who don't know what the freaking symptoms are of the diseases that they are SUPPOSED to specialize in, after dealing with a few of these con- jobs who have gotten big fat insurance payments for the initial consult and told me "I don't know what is wrong with you, but you don't have... blah, blah." Finally got a regular doc who recognizes I am somewhat of a freak who can still move around because I work at it and am basically athletic.

Because of your genetic "jackpot" and your (celiac) symptoms when you restored gluten to your diet after a time off, and because celiac is a known robber of bone mass and strength, due to the loss of the lining of the gut which allows the proper absorbing of nutrients, after you get as much testing as you can, you should, imo, seriously go back on a gluten free diet.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - GlorietaKaro replied to GlorietaKaro's topic in Super Sensitive People
      3

      Am I nuts?

    2. - trents replied to GlorietaKaro's topic in Super Sensitive People
      3

      Am I nuts?

    3. - lalan45 replied to xxnonamexx's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      29

      My journey is it gluten or fiber?

    4. - Russ H posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      0

      Anti-endomysial Antibody (EMA) Testing

    5. - Scott Adams replied to JoJo0611's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      1

      Just diagnosed today

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,806
    • Most Online (within 30 mins)
      7,748

    IleneG
    Newest Member
    IleneG
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • GlorietaKaro
      Thanks to both of you for your responses!  Sadly, even after several years of very strict gluten avoidance, I remember the symptoms well enough that I am too frightened to risk a gluten challenge— heartbeat and breathing problems are scary— Scott, thank you for the specific information— I will call around in the new year to see if I can find anyone. In the meantime, I will carry on has I have been— it’s working! Thanks also for the validation— sometimes I just feel crushed by disbelief. Not enough to make me eat gluten though—
    • trents
      Welcome to the celiac.com community, @GlorietaKaro! As Scott indicated, without formal testing for celiac disease, which would require you to have been consuming generous amounts of gluten daily for weeks, it would be not be possible to distinguish whether you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). Their symptoms overlap. The difference being that celiac disease is an autoimmune disorder that damages the lining of the small bowel. We actually no more about celiac disease than we do about NCGS, the mechanism of the latter being more difficult to classify. There are specific antibody tests for celiac disease diagnosis and there is also the endoscopy/biopsy of the small bowel lining. Currently, there are no tests to diagnose NCGS. Celiac disease must first ruled out. Researchers are working on developing testing methods to diagnose celiac disease that do not require a "gluten challenge" which is just out of the question for so many because it poses serious, even life-threatening, health risks. But we aren't there yet.
    • lalan45
      That’s really frustrating, I’m sorry you went through that. High fiber can definitely cause sudden stomach issues, especially if your body isn’t used to it yet, but accidental gluten exposure can feel similar. Keeping a simple food/symptom journal and introducing new foods one at a time can really help you spot patterns. You’re already doing the right things with cleaning and separating baking—also watch shared toasters, cutting boards, and labels like “may contain.”
    • Russ H
      I thought this might be of interest regarding anti-EMA testing. Some labs use donated umbilical cord instead of monkey oesophagus. Some labs just provide a +ve/-ve test result but others provide a grade by testing progressively diluted blood sample. https://www.aesku.com/index.php/ifu-download/1367-ema-instruction-manual-en-1/file Fluorescence-labelled anti-tTG2 autoantibodies bind to endomysium (the thin layer around muscle fibres) forming a characteristic honeycomb pattern under the microscope - this is highly specific to coeliac disease. The binding site is extracellular tTG2 bound to fibronectin and collagen. Human or monkey derived endomysium is necessary because tTG2 from other mammals does not provide the right binding epitope. https://www.mdpi.com/1422-0067/26/3/1012
    • Scott Adams
      First, please know that receiving two diagnoses at once, especially one you've never heard of, is undoubtedly overwhelming. You are not alone in this. Your understanding is correct: both celiac disease and Mesenteric Panniculitis (MP) are considered to have autoimmune components. While having both is not extremely common, they can co-occur, as chronic inflammation from one autoimmune condition can sometimes be linked to or trigger other inflammatory responses in the body. MP, which involves inflammation of the fat tissue in the mesentery (the membrane that holds your intestines in place), is often discovered incidentally on scans, exactly as in your case. The fact that your medical team is already planning follow-up with a DEXA scan (to check bone density, common after a celiac diagnosis) and a repeat CT is a very proactive and prudent approach to monitoring your health. Many find that adhering strictly to the gluten-free diet for celiac disease helps manage overall inflammation, which may positively impact MP over time. It's completely normal to feel uncertain right now. Your next steps are to take this one day at a time, focus on the gluten-free diet as your primary treatment for celiac, and use your upcoming appointments to ask all your questions about MP and what the monitoring plan entails. This dual diagnosis is a lot to process, but it is also the starting point for a managed path forward to better health. This article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):    
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.