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Blood Test Results


nhite

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nhite Newbie

I've had abdominal pains for the last 20 years. I have had discoid lupus for 31 years (I'm 37). I've had several symptoms of Gluten Intolerance and not known it. Have seen my GP for 2 years with blood work every 3 months, the latest round has been checking the beta carotine levels (even the lab tech had to look it up). I finally see a chiropractic neurologist for some unrelated pain and he thought the rash on my arms was similar to a gluten rash, not lupus. He ordered the celiac panel. One test came back positive. The Gliadin AB IGG was a 31 (greater than 30 is a moderate to strong positive). I saw my GP today as recommended by the chiropractor. My GP thought he had ordered the panel (until I told him no) and he said the result was minimal and unlikely a gluten intolerence but if I wanted he would refer me to a gastro (I saw him last year for a colonoscopy, endoscopy, and small bowel series, diagnosis: IBS). Also, my GP said that since I didn't have water blisters on the rash, it couldn't be related to gluten but he could refer me to a dermatologist. (oh, I don't have the weight loss by any stretch of the imagination, if anything, it's a major gain)

I don't know what to think. I'm tired of being at my GP's mercy. I know there's something wrong (more than lupus). I've been trying to eat gluten-free but after seeing my GP, I had Pizza Hut breadsticks! (wrong choice but it was good). Now my arms are starting to itch.

Does anybody have any advice for me? I don't really care to go back to the GI Dr. He was nice enough but I can't say I'm overly confident about seeing him and I don't know that I trust seeing a derm that my GP recommends or not.

Please help!

Natalie


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Guest jhmom

Hi Natalie, welcome :D

I was also told I had IBS for over a year, my GI doc performed every test known to man and they all came back negative, except the endoscopy which showed "patchy inflammation" but it still was not enough for him to accept Celiac as my diagnosis. I finally ordered a stool panel test from enterolab.com and it came back positive and I immediately started a gluten-free diet and could tell a difference within a couple of days, my abdominal pain was going away!

I do not know much about DH but I am sure it could be mistaken for the lupus rash. If I were you since one of your test results was positive you could always try the gluten-free diet to see if your abdominal pain improves as well as the rash. OR you may be able to find another GI doc which specializes in Celiac but that is only if you want to continue consuming gluten for additional test he/she may want to perform but if not try the diet!

Ironically my doctor suspects I have Lupus too. So far 2 of my blood test have come back positive and I have 6 of the symptoms from the criteria list?!?!? All this related, could be I guess, who knows!!!!!!

I hope you get answers soon and begin to feel better!

travelthomas Apprentice

Natalie,

I would suggest the gluten free diet before wasting too much time and money on doctors. A year ago people suggested that I get tested for parasites because of all my travels to third world countries. This winter, while down in Mexico, I had my blood and stools tested in a lab run by Italians. Because I am so careful about what I eat I knew what the results would be. Negative for any parasites. In Mexico those test cost me $42 U.S. :D

A gluten free diet is a healthy lifestyle anyway. On a brown rice, chicken, fish, and vegetable diet, it is really hard to put on weight. Just look at the billions of people who live on such a diet. Then look at the millions of people who live on a gluten diet. Who do you think looks healthier? :lol:

Good luck! B)

lauradawn Explorer

the IGG test can signify other things too, not just Celiac. I don't know much about DH but I agree form my understandding it can be very similar to lupus, but for different reasons. IT will be interesting to see what they find out, but here's another suggestion. If your rash is acutally DH, a biopsy of the rash will diagnose you Celiac. You wouldn't have to see a GI for the dx. If you have Dh you have Celiac.

nhite Newbie

Just an update to last week's message. I went back on a gluten diet after 3 days off and I have an unbelievable rash now. I have an appointment with an internist on this coming Friday so I kind of want to keep the rash going a bit so he can see it. I did have an allergist appointment yesterday and she agreed that it looks like gluten and did a biopsy right away! I am so excited that I'm not imagining this and that there's another Dr. who agrees with me. Depending on what the internist says, I will be drafting a letter to my GP explaining why I'm dumping him and probably going to see the other physician in the office!

Natalie

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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
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      Okay went online to check green mountain k cups .It was said that the regular coffees are fine but they couldn’t guarantee cross contamination.with the flavors. im trying to figure out since I eliminated the suyrup so far so good. I’m hoping. thanks it feels good to listen to other people there views.
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