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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Gastroenterology Psychiatrist?
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9 posts in this topic

Preparing for a doctor's appointment with a Gastro Psychiatrist this coming week. I am a celiac but doctor's are convinced that there is more going on. Had a time when I quit work and wasn't very active where I started feeing a little better. So started back to work and added more jobs and other responsibilities and have progressively been getting worse.

Can anyone shed some light on their experience with the Psychological connection to Celiac and if anyone has visited with this type of doctor and what your results were? Were you placed on a type of mood enhancer or psychological med that has helped you?

Your input is greatly appreciated as I seem to be digressing in many ways and could really use some support from other Celiacs. Thanks.

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Dang, I did not know that such an occupation even existed! But welcome, by the way, although I am pretty much a newbie here too. :)

I'd sure like to hear if others have experience good/bad with that type of therapy.... I feel a bit skeptical because it seems "It's in your head," is the most common thing some doctors say. Not ruling it out though, but like you, I'd just like to hear from someone who went through this.

I certainly sympathize with you ((hugs)), my doctor has just more or less given up on my continuing problems after deciding gluten was the cause. And of course many people in this forum tell me that it can take 1-2 years to heal, so I'm working on being patient!

How long has it been since your diagnosis?

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Dang, I did not know that such an occupation even existed! But welcome, by the way, although I am pretty much a newbie here too. :)

I'd sure like to hear if others have experience good/bad with that type of therapy.... I feel a bit skeptical because it seems "It's in your head," is the most common thing some doctors say. Not ruling it out though, but like you, I'd just like to hear from someone who went through this.

I certainly sympathize with you ((hugs)), my doctor has just more or less given up on my continuing problems after deciding gluten was the cause. And of course many people in this forum tell me that it can take 1-2 years to heal, so I'm working on being patient!

How long has it been since your diagnosis?

Yes, well my Gastroenterologists recommended this doctor because she was a Gastroenterologists and then went back to school to become a Gastro Psychiatrist because she is so convinced of the connection of brain and gut and knowing that it doesn't mean it's all "in your head". She truly understands it's NOT and that's why I'm praying that she can help me steer me in a better direction. I was unofficially diagnosed a year ago, but even though my blood tests just recently came back normal it is so evident that I am a celiac. I've been gluten free for almost a year now and just can't seem to get a step forward! I will keep you posted on how it goes and whether it will be beneficial to look into for other celiacs. Thanks for your {{hugs}} - they are much appreciated right now as I need other celiacs to help me get through this really hard place right now. It's amazing to me that doctor's don't know what to do with celiac. I know Jennifer Esposito (Jennifer's Way.org) has a specialist doctor that she sees regularly in NY for her treatment for Sever Celiac. There have got to be more Celiac specialist out there and we just need to find them. I also considering a Nutritionist to help me with my eating because I'm allergic to so much and lately everything I eat makes me feel badly. Here's hoping for relief for us both!!!

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What I understand regarding the nervous system and the GI system, is that they are interrelated. When one is not working, the other is not working and vice versa. Our guts produce more serotonin (the feel-good hormone) than our brains. (About 80% of the serotonin in our body is in the gut!!) So, naturally, it seems to make sense that when we are not feeling well it affects us mentally/emotionally. For me, I am much happier on days I am feeling best and symptoms are controlled. Are you still experiencing symptoms? If you are, perhaps when you have celiac is under control the psychological aspects will subside.

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Well, my symptoms got better after I detoxed but now they are getting worse and it seems like everything I eat has a negative effect. i am meeting with a specialist and having a colonoscopy this week as i have been having severe pain around my colon and other problems (sparing you the details). I would love to see things get back under control. Some days it is hard to keep pushing myself through my responsibilities. But I am going to keep fighting and hope for some help!

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So sorry to hear :( Yes, I agree. It's worth the fight back to health. I'm still working on my own, but I can't wait to feel better again. Whatever it takes!!! Keep pressing on!!!

Well, my symptoms got better after I detoxed but now they are getting worse and it seems like everything I eat has a negative effect. i am meeting with a specialist and having a colonoscopy this week as i have been having severe pain around my colon and other problems (sparing you the details). I would love to see things get back under control. Some days it is hard to keep pushing myself through my responsibilities. But I am going to keep fighting and hope for some help!

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we have a local nurse who is a celiac - she left her position as an emergency room doc and started a job educating people about gluten and helping people get through it. she speaks internationally on the topic, so i think she really knows her stuff. i went to her talk last week and have talked to her on the phone. she says that the antibody that a body forms in response to gluten is one of the few things that can cross the blood-brain barrier.

i have a cousin with schizophrenia so talked to her for quite a while about the mental health connection. she said she has seen people improve mentally - dramatically - when they went gluten-free (if they are celiacs.) so i went looking online and found a number of articles on the national institute of health's med library on the connection between mental health and gluten antibodies.

not sure if that helps you, but i hope it lets you know that it's not "just in your head" but might be coming from your small intestine. no idea, but i wonder if it says that you still have gluten coming from somewhere. another thing the nurse told me is that there are quality problems in having labs read tests - enough that she had me send my blood sample to Prometheus labs. The univ of chicago celiac center site recommends the prometheus labs and the mayo clinic. makes me wonder if your labs came back negative, i wonder if it was read by someone who knew what to look for. i hope you get some help from the doc!

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If you were gluten-free for a year your tests should have come back as normal, ie not celiac. The antibodies drop off when you stop eating gluten.

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I have never heard of this type of Doc but I think it's an Excellent idea. I would go if I knew of one in my area.

Not only are gluten issues related to depression but just having a disease can cause depression.

Wishing you well,

Colleen

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    • Hi Michael and welcome The celiac diagnosis process can be a little confusing. Some time ago I tried to put together some info and links that may be of help:    The key point would be to stay on gluten until you and your doctors are satisfied that celiac has been excluded. In your case that may include another test with a more complete panel as CyclingLady says above. If you go gluten free independently during this time you risk invalidating the results and adding to uncertainty. The second suggestion would be that should you succeed in eliminating celiac as a diagnosis then you have nothing to lose from trying the gluten free diet. I tested negative on blood and endoscopy, but removing gluten resolved or greatly improved a whole load of symptoms including anxiety, depression and that feeling of not being right that you outline above.  I say greatly improved because I can still suffer from anxiety or depression, as anyone can, but if I do, they're nowhere near as severe as they were when I was consuming gluten.  In the meantime, one thing you could do is to keep a food journal to see if you can track any relation between what you eat and how you feel. It's good practice for if you later try the gluten free diet and you never know what you may learn.  This is a good site full of friendly help and advice. I hope you get the help you need  
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