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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 Celiac.com's FREE weekly eNewsletter   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 What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes

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Hello! I'm so glad to have found this site...I swear I'm learning more from you guys than I do from my doctor! I guess I'll start by sharing my story. I'm 24 years old and was diagnosed with autoimmune hypothyroidism when I was 16. After I started taking thyroid medicine, I started to feel better and didn't really try to understand my condition much further than the medication (I was a junior in high school and it all kind of went over my head). A year later I started to have some rectal bleeding. The doctors told me I was fine. 2 years later I started to suffer from a terrible itchy rash on my scalp, back of my neck, buttocks, back and arms. The doctors have prescribed topical steroid creams and most of them help but don't get rid of it completely. Around the same time I started having anxiety problems. I had several panic attacks but never wanted to go on medication. i also started to have insomnia. The doctors thought my thyroid levels were off but I have them checked every 4 months or so and they are always normal or even low. In fact, Ive had dosage increases. About 2 years ago I started sleeping A LOT. I was always exhausted and would go to sleep at 7pm wake up at 7am and still be tired all day. After a few months of this cycle my insomnia kicked in. My body was still exhausted but I could not fall asleep (probably due to anxiety as well). I also started having stomach problems. I seemed to have to use the bathroom after every meal. Fast forward to present day and I'm still experiencing fatigue, insomnia, anxiety, skin rash, rectal bleeding (despite treating for 'hemhorroids' on multiple occasions), stomach problems and the list goes on really. I was finally alerted to celiac disease and it seemed that everything started to fall into place! I went to my endocrinologist and she ordered a celiac blood test along with several other autoimmune disorder blood tests. However, my bloodwork was all normal. The celiac test results were negative. I have Kaiser Permanente and I'm not entirely sure which celiac antibody tests they use but I do know that my doctor never contacted me I'm sure because everything was normal. But I'm almost positive my skin rash is Dermatitis Herpetiformis. Should I push for the skin biopsy and even the small intestine biopsy? Or should I just go gluten free and see if it helps me feel better?

Thanks for all your help!

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Get a copy of your lab results. They didn't call you because they were running late that day, the results didn't get to the doc to review, eat.

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I had Kaiser since the age of 14, and they missed my celiac diagnosis entirely! When I looked into the matter after finding out that I had celiac at the age of 47 (had to figure it out for myself...and the Kaiser gastro apologized profusely on behalf of all Kaiser doctors), I was told that Kaiser had NO doctors at the time who were very knowledgeable of celiac disease. I left and went to Blue Shield....and I'm much happier now. It could be that your doctor did not order the full celiac panel--in fact, I'm pretty sure he didn't. They truly do NOT know what they're doing with regard to celiac. I know I'm not supposed to diss a company....but a gastro who was the one expert at Kaiser was the person I contacted. He had moved on to private practice, but he informed me that I would find no help at Kaiser whatsoever...and he was right.

Follow through and ask if the full celiac panel was done. If the doctor has no idea what you're talking about, ask to be referred to a gastroenterologist. Alternatively, you can ask to be referred to a dermatologist and request a biopsy. However, the Kaiser dermatologists don't know that they need to biopsy the clear skin NEXT to a lesion and not the lesion itself. Good luck winning that argument! I have DH, and my skin is terribly scarred because the Kaiser dermatologists (lots of them) told me I just had a bad case of acne and treated it as such. If all fails, simply begin following a gluten-free diet, because you will probably regain your health if you do. And please continue to ask questions on this Forum--you'll learn a lot!

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I believe that normally at Kaiser the only test they routinely run is the tTG IgA.

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Thank you for your input! I am scared to see the dermatologist and I do feel that my doctors so far have not been very knowledgable about Celiac. I have seen a gastroenterologist with Kaiser about a year ago regarding my rectal bleeding. He performed a sigmoidoscopy and told me we were going to treat it like internal hemorrhoids because I'm so young and he didn't want to believe there was anything more seriously wrong. I thought it was kind of ridiculous. I wish there was a Celiac Specialist i could see within Kaiser! I'm starting to feel like none of them believe me :( I'm going to try to contact my doctor tomorrow and hopefully she can refer me to a better gastro. Thanks for all the help!

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Hi Cderbogh, You sound like you really have been suffering so I kind of hope you have celiac so you can get some help. I used to have Kaiser and I could look at my labs and my son's labs online at the patient site. Have you tried that? Makes it easier than the back and forth with nurses on the phone, faxes, etc.. I don't think Kaiser is any better or any worse than the average medical group but that means lots of missed celiac IMHO! My son was textbook celiac and I was told at Kaiser that he was tested and didn't have it. Turns out they only did a stool fat test. But you know I went to a PPO and the "specialist" I saw did the same thing.

No matter what, push for all the tests. And post here. They are better than doctors sometimes!

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So I requested my results to find out exactly which tests the doctor ordered, and there were 3

1. IGA

2. Tissue Transglutaminase

3. Gliadin IGA

However I did not receive numbers....just 'negative'. Is this the full celiac panel? I emailed my doctor and asked if there was a chance it was a false negative and she said yes and to follow up with a GI. I'm sick of feeling sick! Part of me wants to just eliminate gluten and see how I feel. I'm ready for this itchy rash to go away too!

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    • It's good to know it was of use, thanks for letting me know   All the best, Matt
    • Hi Matt,   Thank you very much for a thorough response. Your link seems to cover pretty much all the questions one might have in my current situation. I appreciate it.   Have a wonderful day, Lex
    • I am worried about the cost but I think having that test done would help me rule things out. Either way I need to see a G.I my issues are getting out of control.
    • Thank you for all the information. I am sorry for the late reply to everyone. I have been feeling worse and worse lately. Got the blood test results, it came back negative. Seeing a G.I specialist in three months (too long for me :/) I've been keeping a food diary and realize I feel worse after eating gluten. After the G.I I want to start the diet. I'm going to call him and see if I can get seen sooner. The bloodwork said theres no signs of inflammation and they don't suspect it to be autoimmune but they want me to do the diet anyway. I wish I had answers because my vision is getting worse, cramping, nerve pain and trips to the bathroom are amplifying. Meh. Also I have a vitamin d deficiency so I am taking d3 2000iu with vitamin b12. Thanks for the help! 
    • I'm sorry you are dealing with this. My son deals with food intolerances that are not identified by any biomarker as well. I hear the same response from doctors in that, "if the food makes him feel bad then it's probably best to avoid the food." (Thanks for your insight doc!) His symptoms are not dermatological though. His symptoms are mostly neurological and psychiatric with some bloating and mild digestive issues. He loses his mind quite literally if he digests gluten. Also develops what is known as a stereotypy, involuntary movement of hands. He is otherwise a normal child. We are unable to obtain any kind of diagnosis though.  I know you're avoiding a lot of foods right now, but don't get discouraged. It's just a way of life and you're doing the right thing. Right now we are avoiding foods such as soy, all types of grain, chocolate, dairy and nightshades. I have limited his iodine intake as well. I have personally found that gluten, iodine and soy cause intensely itchy blisters and joint pain for me. Perhaps have you tried cutting back on iodine intake?
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