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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?  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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txgirl

So Sick! Is The Gluten Challenge Worth It?

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If you met me, you would never know that I am in ill health. When I try to explain it to people, they say, "Really? You look great to me!" However, on the inside, the part that no ones sees, I'm a mess!

I've had physical problems for as long as I can remember. Colic as a baby, ear infections and stomach pains growing up. Diagnosed with IBS at 19. Hospitalized for elevated liver enzymes at 21. Diagnosed low blood sugar at 25. Emergency gall bladder removal at 25. Diagnosed low thyroid at 28. Diagnosed Fibromyalgia and Chronic Fatigue Syndrome at 33. At 42 I suffered a heart attack due to prolonged emotional stress that caused a blood vessel to go into a spasm. Increasingly low Vitamin D for the past several years (my last test it was at 14). And on and on and on it goes.

My mother has hypothyroidism and lupus. I had a sister that died at 29 from complications of juvenile-onset diabetes.

Several years ago, I had a friend suggest that I might feel better on a gluten-free diet, so I tried it. It worked! Gone was the brain fog, headaches, constant nausea, digestive problems, etc. However, at the time, I didn't even know what celiac was, so I just continued on with being gluten free because I simply felt better. When I wanted to splurge on my past favorites, I would. But as always the familiar symptoms followed. About a year ago, I finally learned about Celiac. I tried many times to get back on gluten so that I could be tested, but always became ill. I finally made an appointment with a gastroenterologist that specializes in Celiac. He did gene testing and it came back positive for DQ8. He instructed me to do a gluten challenge for 4 weeks so that I could get an endoscopy done. However, 1 day into this and I am SO SICK.

What does it take to get an official diagnosis? And is it worth it to put my body through this? I only wish I had known to get tested before I went gluten free. Thanks for listening. I would so appreciate any input!

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I tried many times to get back on gluten so that I could be tested, but always became ill. I finally made an appointment with a gastroenterologist that specializes in Celiac. He did gene testing and it came back positive for DQ8. He instructed me to do a gluten challenge for 4 weeks so that I could get an endoscopy done. However, 1 day into this and I am SO SICK.

What does it take to get an official diagnosis? And is it worth it to put my body through this? I only wish I had known to get tested before I went gluten free. Thanks for listening. I would so appreciate any input!

If you really want to see if you can get a diagnosis, your GI can DX you based on:

(1) your symptom resolution from a gluten-free diet

(2) taking into account the positive genetic test

(3) your return of symptoms on the gluten challenge

(4) the many Autoimmune diseases in your family

(5) your own medical history (fibro is a blanket Dx for "muscle pain" and we hear it all the time)

Please, read this article and print it out. Dr. Alessio Fasano, one of the leading celiac researchers explains the better criteria for making a diagnosis.

http://celiaccenter....August 2010.pdf

In part, he says: “The biopsy, considered the diagnostic gold standard, has been recently questioned as a reliable and conclusive test for every case”.

I hope this helps you.

No matter what, if gluten makes you sick, stay off it. Dr. Fasano, Dr, Green et al. recognize gluten sensitivity as a real medical condition– and soon, everyone will follow suit.

Always–and I mean always!–get copies of any tests done and keep a file for yourself. This is very important. Trust me on this one.

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Thank you so much! That was extremely helpful!

Edited by txgirl

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Go with what IH says.

I lasted 3 weeks on the gluten challenge, long enough to make me sick for about 4 months, not long enough for blood tests or biopsy to be positive.

More enlightened doctors can diagnose on your history, less enlightened ones may be persuaded.

There is loads of advice here on making sure you avoid hidden gluten etc, and to get support.

I will not get a diagnosis until medical science advances. Currently I am 'Non Celiac Gluten Intolerance cannot rule out celiac'.

I will be gluten-free for life whatever doctors say.

Good luck

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There are many who will tell you it is not worth it to try and get a DX because like me, they would be so ill and incapacitated by the

end of the first week.

There are many who will tell you 2 weeks is enough to get a positive result.

There are others who will tell you 12 weeks (because that is what the Univ. of Chicago Celiac Center recommends on their website)

"There is an abundance of stories about people who begin a gluten-free diet, find that they feel better then decide they want a firm diagnosis of celiac disease.They are facing several problems. First, they may be gluten sensitive without the intestinal lesion of celiac disease. This is very likely since about twelve percent of the population is gluten sensitive, but only a little more than one percent of the general population has celiac disease. Another problem faced by gluten-free individuals who want a diagnosis is that it can take more than five years after returning to a regular gluten-containing diet before the characteristic damage of celiac disease can be seen on a biopsy.. Simply put, after beginning a gluten-free diet, only a positive biopsy is meaningful. A negative biopsy does not rule out celiac disease.

A variety of opinions have been offered regarding how much gluten, for how long, should result in a definitive biopsy. The reality is that no such recommendation is consistent with the medical literature.

Some people with celiac disease will experience a return of intestinal damage within a few weeks of consuming relatively small amounts of gluten. Such brief challenges are valuable for these individuals. However, many people with celiac disease or dermatitis herpetiformis will require much larger doses of gluten, over much longer periods, to induce characteristic lesions on the intestinal wall. Unfortunately for these latter individuals, a negative biopsy after a brief gluten challenge can, and often is, misinterpreted as having ruled out celiac disease. Blood tests can compound this problem. If, as seems likely, celiac patients who are slow to relapse are also the ones who develop milder intestinal lesions, they are the very celiac patients for whom blood tests are very unreliable."

That article is here:

http://www.celiac.co...-EdD/Page1.html

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I am going through pretty much the same thing as you (luckily no heart attack or organs removed, but I've been hospitalized more times than I can count in the past 12 years), and I've felt 100% better being off gluten. About a month ago I finally got in to see a gastrointerologist, and she convinced me that they need to do a scope and biopsy, and I'm halfway through two months of eating gluten before the test.

The first week I felt horrible. WAY worse than I ever felt while I was eating gluten. I still feel quite bad, but it's tolerable.... basically how I felt before. I'm fuzzy headed, have gastro upset, migraines everyday and can't feel my hands, but I can still function enough.

For me it is important for three reasons to know if it is celiac or not: 1) a significant portion of my extended family have the same problems as me, but refuse to try going gluten free because they don't want to be inconvienienced. If it IS celiac, they probably have it too, and maybe this will convince them to do what they need to do 2) I want to know if I'm seriously risking my health if I have very slight traces of gluten in my food and 3) The Italian government will cover a good portion of my grocery bill if I am celiac.

I think it is worth it to feel horrible for a few months, given the tradeoff. Mainly though, if it is celiac, I want my family to take care of themselves since they have the same thing going on with them as I have.

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If the gluten challenge for testing is worth it depends on how you think about it. If you need a piece of paper from a doctor's office to tell you not to eat gluten, then it is probably worth it. Be aware though that the results can still be negative even after a 3 month challenge. And if you develop a permanent issue from the challenge that doesn't resolve after going back to gluten-free then it may be a bad choice. None of us can tell you for sure that will or won't happen, it is risk you take though.

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If the gluten challenge for testing is worth it depends on how you think about it. If you need a piece of paper from a doctor's office to tell you not to eat gluten, then it is probably worth it. Be aware though that the results can still be negative even after a 3 month challenge. And if you develop a permanent issue from the challenge that doesn't resolve after going back to gluten-free then it may be a bad choice. None of us can tell you for sure that will or won't happen, it is risk you take though.

this

your body , your choice

I thought I needed an official diagnosis but ultimately when I " finally" got one it really did not make any differnce . My diagnosis did not make it any eaiser for my children or grandchildren to get an official diagnosis ( should have but did not ,, stupid, uneducated doctors :angry: ...)

Official or not the only treatment is a strict gluten free diet .

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this

your body , your choice

I thought I needed an official diagnosis but ultimately when I " finally" got one it really did not make any differnce . My diagnosis did not make it any eaiser for my children or grandchildren to get an official diagnosis ( should have but did not ,, stupid, uneducated doctors :angry: ...)

Official or not the only treatment is a strict gluten free diet .

Well said, Chill.

Nor did my official DX have any of my family members take it more seriously and get tested themselves.

I finally gave up urging them to do so--for my own sanity.

It should not be this hard to get a proper diagnosis, but sadly, it is.

Until that changes, people have to decide what's best for themselves.

No one needs anyone's permission to change his/her diet .

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Lmao at looking like you are fine. I went into a clinic for a second opinion on my blood work and the doctor looked at me and said "You don't look like you have celiac" what on earth is that suppose to mean? It is my intestines that are damaged not my exterior!

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Thanks everyone for your input and sharing your experiences with me!

Update: I thought that for my peace of mind I would try the gluten challenge and get the biopsy, but I didn't even make it two days. I became so ill that it simply isn't worth it. I refuse to do more damage to my body. Like most of you said, I could go through all this and it still not be long enough to produce a positive biopsy - especially since I have been gluten free for so long. I called and let me GI know and he agreed. He doesn't want me doing it if it makes me THAT sick.

What I keep reading all throughout the boards on this forum is "listen to your body". That's what I intend to do. Thanks again, everyone!

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Glad you made a decision. Good too your GI agreed making yourself so sick wasn't worth it. Hopefully your genetic testing plus response to gluten and diet might get you a diagnosis.

If not at least you know the way to go - gluten-free :)

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