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  • Scott Adams
    Scott Adams

    Scott Adams' Story of His Diagnosis of Celiac Disease

    Reviewed and edited by a celiac disease expert.

    During my doctor visits my diet was never discussed, even though most of my symptoms were digestive in nature.

    Scott Adams' Story of His Diagnosis of Celiac Disease - Image: CC BY 2.0--NIHClinicalCenter
    Caption: Image: CC BY 2.0--NIHClinicalCenter

    Celiac.com 07/25/1996 (Updated: 12/29/2020) - Like many people with celiac disease (it's an autoimmune disease and not a wheat allergy or the same as gluten sensitivity, gluten intolerance, or sensitivity to gluten), I spent a lot of years and money and endured many tests and misdiagnoses before doctors finally discovered that I needed to avoid gluten (including all gluten containing ingredients). Gluten is a protein found in gluten containing grains that include wheat, rye, and barley, and is often hidden in processed foods. To treat my celiac disease I had to go on a gluten-free diet for life, which meant that I had to learn to read food labels, and I ate mostly naturally gluten-free foods like meats, fruits, nuts, vegetables, gluten-free breads, and foods that were labeled gluten-free or made using gluten-free grains. My symptoms, which included weight loss, abdominal pain (especially in my middle-right section while sleeping), bloating, and long-term diarrhea, slowly disappeared.

    Because of the large variety of symptoms associated with celiac disease, and the fact that many celiacs have few or no symptoms, diagnosis can be very difficult, which is why is still takes an average of 6-10 years to get diagnosed. Most medical doctors are taught to look for classic symptoms and often make a wrong diagnosis, or no diagnosis at all. During my doctor visits my diet was never discussed, even though most of my symptoms were very typical, and greatly related to food digestion. A simple (and free!) exclusionary diet would have quickly revealed my problem. An exclusionary diet involves eliminating wheat, rye, oats, barley, dairy products, soy and eggs for several weeks, and recording any reaction as you slowly add these foods back into your diet.

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    Unfortunately it took my doctors over two years to make a diagnosis, and during that time I was misdiagnosed with Irritable Bowel Syndrome (IBS), told that I could have cancer or a strange form of Leukemia, treated for a non-existent ulcer with a variety of antibiotics that made me very ill, and was examined for a possible kidney problem. I also underwent many unnecessary and expensive tests including CAT Scans, thyroid tests, an MRI, tests for bacterial infections and parasites, ultrasound scans, and gall bladder tests. Ultimately the only reason I every got my diagnosis was because I ended up reading something about it in a book on nutrition, which led me to ask my doctor to be screened for it. I was finally diagnosed via a  blood test for celiac disease, followed by a biopsy of my small intestine (which is not as bad as it sounds). 

    A full recovery took me 2-3 years, and during that time I also had temporary food intolerance issues to things like dairy (casein), corn, tomatoes, and chicken eggs. During the 1-2 year time period after going 100% gluten-free I was thankfully able to add those things back to my diet.

    I created Celiac.com to help others avoid a similar ordeal. I also want to provide people who know they have the problem with information which will improve their quality of life, and broaden their culinary horizons. To do this, I have compiled information from a large variety of sources including medical journals, books, doctors, scientists, and news sources, and posted it all right here. Many of our articles are written by medical professionals such as nurses, doctors, and other celiac disease experts.



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    Vicrob

    I’d like an add that thanks to knitty kitty I have found benfotiamine very helpful with neuropathy, but buy the right one. It isn’t cheap but it’s good. I’ve found this site so helpful. Doctors don’t know enough about vitamins and minerals. It should be part of their integral training. GPs, (general Doctors we see here in the U.K.) had never heard of gluten ataxia. This is why 10 years to diagnose and lots of money spent on irrelevant tests/referrals is the norm in U.K. Lucky for me I self diagnosed and my GP listened and authorised my referral to an ataxia centre. 

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    kerey knapp

    hi. I am newly diagnosed with Celiac last week. Still trying to wrap my head around it.  25 years ago, I was diagnosed with Crohn's. My Dr. said it's rare to have both so he was pretty certain I did not.  My blood work was off the charts.  I'm having a colonoscopy and endoscopy next month.  I'm now wondering if I was misdiagnosed 25 years ago.  2 years ago, I did a weight loss program (Optivia).  I worked great!  Part way through I noticed my Crohn's was gone.  no more stomach issues, bathroom issues, nothing.  Fast forward to present time.  Over the last year and a half, I gained my weight back (shocking), and all my issues returned and even some fun new ones.  Brain fog, fatigue, not sleeping, weight gain, pad of foot has a numb area, never hungry, just feel full 24/7, just to name a few.  I went to the Dr. because I needed to sleep!  Then I threw my 30 other things at him.  My Dr. asked about my bm's. How many times a day do I go.  O geez. Um..... depends on the day.  5-20? My blood count came back saying I was not having a Crohn's attack.  So he wanted me to test for Celiac and a wheat allergy.  Back to the Optivia weight loss program.  Well, come to find out why I did so well is a lot of the foods are gluten-free!  So, I believe I have had this for at least 2 years if not longer.  

    I'm hoping this site can help me figure out what I can eat :)

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    trents

    Welcome to the forum, @kerey knapp!

    This article might help you get started. Some of the precautions it mentions to avoid cross contamination in shared kitchens and avoiding gluten in topical personal hygiene products might be unnecessary depending on how sensitive to gluten you are but the basics will apply to everyone. The biggest challenge and greatest danger is eating out where you don't have much control over how foods are handled back in the eatery kitchen.

     

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    knitty kitty

    @kerey knapp,

    Be sure you continue eating a sufficient amount of gluten before the endoscopy next month (4-6 slices of bread or equivalent a day).  

    If you go gluten free now, your blood antibodies will disappear and your intestines won't show as much damage from Celiac Disease.  Make sure the doctor takes several biopsies because the damage can be microscopic. 

    Ask your doctor to check for nutritional deficiencies, too.  celiac disease causes malabsorption of essential nutrients which can contribute to Celiac symptoms.

    Keep us posted on your results.

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    trents

    Ditto to what knitty kitty said about postponing the gluten free diet until after your endoscopy/biopsy is done. Very important!

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    kerey knapp
    1 hour ago, knitty kitty said:

    @kerey knapp,

    Be sure you continue eating a sufficient amount of gluten before the endoscopy next month (4-6 slices of bread or equivalent a day).  

    If you go gluten free now, your blood antibodies will disappear and your intestines won't show as much damage from Celiac Disease.  Make sure the doctor takes several biopsies because the damage can be microscopic. 

    Ask your doctor to check for nutritional deficiencies, too.  celiac disease causes malabsorption of essential nutrients which can contribute to Celiac symptoms.

    Keep us posted on your results.

     

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    kerey knapp

    Oh no!  I found out last Tuesday and have gone gluten free.  And I'm doing so great! And i misspoke, my appt is end of October.  The nurse told me I could eat a piece of bread daily for the month of October.  Is that not going to be enough?!  OMG.  I do not want to go back to being in the bathroom 22 times a day.

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    knitty kitty

    If you're not eating sufficient gluten, before the antibody tests, they can be negative.  You need to be eating 4 - 6 slices of bread per day for at least two weeks prior.  The more the better to provoke a reaction.

    3 grams of gluten a day is enough to cause symptoms but is not enough to cause the antibody level to get high enough to show up in the bloodstream.  You have to be eating 10 grams of gluten per day to get the antibody levels up.

    Three grams of gluten is roughly a slice or two of bread.  Ten grams is five to six slices.  Different gluten containing products have different amounts of gluten.  Cakes and cookies don't have as much gluten as chewy breads like thick crust pan pizza crust.

    People with anemia, diabetes or Thiamine deficiency can be seronegative.  

    These are reasons people go undiagnosed (and suffering) for years and years.  Many doctors and nurses are unfamiliar with the most up-to-date information on testing.  

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    trents

    You still have plenty of time to begin a proper "gluten challenge". No, one piece of bread a day is not near enough. I know that is not what you want to hear. But what you don't want to have happen is a negative biopsy and wind up with a result that conflicts with your antibody testing from the bloodwork. If you want, you can go gluten free up to about one month before the endoscopy/biopsy and then begin the gluten challenge in earnest.

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    Ginger38
    33 minutes ago, knitty kitty said:

    If you're not eating sufficient gluten, before the antibody tests, they can be negative.  You need to be eating 4 - 6 slices of bread per day for at least two weeks prior.  The more the better to provoke a reaction.

    3 grams of gluten a day is enough to cause symptoms but is not enough to cause the antibody level to get high enough to show up in the bloodstream.  You have to be eating 10 grams of gluten per day to get the antibody levels up.

    Three grams of gluten is roughly a slice or two of bread.  Ten grams is five to six slices.  Different gluten containing products have different amounts of gluten.  Cakes and cookies don't have as much gluten as chewy breads like thick crust pan pizza crust.

    People with anemia, diabetes or Thiamine deficiency can be seronegative.  

    These are reasons people go undiagnosed (and suffering) for years and years.  Many doctors and nurses are unfamiliar with the most up-to-date information on testing.  

    I just started the gluten challenge on the 19th. My biopsy and colonoscopy and EGD is scheduled for September 27th. Is that a sufficient amount of time of consuming gluten to get a reliable biopsy? 

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    trents
    3 minutes ago, Ginger38 said:

    I just started the gluten challenge on the 19th. My biopsy and colonoscopy and EGD is scheduled for September 27th. Is that a sufficient amount of time of consuming gluten to get a reliable biopsy? 

    Absolutely! Just make sure you consume 4-6 slices of bread daily or the gluten equivalent up the day of the procedure. 

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    Ginger38
    12 minutes ago, trents said:

    Absolutely! Just make sure you consume 4-6 slices of bread daily or the gluten equivalent up the day of the procedure. 

    Okay good, thank you so much! It’s hard to know if it’s enough if it’s not just breads I’m eating. Does it matter what kind of bread or if it’s lite bread with less carbs? 

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  • About Me

    Scott Adams

    Scott Adams was diagnosed with celiac disease in 1994, and, due to the nearly total lack of information available at that time, was forced to become an expert on the disease in order to recover. In 1995 he launched the site that later became Celiac.com to help as many people as possible with celiac disease get diagnosed so they can begin to live happy, healthy gluten-free lives.  He is co-author of the book Cereal Killers, and founder and publisher of the (formerly paper) newsletter Journal of Gluten Sensitivity. In 1998 he founded The Gluten-Free Mall which he sold in 2014. Celiac.com does not sell any products, and is 100% advertiser supported.


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