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Undiagnosed, Completely New To Celiac/gluten Issues


emilykay405

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emilykay405 Rookie

Found the site doing Celiac/Gluten Intolerance research today. So glad I found it! 

 

A little background. I'm 29 yrs old, I've had bathroom issues off and on since I was at least in high school. I can remember preempting most school days with an Imodium. Over the years I have had some issues, but nothing major. That's all changed now though. 

 

I was diagnosed with Sjogren's Syndrome in December, 2012. Thankfully, I only had to complain about fatigue for a month or so before I was sent to an internist and then a rheumy. The Sjogren's was confirmed by a lip biopsy in May, 2013. 

 

During this time my normally very very regular (I'm talking 2 hours after I eat I'm in the bathroom regular) bathroom habits started to go awry. On my worst days I'm going 6+ times a day and can go from constipation to diarrhea within the day. I still have near constant joint pain that's not responding to anything but Prednisone (which I refuse to continue due to side effects) and I have brain fog a few days a week.

 

The internist did a ton of blood work, too. My iron was/is low, however, it was determined that I have thalassemia (small red blood cells)  and that caused a false positive for anemia. I'm also chronically low in Vit D, I've done two 6 week mega doses and take 1,000 IU nightly and STILL have low normal counts. Other vitamins, I'm not sure but I take B vitamins like crazy and rarely get the pick me up from them. 

 

I saw a GI doc last week and he's ordered a colonoscopy and endoscopy. What pushed me over the edge to see the 'guts' doc (as my primary so eloquently put it) was the liquid diarrhea (if TMI, sorry) that didn't respond to OTC meds, not feeling hungry, random nights of horrible heartburn (again, doesn't respond to OTC meds) and a major upswing in abdominal pain. He did blood work and said everything was normal except for the inflammation markers. It's my understanding that any inflammation showing on blood work could be from the Sjogren's, but may also be from Celiac or other inflammatory bowel diseases. 

 

A couple of months ago I started having "near fainting" (docs term...not mine) episodes after eating lunch, specifically after meals containing lost of gluen. The first thing my primary thought was an issue with my heart or blood clots from deep vein thrombosis making their way to my lungs. I'm betting though that there's no thrombosis and I've confirmed with an echocardiogram that my heart is good. Has anyone had near fainting or fainting issues after eating gluten? I read online that it's not necessarily a symptom, but thought I'd ask. 

 

Ugh. So all of this has lead me to self diagnose gluten intolerance and jump through the necessary hoops to test for Celiac. I would love to dump gluten completely this instant but I'm impatiently waiting for a confirmation either way before I do. 


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I think you are on the right track. I would be surprised if they don't give you a positive diagnosis for celiac. Although there are other conditions that can cause your symptoms. I'm interested in hearing the results of your "guts" investigation. It certainly is warranted. You've put up with extreme symptoms for long enough, and you are too young to go on like this. If it is celiac, or non-celiac gluten sensitivity, then ditching gluten could prevent lots of future illness. It might even help your Sjogren's symptoms.

 

You might want to consider sublingual vitamin D and B12 and some of the other B vitamins. Also the liquid forms of minerals and fat soluble vitamins. With all your gut malfunction it could be solid tablets and food just is not being absorbed. You can get little bottles of vitamin D3 that you just put a drop under your tongue once a day. Also, sit in the sun a few minutes per day (without sunscreen).

 

Vitamin D needs to be balanced by vitamin A.  I take cod liver oil twice a day and I can feel a difference. Nordic Naturals makes a cod liver oil that actually tastes good. Also some of the minerals are needed to properly absorb and use vitamin D. You can get some of these in liquid form too.

 

With all the problems you are having it is important to pay attention to iodine. Celiac can cause thyroid issues and these could be related to chronic iodine deficiency, but that is not something the doctors test you for. They wait til your thyroid is so damaged you start having bad numbers on the blood tests.

 

I recommend getting a good book on vitamins and minerals. No matter what the tests find, I think you will benefit from doing a little research into what deficiencies you could be experiencing. The best thing is to find the cause of your digestive problems and fix that. Likely it will be gluten. Eliminating gluten will improve your digestion and you should ideally get all your nutrition from food, But if you are behind on some of the nutrients, you might want to supplement until you catch up.

 

This is a lot of overwhelming information coming at you . Take it one day at a time. Remember to relax and have some fun every day, if you can. Things will rapidly improve for you once these puzzle pieces start coming together.

emilykay405 Rookie

Thanks so much for the support! I hadn't considered going to liquid vitamins, but I will give it a try. It makes sense that I can take so much in pill form and not see results in blood work or feel much of a difference with the B vitamins if my absorption is off. I'll definitely keep this post updated with results.

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    • trents
      Welcome to the celiac.com community, @ainsleydale1700! First, it is very unlikely, given your genetic results, that you have celiac disease. But it is not a slam dunk. Second, there are some other reasons besides having celiac disease that your blood antibody testing was positive. There are some diseases, some medications and even (for some people) some foods (dairy, the protein "casein") that can cause elevated celiac blood antibody test scores. Usually, the other causes don't produce marginally high test scores and not super high ones. Having said that, by far, the most common reason for elevated tTG-IGA celiac antibody test scores (this is the most common test ordered by doctors when checking for celiac disease) is celiac disease itself. Please post back and list all celiac blood antibody tests that were done with their scores and with their reference ranges. Without the reference ranges for negative vs. positive we can't tell much because they vary from lab to lab. Third, and this is an terrible bum steer by your doc, for the biopsy results to be valid, you need to have been eating generous amounts of gluten up to the day of the procedure for several weeks.  Having said all that, it sounds most likely that you have NCGS (Non Celiac Gluten Sensitivity) as opposed to celiac disease. The two share many common symptoms but NCGS is not autoimmune in nature and doesn't damage the lining of the small bowel. What symptoms do you have? Do you have any blood work that is out of norm like iron deficiency that would suggest celiac disease?
    • ainsleydale1700
    • Scott Adams
      HLA testing can definitely be confusing. Classic celiac disease risk is most strongly associated with having the full HLA-DQ2 or HLA-DQ8 heterodimer, which requires specific DQA1 and DQB1 genes working together. Your report shows you are negative for the common DQ2 and DQ8 combinations, but positive for DQB102, which is one component of the DQ2 pair. On its own, DQB102 does not usually form the full DQ2 molecule most strongly linked to celiac disease, which is likely why your doctor said you do not carry the typical “celiac genes.” However, genetics are only part of the picture. A negative gene test makes celiac disease much less likely, but not absolutely impossible in rare cases. More importantly, both antibody testing and biopsy are only reliable when someone is actively eating gluten; being gluten-free for four years before testing can cause both bloodwork and intestinal biopsy to appear falsely negative. Given your positive antibodies and ongoing symptoms, it may be reasonable to seek clarification from a gastroenterologist experienced in celiac disease about whether proper gluten exposure was done before testing and whether additional evaluation is needed.
    • Aretaeus Cappadocia
      I agree with your post and have had similar experiences. I'm commenting to add the suggestion of also using nutritional yeast as a supplement. It's a rich source of B vitamins and other nutrients, and some brands are further supplemented with additional B12. I sprinkle a modest amount in a variety of savory recipes.
    • ainsleydale1700
      Hi, could someone help me understand the result of my gene test? DQ2 (DQA1 0501/0505,DQB1 02XX): Negative DQ8 (DQA1 03XX,DQB1 0302): Negative The patient is positive for DQB1*02, one half of the DQ2 heterodimer.  The doctor said I don't have Celiac genes.  I asked him to clarify about my positive DQB1*02, and he said it's a gene unrelated to Celiac.  I have all the symptoms and my bloodwork is positive for antibodies, despite being on a gluten-free diet for the past 4 years.  He also did a biopsy but told me to continue a gluten-free diet and not eat gluten before the biopsy.  Based on the gene test and biopsy (which came back negative) he ruled out Celiac, leaving me very confused.    
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