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Diagnosis Question?


zip2play

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zip2play Apprentice

I had hiatal hurnia surgery and gall bladder removal in 2003. Since then I have had horrible gas/bloating, stools have become odd at best. I was diagnosed with IBS and have tried to eliminate diary and such that make IBS worse. I am also on Zelnorm. At the same time I have been tested for Thyroid issues because I have horribly fatigued all the time. I recently read an article on Celiac and I believe that is a more accurate description of what I have.

My question is, what tests should I have the DR run? Start with the blood tests? I have read that negative blood results are not necessarily accurate. So do I also request a biopsy?

I truly want to end my issues. Some days are horrible. My stomach hurts so bad I don't eat. Other days aren't too bad. But I am a MOM of 2 and I want to be able to function better. The fatigue is probably the worst of my symptoms. I seem tired all the time. I even sleep 7 to 8 hours a night. I exercise regularly so IMHO I shouldn't be this fatigued. I was labeled IBS in my opinion, b/c it was an easy diagnosis. But I want definate answers.

Anything you can tell me would be greatly appreciated!

Thanks!

Monica


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zip2play Apprentice

I am having problems finding this post???

jenvan Collaborator

You definitely have some celiac symptoms. The easiet route is to start with the blood test. Go here to see info on getting tested, it is an easy blood test most any doctor can have run. Don't let your doctor discourage you either--its your body! Open Original Shared Link Sorry for all your pain and discomfort! Keep up posted on your search!

zip2play Apprentice

I have done a little food testing of my own. I typically eat eggs for breakfast. Today I had 1/2 of a bagel with it. NOW my stomach is killing me! :unsure:

jenvan Collaborator

Just make sure if you get tested you are consuming gluten... meaning, don't go gluten-free for several weeks and then get tested--the results wouldn't be accurate.

zip2play Apprentice

Thanks! I had read you definitely need to be eating it at the time!

tarnalberry Community Regular
My question is, what tests should I have the DR run?  Start with the blood tests?  I have read that negative blood results are not necessarily accurate.  So do I also request a biopsy? 

<{POST_SNAPBACK}>

Getting tested is a good idea. Starting with the blood tests is the right way to go; the standard panel is anti-gliandin IgA, anti-gliandin IgG, total IgA, tTg (tissue transglutimerase), and EMA (endomyosial antibodies). Your doctor can look them up if need be. ;-) Do not go off gluten before the testing!


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zip2play Apprentice

Something else is, I am COLD all the time! I mean, COLD!?!?!

jenvan Collaborator

hmmm, are you anemia? that is a common symptom of anemia. and anemia is frequent with celiac.

Rachel--24 Collaborator

I get cold after I've been glutened. I'm not sure if its the gluten reaction itself or if its because gluten accidents affect absorption of my thyroid medication. Feeling cold is a sign of low thyroid.

zip2play Apprentice

My thyroid is fine. We had that tested earlier this year.

I spoke with my family DR. She doesn't feel qualified to test/treat this. She has referred me to a Gastro Specialist. Only problem is his first appointment is November 28th! Hopefully he can test me immediately!

Thanks for your help!

As for anemia, I have no idea if I have that?!?

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    • trents
      Welcome to the forum, @Connie Smitj! Can you give us a little more history about your celiac journey? How long ago were you diagnosed and how long have your been gluten free? Do you have other symptoms besides quick onset of hunger after eating and gut pain? How long have these symptoms being happening?
    • Connie Smitj
      I eat a gluten-free diet but hunger pains start within an hour of eating dinner. I  had h pylori infection before I was diagnosed. Occasionally I’ll have bouts of pain. Could it come back or is it just celiac disease?
    • trents
      Scott, am I missing something? For the TTG-IGA normal is anything 3 or less and his score less than 2. I think that one is in normal range. @Brown42186, if the GI doc is not interested in doing an endoscopy with biopsy of the small bowel lining based on the elevated TTG-IGG I would request a repeat on the bloodwork now that you have resumed gluten consumption again.
    • Joyes
      Interesting for sure. Have you heard of potential cross reactivity to casein (dairy), corn, milket, iats, rice, and yeast?
    • Brown42186
      Thanks for all the info! I'll see how my appointment next week goes. I think I'm going to push for having a blood test done again since I've been consistently eating gluten and go from there.
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