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Five Year Post Diagnosis Endoscopy


cyclinglady

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cyclinglady Grand Master

Great news!  I have have joined the “Peter club”!  My villi are healed!  The gluten free diet is working! 

I was diagnosed around 4/2013 with only a positive DGP IgA and a Marsh Stage IIIB (moderate to severe villi damage).  My main symptom was anemia which I recovered from in just a few months with iron supplements.  Minor symptoms persisted the first year as I discovered food intolerances (e.g. Xanthan Gum) and worked with known intolerances  (lactose, garlic, mushrooms, eggs, etc).  Many intolerances resolved (and some did not) as I healed.  A year later, I was diagnosed with diabetes and further modified my diet (fewer carbs, more fats, less sugar, even from grains).  I did well.  

I did not return to my GI and instead worked with my PCP.  I never had my antibodies tested after my initial diagnosis to see if they were coming down (bad move).   I did get a bone scan after I experienced some fractures and was checked for nutritional deficiencies.  I stupidly assumed that my antibodies would always be elevated like my thyroid antibodies have been for 20 years.  I strongly recommend annual check ups for celiacs.  

Over the years,  My DGP IgA levels were off the chart tested after hidden gluten exposures.    My symptoms were severe and were not consistent which prompted my visits to my new GI.  I would recover, though it took months....like 6.  

In January 2017,  I think I was glutened again (I had not eaten eaten out for a year except at 100% gluten-free restaurants ), and I ate mostly unprocessed foods.  I had a tooth infection, tooth extraction, flu and a cold all in a span of one month.  I developed chronic hives that last for six months.  So, I went back to my GI (off the charts DGP IgA).   My allergist blamed my Hashimoto’s or an undiagnosed autoimmune issue, my PCP just mentioned how I am always chronically inflamed.  My GI offered an endoscopy, but I declined.  Instead, I opted for a slightly modified Fasano diet.  I did not give up coffee! 

Finally, I was still having abdominal issues, so I requested the endoscopy for the first week in January.  Why is my DGP IgA always elevated?  Where was I getting gluten?  Heck, my hubby has been gluten-free for 17 years, so I know the diet.  He was okay though there are some things he never eats and I do.  Am I super sensitive or am I developing another AI issue?    Maybe since I have other antibodies (thyroid) floating around, I should discard this test result (not much research for post diagnosis testing issues).    I was driving myself crazy.  So, I needed to know for sure what was going on.  

This time, my new GI had a newer scope.  I was shown the results (photos)  while in recovery.  You could could  see the villi as the magnification was that strong).  I did have a stomach polyp which was removed and biopsied.  The pathologist reported no damaged in my duodenum, and that the polyp was not cancer and no H. Pylori.  He noted chronic gastritis (this explains my stomach pinching sensation and indigestion, etc.)

I was advised to continue my gluten free diet.  I assume my stomach is still healing as my antibodies are no doubt still elevated (off charts in 4/2017 and 80 in 11/2017) though hopefully lower than 80.  

I am now considering giving up coffee for a while and looking into foods that will help heal the gastritis since I react to so many different medications (anaphylactic) and each medication must be carefully monitored.  Oddly,  did not have gastritis when I was  initially diagnosed.  

I am happy to be a part of the Peter club!    I plan on staying on the modified Fasano diet until my stomach has healed (though I did eat some homemade (Xanthan Free) cookies over the holidays).  I am also happy to report that my HA1c (diabetes test) was in the normal range!  Yes, normal, not even prediabetic!  So, it is possible to mange Type II diabetes without drugs.  

I typed this on an iPad, so expect errors.  I probably made a few mistakes regarding times too, so expect a few tweaks here and there by the end of the day.  

 

 


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Jmg Mentor
31 minutes ago, cyclinglady said:

Great news!  I have have joined the “Peter club”!  My villi are healed!  The gluten free diet is working! 

You deserve it! I always find myself reading your replies to others because there'll always be some good info, a practical solution or just some uplifting positivity in there. It must be all that Californian sunshine making its way through your posts, whatever, you deserve some good news and I'm glad you've got some. 

This:

34 minutes ago, cyclinglady said:

 I am also happy to report that my HA1c (diabetes test) was in the normal range!  Yes, normal, not even prediabetic!  So, it is possible to mange Type II diabetes without drugs.  

Is also brilliant and inspiring in equal measure. :)

 

Awol cast iron stomach Experienced

Happy News! Congratulations your hard work and dedication is inspiring to all. Stay "Peter" Strong our dear Cycling Lady :) 

icelandgirl Proficient

Wow! I am thrilled for you!  Great news! I am so glad that you updated us, that is so inspiring.  ?

If I may ask, what have they recommended for the gastritis? I may have that...not sure.  Gastro agreed to do labs first, just in case my gluten reactions have changed...so I don't know.  But I don't want any of the medications.

Thanks and great job!

tessa25 Rising Star

Congratulations!! I'm very happy for you! :D

RMJ Mentor

:) Congratulations!

Wheatwacked Veteran

A great milestone for you! 


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squirmingitch Veteran

Yes! You did it! You hung in there through thick & thin. Great going CL.

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
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    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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