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Pain in the right side of abdomen


Mihai

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Mihai Rookie

Hello, I've just made my account today, but i've read lots of posts in the past that helped me throw the bad days.

I've been diagnosed with celiac 3 months ago (after 6 months of pain, gas, bloating, constipation, brain fog and fatigue) and i tried to be strictly gluten, corn, diary, soy (only 1 month) free. I also cut most of sugars, and other grains besides rice. I eat mostly veggies, fruits, fish, chicken, rice and quinoa. 

Sins then i've been back and forth with my symptoms as i had good and bad (more often) days . I learned that i need to be patient and give my gut time to heal, but for some time i have a continuously pain in lower right side of my abdomen, a pain that feels like i have a knife inside my gut. It gets worse after i eat and food arrives where small intestine meets the colon. I'm pretty sure i am gluten free and that i'm not experience any CC cause i have a food journal, the pain is a little different and i don't get fatigue, brain fog and depression symptoms.

Does anyone of you have this kind of pain? Is this a part of healing process? I should give my gut more time to heal or i should go to take some tests?


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plumbago Experienced

I would say give it more time, but first a couple of questions: Are you on any medications? Can you say more about the timing of the colon pain? Before or after you eat? Before or after a BM? Now I see that you say it is continuous. Is that really the case, or is it worse at times than others? My hunch is that you are on the right track, as many of your other symptoms have abated.

I used to have left sided pain, almost like a flank pain. Occasionally I still get it, and it is very associated with (sorry about this) an impending BM.

pikakegirl Enthusiast

I developed. A sharp pain like you describe but have been gluten free negative blood for 10 yrs. Had colonoscopy and sonogram of appendix with nothing abnormal. It stopped when i eliminated citric and ascorbic acid foids and addituves. No phycisian knows why i have this so no clinical name. Ii seemed gi because gas and bm made it sharper but i suspect it is urinary tract but possibly valve from sm gi to large?

Mihai Rookie
2 hours ago, plumbago said:

I would say give it more time, but first a couple of questions: Are you on any medications? Can you say more about the timing of the colon pain? Before or after you eat? Before or after a BM? Now I see that you say it is continuous. Is that really the case, or is it worse at times than others? My hunch is that you are on the right track, as many of your other symptoms have abated.

I used to have left sided pain, almost like a flank pain. Occasionally I still get it, and it is very associated with (sorry about this) an impending BM.

Hi plumbago, thanks a lot for answer. 

I don't take any medications, just probiotics, i use to take vitamin d supplements and some other natural treatments like turmeric, ginger, apple cider vinegar, etc.  The pain starts in the morning and doesn't stop till i sleep and it's only on the right side. Is not so hard the whole day, but 1-2 hours after eating is bothering me very serious. I'm not healed yet and i know there will be pain for another few months, but this is much hard then i expected, i'm in the same place with pain as i was when diagnosed. 

I have that flank pain also, i can feel it on my back right side also. Hope that there is no other issue..

Mihai Rookie
22 minutes ago, pikakegirl said:

I developed. A sharp pain like you describe but have been gluten free negative blood for 10 yrs. Had colonoscopy and sonogram of appendix with nothing abnormal. It stopped when i eliminated citric and ascorbic acid foids and addituves. No phycisian knows why i have this so no clinical name. Ii seemed gi because gas and bm made it sharper but i suspect it is urinary tract but possibly valve from sm gi to large?

thank you so much for the tip, i will try to eliminate all acid food also

  • 2 years later...
MrsCoeliac Newbie

Hello! I know this thread is old but I just wanted to add for anyone who looks at threads like this while waiting for tests etc like I did! I have just been diagnosed as coeliac and had a lot of right sided lower abdo pain! My colonoscopy was fine and all the pain is associated with being coeliac. Hope that might be reassuring! Hope everyone is staying well 🙂 

pokey449 Enthusiast

I have right sided upper pain that radiates to the back. I asked my doc if it might be my gallbladder but I have no sensory pain when i palpate the area. I think it might be gas or what they call hepatic flexure syndrome. Either way I’m having a CT of the abdomen to see what we can see to make sure there’s no nasty cause. 


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Scott Adams Grand Master

I recall that I had lower-right side pain until I was finally diagnosed and went gluten-free. It did take months for it to get better.

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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
      I called zero water and they state their filters do not contain gluten or gluten containing ingredients. 
    • trents
      I agree. Doesn't look like you have celiac disease. Your elevated DGP-IGG must be due to something else. And it was within normal at that after your gluten challenge so it is erratic and doesn't seem to be tied to gluten consumption.
    • 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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