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7 months on and no improvement


nataliet24

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nataliet24 Rookie

Did anyone else have biopsy results like mine im only 22 years old and it scares me to think I have so much damage and that it won’t repair itself as I have been gluten free for 6 months now and seen no improvement at all apart from not being as bloated I still have stomach pain every day I’m scared I’m going to end up with refractory coeliac can I have some positive stories please  

 

results were. 

This is suggestive of total villous atrophy and an increased number of intraepithelial lymphocytes. Endoscopically we saw scalloped duodenal folds all suggesting this patient has got coeliac disease. 

 

Sounds very scary to me 


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Ennis-TX Grand Master

First lets go over your eating habits, living environment/cooking place. Have you read the newbie 101 thread? Some stuff has to be replaced or risk CC with your new gluten free food. IS the whole house Gluten Free or do you share it with gluten eaters? Also you should not eat out as your playing Russian roulette. A single exposure can keep antibodies raised for for weeks, although this varies from person to person.

For me the first year was hard, I kept messing up, making mistakes of what was and what was not safe. By example I was told couscous was gluten free by someone at a buffet when asking what I could eat...no it is not. I also lived in a shared house and my family kept on eating gluten, cooking with flour, and Cross contaminating my food, condiment jars, and cooking equipment. I eventually had to move out to a dedicated place as my family would not help take precautions and further complications made it dangerous for other reasons.

I have been doing good for years, few mistakes when I tried to eat out, or chanced trying a new food. Heck right now I am dealing with another non gluten issue that is more painful but less debilitating...long story. Anyway, give it time to learn the diet, stick to whole foods, go over everything your doing and keep a food dairy to track down other issues.

It is not uncommon for us to develop other food intolerance...by example the tips of your villi will produce the enzymes to break down dairy...so dairy intolerance is going to a issue to deal with for awhile til it heal. Alot of celiacs react to oats and have to remove them. There are other foods you might develop a sensitivity to or intolerance to as your damaged gut will make breaking them down hard and makes it easier to have a immune response to them.  Stick to whole foods for now, cook stuff soft and tender like stews, soups, tender roast, soft cooked eggs porridge. Make it easy on your gut, consider your intestines to be carpet burned or raw...avoid spices, rough abrasive foods, acidic foods.

You might need to supplement for awhile with B-vitamins, Magnesium, vitamin D etc. with the damage your only absorbing a fraction of then nutrients you eat.

cyclinglady Grand Master

Ennis offered excellent advice and insight.  I do not think I can add more except that with time, you can heal.  Six months is such a short time.  It takes most celiacs a year or more.  Why?  dietary mistakes are made.  That is normal!  You have a lot to learn.  But it gets easier, I promise.  You can get well.  Odds of you getting refractory celiac disease are super, super rare.  In fact, many GI’s were misdiagnosing celiac patients with refractory celiac disease.  It turns out that the majority were just getting gluten exposures.  I guess the average GI think eliminating gluten is easy and that you can master it in just a few weeks.  

Hang in there.  No more bloating.  That is a sign of healing.  ?

 

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    • trents
      I would ask for a total IGA test (aka, Immunoglobulin A (IgA) and other names as well) to check for IGA deficiency. That test should always be ordered along with the TTG IGA. If someone is IGA deficient, their individual celiac IGA test scores will be artificially low which can result in false negatives. Make sure you are eating generous amounts of gluten leading up to any testing or diagnostic procedure for celiac disease to ensure validity of the results. 10g of gluten daily for a period of at least 2 weeks is what current guidelines are recommending. That's the amount of gluten found in about 4-6 slices of wheat bread.
    • jlp1999
      There was not a total IGA test done, those were the only two ordered. I would say I was consuming a normal amount of gluten, I am not a huge bread or baked goods eater
    • trents
      Were you consuming generous amounts of gluten in the weeks leading up to the blood draw for the antibody testing? And was there a Total IGA test done to test for IGA deficiency?
    • jlp1999
      Thank you for the reply. It was the TTG IGA that was within normal limits
    • trents
      Welcome to the forum, @jlp1999! Which IGA test do you refer to as being normal? TTG-IGA? Total IGA? DGP-IGA? Yes, any positive on an IGA or an IGG test can be due to something other than celiac disease and this is especially true of weak positives. Villous atrophy can also be cause by other things besides celiac disease such as some medications, parasitic infections and even some foods (especially dairy from an intolerance to the dairy protein casein). But the likelihood of that being the case is much less than it being caused by celiac disease.
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