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Abnormal bloods


Maggyanne

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Maggyanne Rookie

Anyone had raised serum amylase and MCV abnormalities prior to diagnosis. 


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cyclinglady Grand Master

Sure.  My MCV was....is really low.  I have an anemia called Thalassemia which has tiny red blood cells.  But tiny red blood cells can also indicate iron-deficiency anemia which is common with celiac disease due to malabsorption.    You can be like me and have both.  It is one reason celiac disease was overlooked in my case.  Doctors just assumed I was anemic due to my Thalassemia.  If big cells, you could have an anemia due to a B-12 deficiency.  Doctors look all several tests to help determine an anemia.  

https://www.ebmconsult.com/articles/lab-test-mcv-mean-corpuscular-volume-level

The other test can check, say, your pancreas.    This can also be a common symptom or indicator of celiac disease.  

Maggyanne Rookie
3 hours ago, cyclinglady said:

Sure.  My MCV was....is really low.  I have an anemia called Thalassemia which has tiny red blood cells.  But tiny red blood cells can also indicate iron-deficiency anemia which is common with celiac disease due to malabsorption.    You can be like me and have both.  It is one reason celiac disease was overlooked in my case.  Doctors just assumed I was anemic due to my Thalassemia.  If big cells, you could have an anemia due to a B-12 deficiency.  Doctors look all several tests to help determine an anemia.  

https://www.ebmconsult.com/articles/lab-test-mcv-mean-corpuscular-volume-level

The other test can check, say, your pancreas.    This can also be a common symptom or indicator of celiac disease.  

 

Maggyanne Rookie
1 minute ago, Maggyanne said:

Thanks for your answer.  It’s very frightening as I’m not officially diagnosed yet.  I did a home coeliac test which says it’s 97% accurate and I proved positive, also, from what I’ve read the blood tests also suggest it but as of now my doctor has said only that I probably have a pancreas problem and that’s frightened me to  death.  I see her next week to discuss my latest blood tests so we will discuss then.  It was the nausea and weight loss that took me to the doctors, I’d ignored all the other symptoms malabsorption, abdominal pain etc., as I’ve had bowel disease for years. 

 

cyclinglady Grand Master

It sounds like you are on track to getting a celiac disease diagnosis.  Let me assure you that if these two odd blood tests results are due to celiac disease, you can expect those results to normalize once you are gluten free and healed.   It will take time though because the diet has a steep learning curve and other organs can be affected.  Celiac disease is systemic and not not just impact your small intestine.  

  • 3 weeks later...
Maggyanne Rookie

Apart from a couple of mistakes I’ve been gluten free for a month now.  I still have issues with digestion.  Pain in my abdomen (like there is a blockage ) if I eat a big meal.  Small meals are fine, and I still get excessive wind and nausea.  Has anyone else had symptoms like these 4 weeks into going gluten free. 

cyclinglady Grand Master

Mistakes can set you back.  Remember, celiac disease is an autoimmune response.  Once triggered, it can go off for days, weeks or months.  Like my family member who has MS.  She would have severe flares that would last for six weeks or more.  

Time.  One month is not enough time to truly heal.  Most forum members report taking a year or longer to heal.  Took me at least a year and I really knew the diet well since my hubby had been gluten free for 12 years!  


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Crystall Newbie
9 hours ago, Maggyanne said:

Apart from a couple of mistakes I’ve been gluten free for a month now.  I still have issues with digestion.  Pain in my abdomen (like there is a blockage ) if I eat a big meal.  Small meals are fine, and I still get excessive wind and nausea.  Has anyone else had symptoms like these 4 weeks into going gluten free. 

A few small mistakes means that you’ve reduced gluten. To truly heal (which can take 2 years, sometimes more) you must be completely gluten free. You should continue eating gluten until you have the endoscopy to verify blood lab results. Going gluten-free before that than give you a false negative, same applies to blood lab work, you’ll have symptoms while you heal, they won’t just go away overnight. It was painful for your body while being damaged, there will be pain (not as often and severe hopefully, while your body heals. ANY amount of accidental gluten consumption will cause damage. 

So, going gluten-free must be 100%, not “mostly”. 

You may also have other food related issues, most ppl with an autoimmune disease have more than 1 issue. My daughter has celiacs, she is severely lactose intolerant, doesn’t tolerate legumes, corn, carrots and more. She even had to remove all gluten in cleaning supplies, hygiene, makeup and perfumes. She can’t even kiss a guy that eats gluten until he beushed his teeth and flossed.  She may be extreme but I’m telling you because you need to understand that if you are celiacs, keep eating normal until you’ve had the endoscopy (unless doc says your antibodies are thru the roof, no confirmation necessary, they’re doing endoscopy to see how extensive damage is). Once it’s been confirmed you must commit to being 100% gluten-free, no cheating!!! Also, educate yourself about cross contamination and gluten”stacking” with gluten-free products. Gluten free does not equal gluten free for celiacs patients!!

best of luck to you!!!

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    • trents
      Welcome to the forum, @Tyoung! It is possible that you are experiencing some kind of gluten withdrawal but I would thing that would have started to subside by now. There are a couple of possibilities that come to mind. One is the polysaccharide ingredients that are typically found in prepackaged "gluten-free" wheat flour facsimile foods. If you read the ingredient lists of such foods you will usually find things like guar gum and xanthan gum. Their function is to give the product a texture similar to wheat flour but they are hard to digest and give many celiacs digestive issues. I mention this not knowing if you are relying on prepackaged gluten free food items to any extent or are just choosing carefully from mainstream naturally gluten free food items. Another is that your body is just going through adjustment to a major dietary change. Wheat is a significant component to the typical western diet that supplies certain nutrients and some fiber that has now been withdrawn suddenly. Are you experiencing any constipation? Also be aware that foods made from gluten-free flour are typically devoid of nutritional value. Wheat flour is mandated by government regulations to be fortified with vitamins but gluten-free flours are not. It can be smart to compensate for this with vitamin and mineral supplements. Still another possibility is that in addition to being gluten intolerant, your also have other food intolerances. One small study found that 50% of celiacs reacted to dairy like they do gluten. That number may be on the high side in reality and more research needs to be done. However, it is true that dairy intolerance is very common in the celiac community. Another common "cross reactive" food is oats. There are certain foods whose proteins closely resemble gluten and cause the same reaction. About 10% of celiacs react to the protein "avenin" in oats like the do the protein gluten. You might try eliminating dairy and oats for a few weeks and see if your symptoms improve.
    • Tyoung
      Before my diagnosis I would consider myself pretty much asymptomatic other than a few flare ups of what I previously thought were ibs symptoms. After having iron deficiency as well I had a positive blood test and EGD. I have now been gluten free for about a month but my symptoms have gotten worse. I now have bloating, acid reflux, and pain in the upper abdomen on and off most days. I am pretty positive I am not being glutened as we overhauled our whole house to be gluten free and haven’t eaten out since the diagnosis. Has anyone else experienced a worsening of symptoms after going gluten free? Will it subside? Or is there something else I should be concerned about. Thank you! 
    • RMJ
      That is strange.  Other pages talk about testing. The one thing I like about GFCO is that the handbook for their certification process is available on their website.  I may not agree with the whole process, especially the reduced testing, but at least I can see what the process is. I wish the other certifying organizations would publish their processes. GFCO 2024 manual
    • RMJ
      GFCO does not require testing of each lot, so the “periodic laboratory analyses” fits their requirements. They say testing is done by certified bodies.  I’m not sure what that means for an Italian company. The GFCO requirement is less than 10 ppm.  Other gluten-free certifying companies may use other limits.
    • cvernon
      Thanks for the info on Nuts.com! Looks like they are certified by GFFP which has a 5ppm limit, which is awesome. I was looking on the GFFP website ( https://glutenfreefoodprogram.com/gluten-free-certification-manufacturing/ ) as I was curious about what their certification requirements are, and stumbled on an odd statement. On a page where they're explaining the benefits of getting a certification through them, it says "No mandatory gluten testing requirements." Ummm, what?! I've included screenshots and a link below to where that information is. I've also emailed GFFP to try and get additional info on what that statement actually means, and what requirements (testing, audits, ingredient tracing) if any manufacturers have to go through to obtain/retain a certification through them. They're endorsed by The National Celiac Association so you'd sure think that GFFP would be requiring 3rd party testing for their certification, but at this point not much would surprise me with these gluten-free certifying companies. https://glutenfreefoodprogram.com/gluten-free-certification-manufacturing/
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