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Should I Try Again?


amymm

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amymm Newbie

Hello everyone. I will try and give a brief background. I am a 36 yo woman with three kids. I have had autoimmune thrombocytopenia (low platelet count) for the last 17 years. I also suffer from hypothyroidism. After the birth of my 2nd child in 2000, I started having lots of weird symptoms. I ended up in the ER 3 different times with severe stomach pains. No cause could be found.

I also had joint pain, pins and needles feelings, brain fog, anxiety, sleep problems, severe pains in my legs, etc. I really had too many symptoms to list. This is also when I was diagnosed with the thyroid problem.

I read about celiac and it's link to other autoimmune diseases. I was convinced this must be my problem! I asked to be tested and I found a GI doctor. He pretty much dismissed me, but to humor me, did the blood tests. They all came back normal. I realized later though that he didn't do the IgA deficiency test. I read that IgA deficiency is very common with thrombocytopenia!

I later found another doctor to do the endoscopy. The found mild something or other of the lamina propia. There was no mention of the villi. They told me I had IBS and gave me drugs I never took. I cried in their office and of course they dismissed me as a nervous, depressed female.

So fast forward to now. I took my youngest (16 months) to the pediatric GI for a problem and when he asked for a family history, he got really interested in me. He was upset to hear no one ever ordered an IgA deficiency test. He wants me to pursue further.

Here's my problem-I'm so done with doctors. I'm still suffering from so many of the same symptoms. I guess I've just learned to live with them. I hate to go through all this again to be told I'm depressed, or crazy or have IBS. Should I pursue this again? It's so hard to follow a diet when you haven't been given the diagnosis-most people just don't support your efforts. Any advice? Thanks!


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aikiducky Apprentice
Here's my problem-I'm so done with doctors. I'm still suffering from so many of the same symptoms. I guess I've just learned to live with them. I hate to go through all this again to be told I'm depressed, or crazy or have IBS. Should I pursue this again? It's so hard to follow a diet when you haven't been given the diagnosis-most people just don't support your efforts. Any advice? Thanks!

For what it's worth, I think you should pursue testing. It sounds like this doctor might be more knowledgeable? Also, if you indeed have celiac and you have been eating gluten all this time, it might be that the damage to your intestine has now progressed to the point that it's detectable. And the IGA deficiency thing is definitely worth checking out.

What you could do is start reading this board, and celiac.com, and find out more about celiac and the testing, so that you can keep an eye on the doctors to perform all the necessary tests. if you can, try to find a doc who specialises in celiac.

And last but not least, after all the testing is done, do try the diet to see if there is any improvement. It's not so hard to stick to a diet if it makes you feel better! :)

Pauliina

Guest nini

there are many people that go on this diet by choice simply because it makes them feel better.

If it will make you feel better to pursue further testing, do so, but keep in mind that the testing can only rule it in, not rule it out.

In my personal opinion, the best indicator is how your body responds to the gluten-free diet. You may or may not have Celiac, but you very easily could be gluten intolerant which cannot be determined by any testing, but only by dietary response. You do not need a Dr.s permission to be on the gluten-free diet and if you choose to do it and it makes you feel better, it is much easier to stick to if you see results. And give yourself a good 3 to 6 months on the diet before you make a judgement about if it's helping or not. You may not be 100% by that time, but you may notice a significant improvement in symptoms if you are gluten intolerant.

The only cure for Celiac is the gluten free diet anyway, AND if it's something else besides Celiac, the diet will not affect testing for other things.

Nancym Enthusiast

If you don't want to mess with the doctors only to be told your negative again, you might want to check into enterolab.com. He gets results of gluten sensitivity (casein and others too) much ealier than blood tests do.

I decided to go gluten free based upon a 2 week trial that made me feel like a different woman. But then afterwards I decided to get tested by Enterolab.com. Glad I did, I got the genetic info too and could pass that along to my siblings and their kids.

amymm Newbie

Thanks to everyone for the responses. I'm really just so burnt out on doctors. Some have been really great-others not! I know something is going on to cause my other autoimmune issues. I have had a lot of doctors just look at me and scratch their heads.

I did remember some more wording on my biopsy report. It said something to the effect of "infiltrate of the lamina propia". I can't find the report for the life of me!

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    • trents
      If you have been eating the gluten equivalent of 4-6 slices of wheat bread daily for say, 4 weeks, I think a repeat blood test would be valid.
    • englishbunny
      it did include Total Immunoglobin A which was 135, and said to be in normal range. when i did the blood test in January I would say I was on a "light' gluten diet, but def not gluten free.  I didn't have any clue about the celiac thing then.  Since then I have been eating a tonne of gluten for the purpose of the endoscopy....so I'm debating just getting my blood test redone right away to see if it has changed so I'm not waiting another month...
    • trents
      Welcome to the forum, @englishbunny! Did your celiac panel include a test for "Total IGA"? That is a test for IGA deficiency. If you are IGA deficient, other IGA test resultls will likely be falsely low. Were you by any chance already practicing a reduced gluten free diet when the blood draw was done?
    • englishbunny
      I'm upset & confused and really need help finding a new gastro who specializes in celiac in California.  Also will welcome any insights on my results. I tested with an isolated positive for deamidated IGA a few months ago (it was 124.3, all other values on celiac panel <1.0), I also have low ferritin and Hashimotos. Mild gastro symptoms which don't seem to get significantly worse with gluten but I can't really tell... my main issues being extreme fatigue and joint pain. The celiac panel was done by my endocrinologist to try and get to the bottom of my fatigue and I was shocked to have a positive result. Just got negative biposy result from endoscopy. Doctor only took two biopsies from small intestine (from an area that appeared red), and both are normal. Problem is his Physician's Assistant can't give me an answer whether I have celiac or not, or what possible reason I might have for having positive antibodies if I don't have it. She wants me to retest bloods in a month and says in the meantime to either "eat gluten or not, it's up to you, but your bloodwork won't be accurate if you don't" I asked if it could be I have early stage celiac so the damage is patchy and missed by only having two samples taken, and she said doctor would've seen damaged areas when performing endoscopy (?) and that it's a good sign if my whole intestine isn't damaged all over, so even if there is spotty damage I am fine.  This doesn't exactly seem satisfactory, and seems to be contrary to so much of the reading and research I have done. I haven't seen the doctor except at my endoscopy, and he was pretty arrogant and didn't take much time to talk. I can't see him or even talk to him for another month. I'm really confused about what I should do. I don't want to just "wait and see" if I have celiac and do real damage in the meantime. Because I know celiac is more that just 'not eating bread' and if I am going to make such a huge lifestyle adjustment I need an actual diagnosis. So in summary I want to find another doctor in CA, preferably Los Angeles but I don't care at this stage if they can do telehealth! I just need some real answers from someone who doesn't talk in riddles. So recommendations would be highly welcomed. I have Blue Shield CA insurance, loads of gastros in LA don’t take insurance at all 😣
    • trents
      Okay, Lori, we can agree on the term "gluten-like". My concern here is that you and other celiacs who do experience celiac reactions to other grains besides wheat, barley and rye are trying to make this normative for the whole celiac community when it isn't. And using the term "gluten" to refer to these other grain proteins is going to be confusing to new celiacs trying to figure out what grains they actually do need to avoid and which they don't. Your experience is not normative so please don't proselytize as if it were.
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