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Self Diagnosed...now What?


Mom-Dude

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Mom-Dude Newbie

I stopped eating wheat products last August at the suggestion of a friend and felt much better. My blood tests in September though were "inconclusive" according to the MD. I have not seen the actual reports. After seeing the GI for a pre-endoscopy appt, I was told I'd have to go back to gluten for 4-6 weeks. I only made it two days before I was in such pain I went back to a gluten-free diet. Now that I've discovered gluten sensitivity though, I'm wondering if there are other tests I should have, or dietary supplements I should be taking? Is it OK to just acknowledge g sensitivity or do I need to pursue positive testing for celiac? From reading this forum, it seems that I should be asking someone for a bone density test. Which kind of MD do I go to for that? My own MD asked me which blood tests they needed to perform... didn't make me feel very confident.

Thanks!

Lori


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taneil Apprentice

No one every said that you need a doctor to tell you that you should avoid something. If you have a diet that is working for you and you are feeling good on it than just go with it and don't worry about a dx unless you need one for another reason.

If you want a dx, (I don't blame you if you do) You could do the enterolab stool test which says it is sensitive enough to pick up gluten even after it has been eliminiated some times for up to 2 years. There website is www.enterolab.com It is none invasive and a test you do at home and then send it back to them. I would recommend the gene test and stool test. If the stool test comes up clear it may be because you have been gluten-free. But if the gene test shows that you have the gene that Celiacs have then you can know that you are probably gluten senstive from how you were before going gluten-free.

Another thing to note is some doctors dx celiac disease by using a gluten challenge, which sounds like you did and are sensitive.

By the way, your doctor may not know very much about celiac disease, but be happy he was willing to ask what tests you need. A lot of doctors won't even admit they don't know something like that. The blood tests probably won't show anything because you have been gluten-free to long.

Hope this helps :)

tarnalberry Community Regular

I've opted not to go any further than dietary challenge. And due to the few occasions where I have gotten "glutened", I've come to recognize the response my body has (it's different the first time, as opposed to how I am if I constantly eat gluten... it's an interesting pattern), so I'm comfortable with a dietary challenge having determined this. And my GP is willing to take it as a confirmation as well. Some of my other doctors are more skeptical, but I don't really care, as it's up to me to manage it, not necessarily my asthma doc or the like.

I'm not sure about other tests, as I haven't looked into it as much as I should...

plantime Contributor

I agree with Tiffany. My doctor accepted the dietary challenge, now it is up to me to eat right for me. Even if my doctor had not accepted it, the outcome would have been the same. I had already changed my diet, was feeling better, and refuse to go back.

So, Now What? Now eat right for your body, and take care of yourself.

Mom-Dude Newbie

Thanks for the reinforcement folks - I guess I'll just continue on my road of trying to learn a little more every day. This site certainly helps with that! Last night I printed a list of gluten-free products that I found here...Wow! 42 pages of food that I CAN eat :P

Blessed be,

Lori

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    • trents
      You got some bum steers my friend. I have little confidence that you can trust your test results as differentiating between NCGS and celiac disease. And I think you would be much more likely to have gotten that note you need if you had been diagnosed with celiac disease. But believe me, I understand the predicament you are in with regard to the risks of repeating the gluten challenge. We have heard this story many times on this forum. People experiment with the gluten free diet before getting an official diagnosis and then cannot tolerate the gluten challenge later on when they seek an official diagnosis.
    • Jason Hi
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      How long was your gluten challenge? I hope it was longer than a week. If not, your testing was likely invalid. Recently upgraded guidelines call for the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat bread) for at least two weeks prior to either the blood antibody test draw or the endoscopy/biopsy. And if you had been gluten free for all those years, you likely had lost any tolerance to gluten you may have had when consuming it regularly. That's probably why it was such a tough sledding experience. Before I was diagnosed, I had very minor GI symptoms. Now, after many years of being gluten free, I get violently ill for hours if I get a good slug of gluten, like when I got my wife's wheat biscuits mixed up with the gluten free ones she made me.
    • Jason Hi
      "Commit in a serious way to the gluten-free diet"....I've been Gluten-free since 2008. That's why I was so sick and had to take nausea and bloating medications during the gluten challenge week prior to the upper gastrointestinal endoscopy performed by the gastroenterologist. The "younger" doctor (the internal medicine who did the blood test), said the antibodies should remain in your system and you don't have to eat gluten (i.e., blood test last year). Hence my posting on finding a good doctor.
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