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Diagnosed with multiple food intolerances


Welshexport

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Welshexport Newbie

In Feb 2019 I was diagnosed with food intolerances after being on Omeprazol for 25 years . 

Wheat, Gluten, Gliadin, yeast, eggs, and milk protein casein.

I live in Germany and am getting no help after years of complaining I applied for a testing kit from York Lavatories UK. After asking for years here in Germany I had to do something the Doctors just kept telling me that all my problems were caused by a Hiatus Hernia and Herd. I had stopped eating all dairy products 10 years earlier 2009 and this helped but in 2013/I felt that wheat was a big issue. But nothing was done about it I had an gastroscopy in 2013 and 2016 for the hiatus hernia I told the Doctor about the intolerances but I was ignored. I have lost 16kg in the last 18 months now on weigh 67kg. I don't know what to do I am on a very strict diet but it hasn't helped with the symptoms if anything the intolerances are worse.

I don't know if this is relevant but I have intolerances to most artificial sweeteners.

Ant advice would be appreciated

Thank you

Richard

 


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cristiana Veteran

Hello Welshexport and welcome to the forum!  

Just one question first, are you a diagnosed coeliac?

Cristiana

trents Grand Master
(edited)

Welcome, Richard!

Yes, I agree with Cristiana. You need to have specific testing done for celiac disease. Celiac disease is not an allergy or an intolerance per se. It is an autoimmune disorder where inflammation in the small bowel lining is triggered by the ingestion of wheat.

There are two kinds of testing for celiac disease. The first is a blood antibody test: https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/ If the blood antibody testing produces strong positives then you can stop there and conclude that you have celiac disease. 

If the blood antibody testing in inconclusive then you should move onto the gold standard test which is an endoscopy (upper GI scoping) with a biopsy of the small bowel lining. Celiac disease damages the lining of the small bowel and this prevents efficient absorption of nutrients from the food we eat and often a host of bowel-related discomfort and effects such as gas, bloating and diarrhea. 

By the way, celiac blood antibody home test kits are available for purchase but I'm not sure what is available in Europe: https://www.testing.com/celiac-test/at-home/

Celiac disease typically results in the development of other food intolerances over time and there is a strong association between celiac disease and other autoimmune disorders such as thyroid disease and diabetes. 

And you must be eating regular amounts of gluten before any of the testing methods outlined above or the tests will be rendered invalid. Many make the mistake of going gluten free before testing.

Edited by trents
Scott Adams Grand Master

Welcome to the forum. I also wonder, were you gluten-free when you took the York test? What were the results? You do need to eat gluten daily until the celiac disease tests are completed.

Welshexport Newbie
12 hours ago, cristiana said:

Hello Welshexport and welcome to the forum!  

Just one question first, are you a diagnosed coeliac?

Cristiana

Hello Christiana

No not diagnosed I took my results to my Doctor and she just said I should see a Nutritionist.

I then spoke to my medical insurance here in Germany and they said that food intolerances were not an illness because they can be controlled through diet.

Richard

Welshexport Newbie
11 hours ago, Scott Adams said:

Welcome to the forum. I also wonder, were you gluten-free when you did the York test? What were the results? You do need to eat gluten daily until the celiac disease tests are completed.

Hi Scott

I wasn't gluten free I suspected I had problems with eating bread I stopped the dairy years ago. The York Test came back with the following intolerances scoring high in the red

Wheat gluten gliadin yeast egg yokes and casein milk protein. In the yellow were egg whites Buckwheat beef and some shell fish.

I honestly think that being on Omeprazol 40mg for 25years was disguising the fact that I had food intolerances. In 2013 I had an endoscopy and specifically asked to check for wheat intolerances but it wasn't done. 

I am fed up with my Doctor but I know that medical insurance has something to do with it.

So now I would like to have a blood test to check for celiac disease and to confirm the York Test results I don't know how reliable the company is but I do know that gluten and milk products make me ill I am off the Omeprazol 18months now as I was getting acid rebound.

Any advice would be appreciated

Thanks Richard

 

cristiana Veteran

Hi Richard

I think that because you have been on omeprazole for a while it would be a really good idea to rule out coeliac disease.   Here in the UK I have a couple of friends with gastric issues and coeliac wasn't even looked into initially - it took some time before they were offered endoscopies.  I know of one person who I believe just had their stomach looked at for ulcers and the scope went no further.  No samples of the villi were taken which to me is a great pity, because having gone to all the trouble to do an endoscopy, why not go the extra mile to rule out coeliac and take some samples of the villi?  Some of my coeliac symptoms are gastritis type pain, and might have been so easily written off with a gastritis diagnosis without looking any further.

I am attaching here a very important link from Coeliac UK which will talk you through how to get a coeliac diagnosis in the UK.   I realise you are in Germany, but I would imagine the system is pretty similar there. Unfortunately in order to test positive you will need to eat gluten containing foods for about six weeks prior to having the blood test.  It used to be said the equivalent of two slices of normal bread every day.   But, even if you have a negative blood test result after all that time, some people will opt to still have an endoscopy where  samples of the villi are taken, because a small number of coeliacs have negative blood tests, despite doing a gluten trial.   And even if all those tests are negative, you may still have a problem with gluten - it's called Non Coeliac Gluten Intolerance.  If the system is anything like that in the UK, a coeliac diagnosis in Germany should qualify you for annual blood tests, bone density tests etc as it is a medical condition - not a food intolerance.

https://www.coeliac.org.uk/information-and-support/coeliac-disease/getting-diagnosed/?&&type=rfst&set=true#cookie-widget

Do come back to me if you need any further info.

Cristiana

 


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    • trents
      I would ask the GI doc about the elevated IGA score of 401. That one is what we commonly refer to as "total IGA" and also known as "Immunoglobulin A (IgA)". It could be nothing but it can also indicate some other health issues, some of them serious in nature. I would google potential causes for that if I were you. Also, if there is a chance the GI doc will want to do more testing for celiac disease, either antibody testing or an endoscopy with biopsy, you should not cut back on gluten consumption until all celiac disease testing is done. Otherwise, you will invalidate the testing.
    • shell504
      Hello. I apologize. I didn't know there wasn't a standard.  The standard listed  for the IGA is normal range 47-310.  The others were all listed as <15.0 u/l is antibody not detected and 15> antibody is detected.  And the negative one the standard is negative.  It is a normal PCP dr. I do have a second opinion appt scheduled with a GI specialist in 2 weeks. Honestly, I haven't cut out gluten at all. I just switched to whole fibers and everything has been getting better. She wanted to do the test just to check, which I was fine with. We'll see what the GI dr says. Thank you for commenting. 
    • trents
      It is also possible that since eating the fries you have been glutened again during the week. I would double check the food in your cupboard and reread the ingredient lists. Food companies can and do change their formulations from time to time such that something that used to be gluten free is no more. What I am saying is, don't assume the distress you are experiencing comes from one incident of glutening. There could, coincidentally, be another one on it's heels. 
    • trents
      Welcome to the forum, @shell504! The IGA 401mg/dl is not a test for celiac disease per se but a check to see if you are IGA deficient. People who are IGA deficient will produce celiac blood test antibody scores that are artificially low which can result in false negatives for the individual antibody tests such as the TTG IGA. You did not include reference ranges along with the test scores and since each laboratory uses custom reference range scales, we cannot comment with certainty, but from the sheer magnitude of the IGA score (401) it does not look like you are IGA deficient. And since there are no annotations indicating that the other test scores are out of range, it does not appear there is any antibody evidence that you have celiac disease. So, I think you are warranted in questioning your physician's dx of celiac disease. And it is also true that a colonoscopy cannot be used to dx celiac disease. The endoscopy with biopsy of the small bowel is the appropriate procedure for diagnosing celiac disease. But unless there is a positive in the antibody testing, there is usually no justification for doing the endoscopy/biopsy. Is this physician a PCP or a GI doc? I think I would ask for a second opinion. It seems as though this physician is not very knowledgeable about celiac disease diagnositcs. Having said all that, it may be that you suffer from NCGS (Non Celiac Gluten Sensitivity) rather than celiac disease. The two gluten disorders share many of the same GI symptoms. The difference is that NCGS does not damage the villous lining of the small bowel as does celiac disease. NCGS is 10x more common than celiac disease. The antidote for both is complete abstinence from gluten. Some experts believe NCGS can be a precursor to the development of celiac disease. There is not test for NCGS. Celiac disease must first be ruled out. So, if it becomes apparent that gluten is causing distress and testing rules out celiac disease, then the diagnosis would be NCGS. Hope this helps. 
    • shell504
      I apologize i can't figure out how to get the picture on here.  Results were: IGA 401mg/dl Deamidated Gliadin IGG. <1.0 Deamidated Gliadin IGA. <1.0 Tissue Transglutaminase IGA AB. <1.0 Endomysial IGA. Negative.  Is she just going based off of the IGA alone? And because that is elevated, it's positive? The test states: "Results do not support a diagnosis of celiac disease." 
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