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Uncertain diagnosis


Rebeccaj

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Rebeccaj Rookie

So I have been diagnosed four years ago with celiac disease but I had endoscopy four years later and had fexofenadine also before skin test come back negative . Also negative for inflammation and celiac in stomach but I was on gluten free diet only so now I am having gluten for 6 weeks for this endoscopy but only feeling bloated stuffy and just headache but then someday nothing I'm confused  can it disappear or be 6 false positive on the blood test ?? As now in pickle as government has started paying me has this happened to anyone else.i have wait 6 weeks find out . Like symptoms have been there and just the inflammation and symptoms was there but nothing ATM  only panic attack but delayed not instantly.

 

 


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Scott Adams Grand Master

So you are on a gluten challenge to be re-tested for celiac disease, and this is because you tested negative before? Since you have such bad symptoms may I ask why the official diagnosis is so important?  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.

 

You can still have celiac disease with negative blood test results, although it's not very common: 

Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/ 

Seronegative Celiac Disease - A Challenging Case:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/ 

Enteropathies with villous atrophy but negative coeliac serology in adults: current issues:
https://pubmed.ncbi.nlm.nih.gov/34764141/ 

 

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    • Scott Adams
      Yes, this sounds right. Let us know when you find out your results.
    • ChrisSeth
      Hi thanks for your response! This is the only other info that’s on my test results for the IgA. The initial testing performed in the Celiac Disease Reflex Panel is the total IgA. If the total IgA is <10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgG Antibody and the Deamidated Gliadin Peptide IgG Antibody. If the total IgA is >=10 mg/dL, the reflex test that will be ordered is the Tissue Transglutaminase IgA Antibody. Does that give some insight?  following up with my Dr early next week… thanks again.  And I didn’t eat more gluten than usual during the last 6-8 weeks on purpose. Just a normal diet prior to testing. I had gluten everyday for 6-8 weeks though I’m sure.
    • Scott Adams
      Have you tried sheep's milk and goat's milk cheeses? After my diagnosis I could not tolerate cow's milk for ~2 years until my villi healed, but for some reason I did not have issues with sheep milk or goat milk cheeses.  I also had temporary issues with chicken eggs, but could eat duck eggs.
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