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No Bowel Movement Since Diet Change


Holls

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Holls Newbie

Is this normal? (Sorry if this is the wrong category to post on.) 

It was like a switch got turned on for celiac disease. Anything would make me have diarrhea, even a drink. I recently got my genetic testing from 23&me and I paid for the health testing. I'm so glad I did bc I then figured out I had the gene for celiac disease. My question is, I changed my diet to gluten free 3 days ago, and I have yet had a bowel movement!!! Is this normal? I am not used to not having the urge to go to the bathroom after a meal. 


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Holls Newbie

I forgot to add my symptoms started about 13 years ago. 

trents Grand Master

Welcome to the forum, @Holls!

You say you paid for the health testing. What do you refer to by "health testing"? Genetic testing cannot be used to diagnose celiac disease but only to establish the potential to develop celiac disease. about 40% of the general population has one or more of the genes connected with celiac disease but only 1-1.5% ever develop active celiac disease.

Have you been formally diagnosed with celiac disease through blood antibody testing or through an endoscopy with biopsy of the small bowel lining?

If you could give some clarity with regard to your diagnosis we can proceed to deal with your bowel movement questions.

  • Scott Adams changed the title to No Bowel Movement Since Diet Change
Holls Newbie

@trents The 23andMe Genetic Health Risk* Reports tell you if you have genetic variants that may increase your risk of developing certain health conditions. 

This is what was said for Celiac Disease: You have a slightly increased risk of developing celiac disease based on your genetic result. 1 variant detected in the HLA-DQB1 gene. 

Although this is not considered as professional advice nor a formal diagnosis, I am just assuming this what was wrong with me for all these years. So I decided to change my diet and my symptoms were cleared. 

I hope this helps. 

trents Grand Master

Before you continue very far into your gluten free diet experiment, let me encourage you to seek out standard celiac disease blood antibody testing. The symptoms you describe could easily be due to something besides celiac disease and your constipation could be due to the removal of the fiber you were getting from wheat products. You could have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms with celiac disease but is 10x more common. There is no test for NCGS. Celiac disease must first be ruled out. The difference between the two is that celiac disease damages the villous lining of the small bowel whereas NCGS does not. I think you owe it to yourself to get proper testing done for celiac disease so that you can have a clearer idea of what you may be dealing with. Realize that if you embark on a gluten free diet now and decide to have testing done for celiac disease you would need to go back to eating generous amounts of gluten for a period of weeks in order for the testing to be valid. Any physician can order the blood antibody tests and here are the tests I would suggest:

Total IGA

TTG-IGA

DGP-IGA

DGP-IGG

Holls Newbie

@trents Thank you for the info. I will look into this. This is helpful. Thank you for the time you put into my post. 

trents Grand Master

Here is a primer for understanding blood antibody testing for celiac disease: 

The normal diagnostic process involves two steps. The first is to have the blood antibody testing done first. These can be ordered by a primary care doc. If any of the tests run turn up positives, there is typically a referral to a GI doc who will order and endoscopy with biopsy to check for damage to the villous lining of the small bowel. This is the second step of testing. It is important to continue eating regular amounts of gluten (foods with wheat, barley and rye in them) for weeks leading up to either test. Note, the several antibody tests I suggested in my post above would constitute a fuller "celiac panel" but many primary care docs are not very knowledgeable in this area of medicine and may only order the TTG-IGA test. So, it is important to be politely assertive to get thorough testing done. The total IGA test is very important as if someone is IGA deficient it will drive all IGA test scores downward and may generate false negatives in other IGA tests.


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Beverage Rising Star

While you are following the advice of the above very knowledgeable people, you might want to try adding some vitamin C and magnesium to help things move along. If you've been undiagnosed with celiacs and had intestinal issues also, you are probably low on a lot of nutrients. 

On vitamin C, docs that know anything about supplements will tell you to increase dose to bowel tolerance, i.e., increase until it gives you soft stools or diarrhea, and them back off a little until things are hokey pokey.

On magnesium, do a search on "magnesium for constipation"  I can't recall which form of magnesium works best for that, but it may be beneficial for you.

Taking both won't hurt, but I'd advise trying out one at a time and noticing results.

 

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    • trents
      Yes, I'd like to know also if a "total IGA" test was ever ordered. It checks for IGA deficiency. If you are IGA deficient, it will likely render the individual celiac IGA antibody tests invalid. Total IGA goes by other names as well:  Immunoglobulin A (IgA) Test Serum IgA Test IgA Serum Levels Test IgA Blood Test IgA Quantitative Test IgA Antibody Test IgA Immunodeficiency Test People who are IGA deficient should have IGG tests run as well. Check this out:    I am also wondering if your on again/off again gluten free experimentation has sabotaged your testing. For celiac disease testing to be valid, one must be eating generous amounts of gluten for weeks/months leading up to the test.
    • Scott Adams
      I’m so sorry you’re going through this—it sounds like you’ve been on a really challenging journey with your health. Your symptoms (stomach pains, bloating, low iron, joint pain, brain fog, etc.) do sound like they could be related to gluten sensitivity or another condition like non-celiac gluten sensitivity (NCGS). It’s interesting that your bloodwork hasn’t shown celiac markers, but the lymphocytosis in your duodenum could still point to some kind of immune response or irritation, even if it’s not classic celiac disease. The fact that your symptoms improved when you went gluten-free but returned when you reintroduced gluten (especially with the donut incident) is a pretty strong clue that gluten might be a trigger for you. It’s also worth noting that symptoms can be inconsistent, especially if your body is still healing or if there are other factors at play, like stress, cross-contamination, or other food intolerances. Do you have more info about your blood test results? Did they do a total IGA test as well? 
    • KDeL
      For years, I have dealt with various gluten related symptoms like stomach pains, bloating, IBS-C "ish" digestive issues, low iron, low Vit D, joint pains, brain fog, and more. I finally got a double scope and stomach looks clear, but I have some lymphocytosis of the duodenum. I am wondering if this sounds familiar to anyone, where I have not shown celiac red flags in bloodwork IGA tests. WIll be following up soon with GI Dr, but so far, my symptoms are intermittent. I go back and forth with gluten-free diet (especially this past year.... did two tests where the stomach pains I had went away without gluten in diet. HOWEVER, I added it back a third time and I didn't get the pains)   Anyway, I am so confused and scared to eat anything now because I recently had a few bites of a yeasty donut and I immediately got so sick. Any thoughts??
    • Peggy M
      Kroeger has quite a few Gluten free items.  Right now they are redoing my Kroeger store and are adding everything into the regular sections.  Since this was done some new ones have been added.  Publix and Ingles also have great selections. I actually shop Walmart and Food City to since prices on some items vary from store to store.
    • Scott Adams
      Sorry but I don't have specific recommendations for doctors, however, starting out with good multivitamins/minerals would make sense. You may want to get your doctor to screen you for where you different levels are now to help identify any that are low, but since you're newly diagnosed within the past year, supplementation is usually essential for most celiacs.
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