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How Long Do I Wait?


Terch

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Terch Apprentice

Hi,

I am so grateful I found this site! I had an endoscopy 3 weeks ago and don't get into to see the doctor until the 13th of October. I waited until after the scope to start gluten free and have been on it faithfully for 2 weeks and still feel lousy. I am not sure that I have celiacs but I do know that he was going to biopsy my small intestine to test me for it. I think that if i had celiacs or something more serious i would have had a call from my doctor. I also think it sounds to me that not all labs know what to look for. And I am considering using enterolab if I get negative results from my GI Guy. Can anyone tell me how long until i might feel some small relief and or if they had any similiar experience with Canadian doctors and lab results and the time frame. I also want to know if my symtoms sound like anyone elses so I will give a small history. Thank you so much to anyone that could helpl.

I was diagnosed with ibs as a 14 year old and have never done well with any of the ibs drugs. I started on Nexium in March and have used motillium for the past 5 years with no real improvement. In Feb. of this year i started with a lot of upper gi symptoms, constant burping and stomach gurgling and intestinal discomfort. like some battle going on in the intestines and I am losing since i can't pass gas very easily. Since I turned 40 almost 6 six years ago my health has been in a decline. I have gone from having energy and working out to not doing anything this year at all. I must say though that the decline has been cyclical, I do well for a few weeks and then boom I am back at zero. I know am just in a constant state of fatigue. Extreme fatigue and muscle aches joint pain and stomach issues. I don't have diaharrea all that often usually just after I eat too much dairy. I do get nasueas a lot and this gassy thing that drives me crazy. I have also gone dairy and soy free as well as gluten free. I am positive that I have not ingested any gluten at all since I am only eating what I make at home and only eating chicken and rice and veggies as well as gluten free foods from my health food store. ie puffed rice cereal and brownie!!!

Thank you again to anyone that can help me.


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CarlaB Enthusiast

Welcome!

I have had digestive symptoms all my life, too. I ended up having a negative biopsy, but had been gluten-free before, and did a six week "gluten challenge". I ended up being tested by Enterolab. I am gluten intolerant, yet had the "classic celiac" symptoms of weight loss, diarrhea, etc. also bruising, joint pain, fatigue, brain fog, and I'm sure I'm forgetting some ... I'm 43 btw.

I've been gluten-free since last December, and was mostly gluten-free for six months before that and mostly wheat free for four years. I'm still feeling rough. Because of all the inflammation for so many years, the stress our family has been under for the past 5 years, and I have found out that it is likely all my strenuous exercise has not helped, I am suffering from adrenal fatigue in addition to the gluten intolerance. Now that I'm treating it, too, I am starting to feel better. My doc says it will be another year till I'm back to normal.

It's good that you're off dairy and soy as well. It takes time to heal, and sometimes there's more to it than "just" one intolerance or "just" one issue. Food diaries are a very good idea. Give it time, two weeks is not very long.

Terch Apprentice

Hi Carla,

Thank you so much for responding. It's so odd since I have the bruising and I am also suffering from adrenal fatigue. My Naturopath said that my adrenal glands are completely depleted! I didn't know if that was a real thing or not. I am sorry that you have been under so much stress for the past few years. It's not easy dealing with stress at the best of times let alone when you physically aren't feeling well. I was thinking that maybe all this that I am feeling could be attributed to perimenopause since I am confident that I have started in that direction. How were you diagnosed with adrenal fatigue? My Naturapath took my blood pressure which is low while i was sitting down and then had me stand midway through it and it dropped by 15 more points, she said it should rise with my standing and not drop. Anyway I guess that you are right that two weeks in not very long, but in some of the celiac sites i looked at many of them said you should notive an improvement within days and that is not happening for me. I think that I am scared that I will feel like this forever. I know that the longer something lasts the LONGER something LASTS. Well I will try to be patienet. Do you have any upper GI symptoms and I have lost 15lbs this past year and don't have enough weight on me to lose that much. I have been underweight all my life and when you hit mid forties you need a little extra to round out the face!!!

Many Thanks.

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   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.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
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    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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