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chasing4

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chasing4 Rookie

At the end of last year one of my daughters, Skye was throwing up a lot. Our family doctor put her on Prevacid and it helped for a little bit and then she would get really sick again. It would go back and forth for a while until me and my husband decided something needed to be done. We called our doctor back and he wanted us to take her to see a GI. We did a couple months ago.

He did some blood work and found some levels elevated in her bloodwork. He did an upper GI and colonoscopy to check everything out. He found inflammation in her small intestine and did a biopsy. On Monday, the office called and the biopsy came back negative for Celiac's so he's saying it might be Gluten sensitivity.

He wants us to put her on a low-gluten diet, but I feel guilty giving her anything with gluten that I'm trying my best to cut it out. I'm not sure if I'm doing the right thing though.

I'm glad I found this site. I'm sure I'll have a lot of questions.


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RiceGuy Collaborator

Welcome to the board!

First, I think you're doing the right thing by wanting to eliminate all gluten. If your daughter has a sensitivity, it doesn't make sense to have any in the diet at all. Also, keep in mind that all the tests doctors rely on are not nearly as accurate as the diet can be in determining if gluten is a problem. If she improves on a gluten-free diet, that's pretty conclusive.

I hope your daughter gets well soon!

missy'smom Collaborator

You might want to get more info. about that biopsy. They should have taken quite a few samples(like 9-12). Some Dr.s don't take enough. I know a family that had son biopsied and dr. came back and said "no celiac disease, only one of the samples showed villi damage". Well mom knew better, that that meant that he did have celiac disease. The results were clearly positive for celiac disease. It was the interpretation that was wrong.

MDRB Explorer

If your daughter does have celiac disease and goes completely gluten free, she would have a significant improvement in her symptoms. However, a lot of the tests that are done to check for celiac disease become inaccurate if you are not eating gluten.

I'm thinking that her doctor probably wants to check if there is any improvement in symptoms on a gluten light diet before doing further tests.

I went gluten free before having any tests done. I then had to get back on to the gluten for one month to get a diagnosis and it was very very difficult, it made me extremely sick, much sicker than I had ever been before. I would not recommend to anyone, going back onto gluten if you have been off gluten for any amount of time.

So, if you and your daughter are not concerned about getting a formal diagnosis then I would suggest going completely gluten free as soon as possible. If you do want to get a formal diagnosis in the near future then going completely gluten free will make it much harder when she has to go back to eating gluten to get a diagnosis.

Its a really big decision, good luck making it!

Ivanna44 Apprentice
At the end of last year one of my daughters, Skye was throwing up a lot. Our family doctor put her on Prevacid and it helped for a little bit and then she would get really sick again. It would go back and forth for a while until me and my husband decided something needed to be done. We called our doctor back and he wanted us to take her to see a GI. We did a couple months ago.

He did some blood work and found some levels elevated in her bloodwork. He did an upper GI and colonoscopy to check everything out. He found inflammation in her small intestine and did a biopsy. On Monday, the office called and the biopsy came back negative for Celiac's so he's saying it might be Gluten sensitivity.

He wants us to put her on a low-gluten diet, but I feel guilty giving her anything with gluten that I'm trying my best to cut it out. I'm not sure if I'm doing the right thing though.

I'm glad I found this site. I'm sure I'll have a lot of questions.

Hi chasing4,

Hugs and welcome to the boards. You are in the right place for support, encouragement and venting :o when needed.

It is very frustrating when you know something is wrong, and you can't get a diagnoses for it. Bottom line, if going gluten-free has helped your daughter, then stick with it. :) In today's world of "elimination diets" etc; and allergist doctors suggesting the process of elimination to find the trigger/s, your daughter will not be too alone. From researching around, I've read a lot how Celiac and gluten intolerance/sensitivity goes under diagnosed a lot, as doc's look at one sympton in isolation and rarely on the 'whole" big picture angle. Follow your gut! so to speak. If it helps your daughter, then continue to be gluten-free .

In terms of the low gluten, there is so many hidden sources of gluten that it takes on average (my own opinion) 6 months to be totally gluten-free . So you are still problably giving her some gluten, in some hidden form. This site has some good links for what's safe and not safe, what to look for.

Don't get too overwhelmed with the gluten-free search though, no one can learn it all in one day (alias we try :rolleyes: ) Going gluten-free is expensive! Learn short cuts; such as dollar stores and the public library. There's a ton of books there for loan, that will help you "sort" it all out.

Continue to read the forums here, and read Labels and re-read labels. Email manufactuers to get the " gluten-free " product lists. If you are not sure, then don't let her eat it.

It does get easier and there's a ton of yummy food that is gluten-free naturally, also from what I hear gluten-free companies are getting more popular and fine tuning their mixes, where you can't tell the difference :P

Start at your library, as well as the forum here, and do it One Ta Da at a time.

hugs

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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
      I called zero water and they state their filters do not contain gluten or gluten containing ingredients. 
    • trents
      I agree. Doesn't look like you have celiac disease. Your elevated DGP-IGG must be due to something else. And it was within normal at that after your gluten challenge so it is erratic and doesn't seem to be tied to gluten consumption.
    • 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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