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I Feel Like I'm Trying Too Extract Teeth With A Spoon While Hitting My Head Against A Brick Wall.


Coinkey

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Coinkey Apprentice

So, I got my lab results back. The first walk-in doctor I saw ordered a Celiac panel, he didn't talk much but at least he listened and considered what i said. then he went on holiday and won't be back till the end of the summer. :( My results came back and they called me to go in and discuss the results. New doctor, he talks more and listens less. My results are negative for TtG but everything else is normal except ferritin and vitamin D. He says "if you feel better when you don't eat gluten then keep that up. It's not worth bothering with a biopsy at this point because most of the time tests for celiac are negative." okay, so true. Except for the fact that he tells me all of this as he is backing out of the room and walking away. Thanks dude. So, I walked out of the room with him and kept asking some questions, "so if all those test are negative, why does it hurt so much when I eat gluten? What does the slightly low ferritin level mean?" Then he says, "just keep eating gluten free, maybe the problem with gluten will go away eventually" and walks away. I walked out rather frustrated. So, yeah, I'll keep eating gluten free because I am a totally awesome person without it but it's frustrating that the doctors don't answer questions and that the tests are negative. It's all in my head then. One day I'll wake up and eat toast for breakfast and be absolutely fine, that's what the doctor seems to think. I just need someone to tell me I'm not insane, it's not all in my head and also what those ferritin and vitamin D levels are (both "low").


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lucia Enthusiast

You're the opposite of insane. Sounds like you're doing a really good job of taking care of yourself, despite the obstacles. Did you know that on average it takes 9 years in the U.S. for a celiac to be diagnosed after getting symptoms? The American medical community is simply not very good at dealing with celiac - diagnosing it or treating it. I suggest reading this article focused on Dr. Peter Green who is an expert on celiac at Columbia University Medical School. He's pretty great. Here is a relevant section of the article.

Celiac disease is a master of disguise because it may strike any section of the small intestine, with each section being responsible for the absorption of different vitamins and minerals and associated with different biochemical changes in the body. Even the most diligent doctors have difficulty spotting it.

Kay DH Apprentice

So, I got my lab results back. The first walk-in doctor I saw ordered a Celiac panel, he didn't talk much but at least he listened and considered what i said. then he went on holiday and won't be back till the end of the summer. :( My results came back and they called me to go in and discuss the results. New doctor, he talks more and listens less. My results are negative for TtG but everything else is normal except ferritin and vitamin D. He says "if you feel better when you don't eat gluten then keep that up. It's not worth bothering with a biopsy at this point because most of the time tests for celiac are negative." okay, so true. Except for the fact that he tells me all of this as he is backing out of the room and walking away. Thanks dude. So, I walked out of the room with him and kept asking some questions, "so if all those test are negative, why does it hurt so much when I eat gluten? What does the slightly low ferritin level mean?" Then he says, "just keep eating gluten free, maybe the problem with gluten will go away eventually" and walks away. I walked out rather frustrated. So, yeah, I'll keep eating gluten free because I am a totally awesome person without it but it's frustrating that the doctors don't answer questions and that the tests are negative. It's all in my head then. One day I'll wake up and eat toast for breakfast and be absolutely fine, that's what the doctor seems to think. I just need someone to tell me I'm not insane, it's not all in my head and also what those ferritin and vitamin D levels are (both "low").

Low "ferritin" (iron) and vitamin D levels are common in Celiac disease, the iron suggests anemia. Actually low D is common in the general populace. I caught the flu last Sept and a couple of weeks later had bad reactions to bread, such as stiff joints, muscle aches, D, lethargy, brain fog, etc. I went off gluten in November, and then had the Celiac Panel in Jan. It was negative (due to gluten-free probably), as well as a panel two years ago (because of a rash like DH that is now gone after 6 month gluten-free). I had a endoscopy and biopsy that were also negative, these were probably also false negatives because there was only 1 biopsy and I was gluten-full for only 1 week. As the previous poster indicated, even GIs have poor knowledge of gluten enteropathy and they tend to dismiss symptoms as something else. Mine said I only (only!) have a 10% chance of Celiac because I am HLA-DQ8 positive. He dismissed ALL of my symptoms as due to diverticulitis (infected pockets in colon). Needless to say my colon was fine. He never gave me a diagnosis for the gluten problem. You have to do what is best for you. If gluten makes you sick, then listen to that. Doctors spend too much time believing test results and not enough listening to patients and their symptoms. Getting used to gluten-free is a huge life change. I went into a big grocery store today to see if they had frozen dinners I could buy for lunches. Strange experience wandering the aisles and knowing that there is little that I can eat without getting sick. Once you are over the grieving process and frustrations, gluten-free is a much better life change. We're eating much better than when we ate breads and processed foods. Try to find a doctor that listens to you; they are like every other profession in terms of their abilities and not.

  • 2 weeks later...
notme Experienced

boy, i guess i really got off easy with my doc, then. i have been having digestive problems for years and was misdiagnosed by other doctors. i had been feeling progressively worse to the point of not eating very much because it was such a pain in the butt (lol - sry couldn't resist) i didn't even go in to complain about my intestinal issues. i have high blood pressure and had to go for my six-month check. i was down to 110 lbs (am 5'8" always been thin but my weight hung right around 125 or so. my dr. (he is a D.O. not even a GI dr.!) asked me what was going on. i said same old, same old. i have sucky guts. so he looks at the rash on my scalp and asked me exactly what happens when i eat. i said sometimes i'm ok and sometimes the meal moves through me like a freight train. he writes down "celiac disease. gluten-free diet. align" on a prescription pad and hands it to me. i said, dude. that's not happening! i am making my annual trip to nj where i am eating nothing but pizza. and drinking many beers. he just looked at me a little sideways and told me to pay attention to what i am eating/drinking when i get sick. well, whattayaknow. there it was. it took me a few months of denying it but last weekend i was really, really sick. and really, really tired of being sick. i feel 1000% better!! and pretty glad my doc is a smart guy. especially after reading on here that so many have been misdiagnosed!

Wenmin Enthusiast

Maybe your doctor didn't know enough about the gluten intolerances to answer your questions and this was his quick escape. Find a doctor that specializes in Celiac Disease, maybe you won't feel so neglected as you did this time and he/she will feel more confident answering your questions...

Wenmin

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    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
      I know what you mean. When I get glutened I have severe gut cramps and throw up for 2-3 hr. and then have diarrhea for another several hours. Avoid eating out if at all possible. It is the number one source of gluten contamination for us celiacs. When you are forced to eat out at a new restaurant that you are not sure is safe, try to order things that you can be sure will not get cross contaminated like a boiled egg, baked potatos, steamed vegies, fresh fruit. Yes, I know that doesn't sound as appetizing as pizza or a burger and fries but your health is at stake. I also realize that as a 14 year old you don't have a lot of control over where you eat out because you are tagging along with others or adults are paying for it. Do you have support from your parents concerning your need to eat gluten free? Do you believe they have a good understanding of the many places gluten can show up in the food supply?
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