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Diagnosis Confusion


jaxonweb

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jaxonweb Newbie

My doctor told me about a month ago that he thought I had Celiac, and after reading about the symptoms I thought the same. However I had an EGD yesterday and afterwards the doc said that it was very unlikely that I have celiac. Now I am really upset, because I am back where I started, not knowing what the problem is. He said he would take multiple biopses, but how can I know for sure how many he took? Now he wants to do an ultrasound. Are there any other test that are more reliable?

Also, what are some other problems that might have the same symptoms as celiac?


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Jnkmnky Collaborator

Did you have the blood test?

judy05 Apprentice
My doctor told me about a month ago that he thought I had Celiac, and after reading about the symptoms I thought the same. However I had an EGD yesterday and afterwards the doc said that it was very unlikely that I have celiac. Now I am really upset, because I am back where I started, not knowing what the problem is. He said he would take multiple biopses, but how can I know for sure how many he took? Now he wants to do an ultrasound. Are there any other test that are more reliable?

Also, what are some other problems that might have the same symptoms as celiac?

<{POST_SNAPBACK}>

You could have gluten sensitivity. My biopsy was negative, the villi were not damaged, and the gene test was negative, but I still can't tolerate gluten or milk.

My GI doc says there is no reason why I can't eat gluten, but it makes me sick everytime I eat it. I did a food sensitivity test thru York labs and it came back positive for cow's milk, egg whites, corn, yeast and of course wheat. It was not positive for oat, rye, or barley gluten. I am very careful but I can eat organic eggs, cheddar cheese and some corn with no problem. You have to go with what your body is telling you. Hope this helps.

As far as bloodwork, my IGA was 75 but dropped down to 30 after going gluten-free. I haven't had it tested since. A positive reaction to the diet is enough for me, I don't need a diagnosis.

jaxonweb Newbie

I have not had a blood test yet. My GI said it was not as reliable as the EGD. However I think his next plan is to do the blood test and an ultrasound.

After learning about the gluten-free diet I have paid more attention to how I feel after I eat, and was a little curious as to why some gluten foods made me sick and some didnt. For example... I go to Einstein bagels often. When I eat their cin-raisin bagel I feel bad, but if I eat their blueberry bagel I am fine... eventhough they both have gluten.

How do you go about taking a food sensitivity test?

kabowman Explorer

My EGD was negative and I refused to go back onto gluten for any blood tests - however, this does NOT mean that you don't have food intolerances. I agree with previous post, go with what you body tells you. My docs all seem pleased that I have found all the foods that bother me, even if I don't have a positive celiac disease dx. I am much happier and healthier, even if I do have to be super careful...I'm not sick anymore.

skbird Contributor

There is more to gluten intolerance than intestinal damage/enteropathy. I have all the stomach/gut reactions but no malabsorption, no Celiac gene, but I do have other obvious gluten intolerance symptoms. There is also neurological presenting gluten intolerance.

It's also possible the doctor didn't take enough samples when he did the endoscopy. That happens sometimes, from what I've read.

Gluten intolerance is nothing to sneeze at, just because it's not Celiac. It can lead to other auto-immune diseases. I, for example, am looking at a possible lupus diagnosis this Friday when I go to my rheumatologist. No one in my family has this or anything like this (lupus, other connetive tissue diseases) and I am the only one with obvious gluten reactions, though I have two genes linked to intolerance, so both my parents must have one each, mimimum.

If you feel better on a gluten free diet, then you should stick with that. Not being sick is worth the sacrafice! :)

Stephanie

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    • trents
      Take it easy! I was just prompting you for some clarification.  In the distillation process, the liquid is boiled and the vapor descends up a tube and condenses into another container as it cools. What people are saying is that the gluten molecules are too large and heavy to travel up with the vapor and so get left behind in the original liquid solution. Therefore, the condensate should be free of gluten, no matter if there was gluten in the original solution. The explanation contained in the second sentence I quoted from your post would not seem to square with the physics of the distillation process. Unless, that is, I misunderstood what you were trying to explain.
    • Mynx
      No they do not contradict each other. Just like frying oil can be cross contaminated even though the oil doesn't contain the luten protein. The same is the same for a distilled vinegar or spirit which originally came from a gluten source. Just because you don't understand, doesn't mean you can tell me that my sentences contradict each other. Do you have a PhD in biochemistry or friends that do and access to a lab?  If not, saying you don't understand is one thing anything else can be dangerous to others. 
    • Mynx
      The reason that it triggers your dermatitis herpetiformis but not your celiac disease is because you aren't completely intolerant to gluten. The celiac and dermatitis herpetiformis genes are both on the same chronometer. Dermatitis herpetoformus reacts to gluten even if there's a small amount of cross contamination while celiac gene may be able to tolerate a some gluten or cross contamination. It just depends on the sensitivity of the gene. 
    • trents
      @Mynx, you say, "The reason this is believed is because the gluten protein molecule is too big to pass through the distillation process. Unfortunately, the liquid ie vinegar is cross contaminated because the gluten protein had been in the liquid prior to distillation process." I guess I misunderstand what you are trying to say but the statements in those two sentences seem to contradict one another.
    • Mynx
      It isn't a conjecture. I have gotten glitened from having some distilled white vinegar as a test. When I talked to some of my scientists friends, they confirmed that for a mall percentage of people, distilled white vinegar is a problem. The cross contamination isn't from wheat glue in a cask. While yhe gluten protein is too large to pass through the distillation process, after the distillation process, the vinegar is still cross contaminated. Please don't dismiss or disregard the small group of people who are 100^ gluten intolerant by saying things are conjecture. Just because you haven't done thr research or aren't as sensitive to gluten doesn't mean that everyone is like you. 
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