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Article #200Help With Results of Biopsy -- Long
From: Brenda Pflaum
Date: Wed, 11 Feb 1998 00:00
Date: Wed, 11 Feb 1998 00:00
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<<Disclaimer: Verify this information before applying it to your situation.>> I hope the list can help me decide what my next steps should be in finding a diagnosis. I underwent an endoscopy and biopsy on January 16. I saw the gastroenterologist for the first time one week before the biopsy. I had been on a modified neanderthal diet for five months before the biopsy (I had continued to eat dairy products and a few other foods). I had first gone on this diet because I was having severe muscle spasms and other neurological problems which I thought might be food-related. I asked the gastroenterologist if I didnt need to go back on grains for some period of time before the biopsy. He told me that he had quite a bit of experience with celiac and that it is so hard to be gluten free that I didnt need to worry -- if I had celiac, it would show up. He said that even if I was eating mayonnaise I was getting gluten. I had, in fact, continued to eat mayonnaise, so I figured he must be right and went ahead with the biopsy. I did, however, decide on my own to eat wheat and other grains during the week before the biopsy. In fact, I challenged myself pretty aggressively and had some episodes of sickness but, truthfully, wasnt as sick as I expected to be. Five days later I got the results back -- no sign of celiac. After I heard the results, I figured there was no need for me to be extremely careful about what I eat as long as I was not getting sick. So I went back to trying to eat normally. Two weeks into this routine, I began to fall apart. I have developed severe bloating with gas and diarrhea, I have had bad abdominal pain but even worse back pain -- in fact the back pain feels like a ruptured lower-back disk. I have been unable to stay awake during the day, like I was under the constant influence of a sedative. My skin has broken out -- including patches of pimples on my arms and elbows. The inside of my nose has broken out in sores. When I wash my hair my scalp itches so badly I want to pull my hair out. And, the muscle spasms that had gotten better with a low carbohydrate diet are back in full force. I feel absolutely terrible! I asked my primary care doctor if, perhaps, I should have been on grains longer before having the biopsy done. She said that, in her view, the gastroenterologist is very capable and she would not presume to second guess him. I looked through the archives of this list and have found several references that say one should be on wheat/gluten for at least four weeks before having the biopsy. Now I am left questioning whether the test was valid. Obviously, I am not going to get anywhere with my primary care doctor and to go around her to get a second opinion means I pay BIG out-of-pocket costs. I am so frustrated. I have been sick for quite a while with these neuromuscular problems and I definitely need a diagnosis. Here are my questions: 1. Is it possible that the symptoms I am currently experiencing are not celiac-related but are signs of a wheat intolerance? 2. Are there any reliable tests for a wheat intolerance? 3. Should I push for another biopsy, even if it has to be at my expense? In advance, thank you so much for any advice you can give me. My family and I are just about at wits end with the medical profession. Brenda * Support summarization of posts, reply to the SENDER not the Celiac List *
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X-Google-Language: ENGLISH,ASCII X-Google-Thread: 1057d8,b5a2a1e6cfc7c197,start X-Google-Attributes: gid1057d8,public From: Brenda Pflaum <BrendaBP@AOL.COM> Subject: Help With Results of Biopsy -- Long Date: 1998/02/11 Message-ID: <753dbe80.34e26f1e@aol.com> X-Deja-AN: 324501109 Content-Transfer-Encoding: quoted-printable Sender: Celiac/Coeliac Wheat/Gluten-Free List <CELIAC@MAELSTROM.STJOHNS.EDU> Comments: ******************************************************** Content-type: text/plain; charset=US-ASCII Mime-Version: 1.0 Reply-To: BrendaBP@AOL.COM X-MIME-Autoconverted: from 8bit to quoted-printable by hiroshima.american.edu id WAA17791 Newsgroups: bit.listserv.celiac