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It's not difficult to find out whether you have silent or atypical celiac disease. You don't even need to take a blood test. A simple saliva test can detect antibodies to gliadin, and the best news is that you don't even have to see your doctor to take this saliva test.
Gliadin testing is available through Cyrex Labs for about $169. You may also be able to order the test through Great Plains Laboratories. You may not be able to order the test on your own in New York or Connecticut, but in most other states and most other countries you can simply order the saliva test online, wait for the company to send you a saliva sample collection tube, and send the tube back in a prepaid Fedex envelope. You can then simply wait for an email with your results.
Getting the test at your doctor's office typically costs about $350 for the test and $250 for the doctor's interpretation, although doctor's visits may be covered by insurance.
What kinds of vague symptoms may actually be caused by atypical celiac disease, you wonder? An astonishing number of complaints can be aggravated by celiac sensitivity, including:
- Problems with weak tooth enamel necessitating frequent trips to the dentist.
- Canker sores.
- Itchy skin.
- Skin rashes.
- Migraine.
- Muscle deterioration.
- Brain stem malformations.
- Low white blood cell count (neutropenia).
- Bone fractures.
- Frequent infections.
- Gastroesophageal reflux disease.
- An overactive (followed by underactive) thyroid.
- Weight gain, especially around the waist and hips.
Researchers believe that since more than one gene is involved in coding the proteins that activate T cells to behave abnormally in the presence of gluten, people with different numbers of genes for celiac disease may have different severalties of Celiac disease symptoms. Gluten sensitivity is not always inborn, however, as it can also be triggered by colon surgery, cardiovascular disease, ischemical bowel disease, chemotherapy, and severe bowel infections. It is possible to have been free of celiac disease earlier in life and to develop the condition after a major bowel problem occurs later in life.
What do you do if the test for atypical Celiac disease comes back positive? It's a good idea to let your doctor know about the results, even though the real work of beating wheat and related problems in your diet is really up to you. And it's a good idea to start eliminating every from of wheat, barley, and rye from your diet. Typically, people who have borderline celiac symptoms can tolerate oats, although even this should be cut back.
And that's all the treatment that is required for this form of the disease. Getting the wheat out of your life may make a major difference in how you feel and in your basic good health, even if it's difficult at first because wheat is everywhere. If you have only mild symptoms, you may not have to be quite as ruthless about getting wheat out of your diet as people who have full-blown symptoms of the disease, but every grain-free meal helps you get better.
- Admou B, Essaadouni L, Krati K, Zaher K, Sbihi M, Chabaa L, Belaabidia B, Alaoui-Yazidi A. Atypical celiac disease: from recognizing to managing. Gastroenterol Res Pract. 2012
- 2012:637187. doi: 10.1155/2012/637187. Epub 2012 Jul 3.
- Telega G, Bennet TR, Werlin S. Emerging new clinical patterns in the presentation of celiac disease. Archives of Pediatrics and Adolescent Medicine. 2008.162(2):164–168.
- Photo courtesy of Rachel by Flickr : www.flickr.com/photos/rachelpasch/1682495690/
- Photo courtesy of Gluten Free Allergen Free Expo by Flickr : www.flickr.com/photos/gluten_allergen_free_expo/8047428100/
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