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Greetings Lindsay.Seronegative (where blood tests are not positive) celiac disease / gluten intolerance has been reported in 6-9% of patients. You may consider getting an upper gastrointestinal endoscopy, which is the criterion standard to help establish a diagnosis of celiac disease. With your symptoms and manifestations, this is the most important investigation for establishing it. If a stool examination has not been done; that would be recommended. Following are advised;1) Stool exam; The typical bulky, greasy appearance and rancid odor of stools suggest malabsorption of fat. A Sudan stain of the stool would confirm fat droplets. A 72-hour fecal fat collection is also helpful.2) Oral tolerance tests like lactose intolerance test would also be advised. Excretion of breath hydrogen, a product of bacterial fermentation of unabsorbed lactose, is often elevated in celiac sprue.Please feel free for your follow up questions.
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Okay, thank you. I was wondering if there are any other possible causes for my symptoms. The symptoms similar to reactive hypoglycemia are very troubling and debilitating.
Thanks, ***** ***** it. I have had pretty extensive thyroid testing, I was actually borderline hyperthyroid for a while, with a low TSH of 0.34 (range 0.45-4.5) and a slightly high total T4 of 12.1; fee T4 was 1.4 (range 0.8-1.8), and I felt like I had a lot of the symptoms and that was causing me to need to eat more. But last time I had my thyroid tested my free T4 was only 1.14 and my TSH was 0.71.
Albumin and calcium have actually been leaning toward high... is this normal or what kind of problems could it indicate? My potassium has been normal too, and I haven't had magnesium tested.
My thyroid antibodies tests were normal, and so was parathyroid. Could anything else cause these?
Well the GI symptoms haven't been that bad since summer and I don't have a high eosinophil count... the first time I had it checked it was 0 and then 0.5 on another test. And would that explain the need to eat frequently?
What types of hormonal issues? My thyroid seems normal after repeated testing but I have a lot of thyroid symptoms, seems like I have both hyper and hypo symptoms.
Thanks. Do the other symptoms seem like they could be an adrenal disorder?
Ok, are there any other possible hormonal/endocrine causes of these symptoms? The most troubling symptoms are the lightheadedness and the need to eat frequently, those are more constant/bothersome than my GI symptoms.
Postprandial hypotension: After meals, a large amount of blood is drawn into the intestines, and this causes hypotension, leading to dizziness, nausea, etc. This may occasionally occur in younger persons. You can read up here:
Idiopathic Reactive Hypoglycemia: This is due to a allergic reaction to some foods. You have to pay careful attention to which foods this brings it on. You can read up here:
Thank you. I definitely think I have idiopathic reactive hypoglycemia. My sugar is usually around 125-130 after eating a small meal, then two hours or so later it's about 100, and that's when I get symptoms (although I do sort of have a vague sense of lightheadedness a lot of the time anyway). There was one time I ate and it was 99 right after eating, and 79 two hours later. It seems higher on average during the day than at night, would there be any reason for that? I think I have another condition other than the hypoglycemia but I think that is a big part of how I'm feeling.
Thanks. Do my symptoms seem more like low or high adrenaline? Sometimes I feel like I have too much, I feel jittery and panicked and my blood pressure is slightly high, other times I feel very tired. Is there any way to manage reactive hypoglycemia besides eating small meals? I already eat many small meals throughout the day.
Okay, I will try those things. Do the symptoms I have listed sound like low or high cortisol? Because I feel like I have some symptoms of both. I also tried drinking some wine tonight and it made me feel lightheaded almost instantly after a small glass, I haven't drank alcohol in over a year. Is this probably from reactive hypoglycemia or adrenal issues?
Thank you. I was wondering if low cortisol or other hormonal issues could lead to a sense of weakness, kind of like the body weakness you get when you have a cold or flu but less severe. The weakness usually occurs when I haven't eaten but sometimes it's more constant. It's really only been in the past two weeks that I've been experiencing this particular symptom.
Thank you. It seems to only come along with the other symptoms.The reactive hypoglycemia (or symptoms that fit with it) seems to be getting worse, I'm having trouble getting rid of the lightheaded feeling. Could this potentially be anything serious? My doctors haven't been able to figure it out at all and it's getting really debilitating.
Thank you. I am wondering if you can think of any other possible conditions so I can discuss it with my doctor.
My symptoms in order of severity are the lightheadedness/symptoms that mimic reactive hypoglycemia, and having to eat constantly > GI symptoms (mainly just nausea and gas) > fatigue (which is usually only severe in the beginning of the day and gets better throughout the day, I am more awake at night), and then the other symptoms that pop up every now and then such as the weakness. Sometimes I get slight pains in my ribs and back, which I got really severely when I had the viral infection in April.
Really? The pain is not severe at all, I hardly ever have pain. Can fibromyalgia cause the lightheadedness and need to eat frequently? Lately I am feeling worse and worse. I just got really lightheaded AFTER eating and it's so hard to control.
What is reactive hyperplasia and how could it cause those symptoms? I looked it up and could only find things about swollen lymph nodes. I have had a swollen lymph node in my neck at least since last summer, sometimes it's bigger and sometimes it's smaller, lately it's been really small.