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J. Murray writes
> I feel I should comment on the rationale that suggests that it is
> acceptable practice not to investigate a patient for suspected CD when
> the patient has already commenced the treatment .e. the GFD.
> Certainly it is cheaper for the HMO and probably the patient in the short
> term.
> I feel that proper confirmation of the diagnosis is necessary and should
> remain the "standard of care" with few exceptions such as a history of
> life-threatening eactions to gluten challenge.
> 1. Lack of a firm diagnosis can leave some patients with an uncertainity
> that can undermine thier motivation to remain on the diet.
> 2. There may be another diagnosis instead of celiac disease. One can
> occassionally see patients with crohn's disease respond to dietary
> manipulation.
That's interesting. I've been diagnosed as having Crohn's disease for
several years (a little tentatively---it took the doctors a long time
to make up their mind). A couple of years ago I started experimenting
with diet. I noticed that cutting down bread consumption seemed to
improve my health. That was before I knew anything about gluten-free
diets or Celiac disease, and it seemed strange and unlikely at the time.
At some stage I found out about Celiac diets, and cut out wheat. This
*seemed* to eliminate most of the Crohn's symptoms.
Is it possible for Crohn's sufferers to be gluten sensitive?
Bryan