Iga gliadin was positive six months back. now gluten free and iga is negative but lower abdominal discomfort and incomplete evacuation feeling remain?

Celiac + what else?: Celiac disease (cd) is an immune-mediated enteropathy that inflames and destroys the lining of the small intestine. It is triggered in genetically-determined persons by dietary exposure to gluten (protein found in wheat, barley, rye). Your described symptoms, after gluten restriction, are atypical for cd so further investigation is recommended.