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Help Interpreting Lab Results?
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5 posts in this topic

I just received my blood work from the Dr. after requesting a celiac panel. Just wondering if there is just a chance I'm celiac or if it is pretty likely. I have an appointment set up with a GI dr. But don't see him for a couple of weeks.

Here are my test results:

Transglutaminase Ab IgA

(H) 9.0. <4.0

Weak Positive

Anti-Gliad IgA, deamidated

(H) 23units. <20

Weak Positive

Anti-Gliad IgG, deamidated

(H) 120 units. <20

Moderate to Strong Positive

Endomysial Ab, S

(H)

Result: Positive Titer 1:40

Reticulin Ab

Negative

Any help interpreting these results would be greatly appreciated. :-)

Thanks so much!!!

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With a positive endomysial antibody titer, there really isn't much doubt about it.  All your results are either weak or strong positive, except for the Reticulin Ab which is an outdated test and not recommended any more in testing for celiac.  Yes, I think it is time you started learning about the gluten free diet :)   Welcome to the club, and to the board.

 

You can start your reading with the Newbie Info 101 in the Coping With Celiac section.  It has loads of useful information. 

 

You may be referred to a GI for a scope and biopsies, which will probably be recommended to you.  Depending on your symptoms, it is often a good idea to go ahead and get this biopsy confirmation, because it gives an opportunity to assess the damage and a baseline against which to compare your healing.  It is also a chance to find out if there are any other problems.  He needs to take at least 6 samples for biopsy.

 

Do be sure to ask additional questions as they arise and we will do our best to answer them.  I wish you speedy healing.

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Welcome to the board and, as Mushroom said, to the club. I agree with everything she said.  With an EMA titre that high, you probably have a fair amount of intestinal damage from celiac disease, and then with so many other positive tests... I'd say there is virtually no doubt about it.   :(

 

When you see the GI doctor, you might want to ask about nutritional deficiencies. May celiacs are low in D, B12, calcium, ferritin, iron, and potassium. Some docs will check your bone health because osteoporosis can be a very real result of low calcium levels. You might want to have your thyroid checked too; there is a strong link to Hashimoto's. In fact I had mine routinely checked and it came back as hashimotos.

 

You might want to keep eating gluten if you can, until at least your visit with the GI. If he wants to do a biopsy, most people have to keep eating gluten for an accurate biopsy result.

 

Best wishes. I hope you are well soon.

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No doubts here - welcome to the club!

The transition to gluten-free living can be tough - read all you can -- as Mushroom mentioned - start with the Newbie 101 thread and ask questions - it really is the best was to speed the transition period along.

Don't remove gluten until you have seen GI and you are certain you have had all necessary tests - this starting data is important - once gluten is limited or removed - you lose this valuable information.

Hamg in there - the waiting is no fun, but it is worth getting a proper diagnosis when possible.

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Thanks so much for your replies!

 

I look forward to meeting with the GI doc, going gluten free, and finally feeling better.

 

I've got lots to learn and I am thankful that this site exists :-)

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    • Marip, Have you been diagnosed with celiac disease or Non-celiac Gluten Intolerance?  I notice you joined in 2014.  Did you ever go guten free?  How can we help?   Sorry, I'm not a stool expert!  You could Google it...  Malabsorption?  Standard lab tests that check for anemia and vitamin deficiencies, etc.  should help make that diagnosis.  
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    • I'll give my PCP a call tomorrow and see what they can offer. My only worry is the expense as anymore tests will put me behind in being able to afford to see the GI. I have high deductible insurance but get money put into my HSA. I'm still trying to pay off the CT scan though. Which is why I'm trying to pick and choose which poses the greatest risk for me right now and what can wait. (Though I would prefer not to wait on any of it.)

      I really do hope its only IBS. Though I always worry IBS is more or less a doctors way of saying "I have no clue" at that point. :C

      Again, I'll be sure to give my PCP a call tomorrow then and see what the options are. I can feel a lot better trying the blood work first. however, once that is done, do I still need to be on a gluten diet before the endoscopy? Also, is it ok if I still mildly reduce the gluten. As in, can I avoid a whole wheat pasta dinner, but still be eating the peanut butter crackers? That sort of thing. Again I guess that is more of a doctor related question. I just wasn't sure if in order to raise your chance, you have to mass consume gluten or not. (Its already in just about everything to begin with.)   --Edit--
      I just now reread the part that you still need to be on the gluten foods even for biopsy so I'll be sure to do that too.
       
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