Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.


  • Celiac.com Sponsor (A1):
    Celiac.com Sponsor (A1-M):
  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Do I Get Re-Tested? Several Glutenings In Last Month...


Nikki2777

Recommended Posts

Nikki2777 Rising Star

I believe my Celiac dx came relatively soon after onset (maybe within 2 - 3 years) and I my villi damage was only 'patchy' in the words of my Dr.  I went gluten-free last March and my GI symptoms have improved markedly.  After about 4 months gluten-free, I got both blood and endo tests and Dr. said everything was hugely improved, he could hardly see evidence of my GI damage.

 

Over the last month or so -- what with travel and the holidays, I believe I've gotten glutened 2x - 4x.  As my symptoms aren't severe, it's hard for me to know for sure.  I'm tempted to ask my Dr. to run the tests again, but I don't know how much gluten will damage me.  I'm going to get even stricter about cc for a while and hope that will help, but is there any value to me testing again to see if I've set things back?

 

How often do you get tested?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



GottaSki Mentor

Annually is sufficient since your numbers have already shown improvement.  At this point your body is likely a better indicator of when you accidentally ingest gluten.  Minor glutening and cross contamination is not a reason to get tested...simply a reminder of how careful we need to be.

 

Take care :)

bartfull Rising Star

"I'm going to get even stricter about cc for a while and hope that will help,"

 

You meant you're going to get TOTALLY strict about CC FOREVER, right? :lol:

 

Just bustin' your chops a little. Hope you're feeling better soon. :)

NoGlutenCooties Contributor

I've only been gluten free for 3 months but my doctor wants to retest the blood at the 6 month mark.  As long as the numbers are going down there won't be any other further testing necessary.  Ever.  Unless I start having some sort of persistent symptoms (persistent meaning NOT as a result of some accidental glutening).

 

Also just wanted to add... you have to go 100% gluten free.  For life.  Mistakes will happen but we all really have to do whatever we can to avoid cross-contamination and any other source of gluten.  Gluten = antibodies = damage = malabsorption = health problems.

GFinDC Veteran

Hi,

 

If you got glutened, then you know you have been damaged.  No doubt about it.  The immune system doesn't take breaks from celiac disease just because you are lax in your diet.  What's more important than additional testing is getting away from the attitude that is is ok to be lax and take chances.  As long as you have an attitude that it doesn't matter much then you are heading for trouble.  We all make mistakes sometimes though, and that is at times unavoidable.  So the thing to do is get right back on the straight and narrow and learn from those mistakes.  Over time you can learn to avoid such incidents or make sufficient preparation to avoid problems.  It is all a learning process but the right attitude makes learning easier.  And less painful.  Celiac disease requires the gluten-free diet, and the gluten-free diet is a medical diet, not an optional diet.

 

Having to pay more attention and take more time for your diet than other people do can be a pain sometimes.  And may make holidays a little challenging.  But the payoff is better health.  Doctors can't fix your diet, that's up to you alone.  You are in the driver's seat as they say.  You can do it! :)

Nikki2777 Rising Star

Thanks everyone, but I'm afraid my quick writing gave the wrong impression.  I'm VERY careful about cc and strict on my gluten-free diet.  However, as you've noted - accidents DO happen. 

 

I have to travel and eat business meals for my livelihood, and I choose to go out with my family to eat so that my children don't feel, should they eventually get Celiac, that it's a life sentence to solitary.  If I don't feel a restaurant is trustworthy, I have a KIND bar I keep in my purse and eat my own food when I get home.

 

I refuse to be a victim and allow this disease to keep me in my house.  Perhaps if I'd had more damage at the outset, and more years of pain, I might feel differently, so I don't fault anyone for their choices.  But, per my doctor, my efforts til now have been very successful.  I do not ever, in my lifetime, expect to have the foods I miss, and I've come to terms with that.  It's no big deal and I don't pine for them.  I'm also lucky that I live somewhere with a high awareness of the precautions that need to be taken, and great grocery options.

 

I will continue to be careful, and yes, step up my already significant efforts to avoid cc.  But take my word for it, I'm not one of those who's dealing with this halfway.  Accidents happen, and I only wanted to know if there's a benefit to testing soon after a feared glutening.

 

Thanks 

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - Scott Adams replied to MicG's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      4

      Test interpretations

    2. - trents replied to MicG's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      4

      Test interpretations

    3. - suek54 replied to Kayla S's topic in Dermatitis Herpetiformis
      4

      Need advice for some relief!

    4. - MicG replied to MicG's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      4

      Test interpretations

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,657
    • Most Online (within 30 mins)
      7,748

    Mark Bevan
    Newest Member
    Mark Bevan
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • Scott Adams
      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
    • trents
      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
    • MicG
      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
    • trents
      Possibly. Your total IGA (Immunoglobulin A, Qn, Serum) is actually high so you are not IGA deficient. In the absence of IGA deficiency, the most reliable celiac antibody test would be the t-Transglutaminase (tTG) IgA for which your score is within normal range. There are other things besides celiac disease that might cause an elevated DGP-IGA (Deamidated Gliadin Abs, lgA) for which you do have a positive score. It might also be of concern that your total IGA is elevated as that can indicate some other health problems, some of which are serious.  Had you been practicing a gluten free or a reduced gluten free diet prior to the blood draw? Talk to your physician about these things. I would also seek an endoscopy/biopsy of the small bowel to check for damage to the villous lining, which is the gold standard diagnostic test for celiac disease.
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.