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Do I Have Celiac?


thepeach80

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thepeach80 Rookie

Weird mish mash of questions, so bear with me please. I don't remember when sx started, first bad sx started in 2007 around my daughter's first birthday. Went gluten-free, easy enough as we were doing a gluten-free trial for my son then too (3 of my 5 kids have had wheat issues in infancy/toddlerhood) sx went away. Came back randomly, dx with IBS in 2009 and it went on for weeks. Had had blood work in early 2008 for Celiac, but have no idea what they tested for or what the results were other than they said negative. Have done on and off wheat free (they could handle oats) diet from 2005-2010. My father has worsening Crohn's and aunt has Fibro. Seem to have a strong hx of gastro issues as well as allergy issues in my own children.

 

Had gallbladder issues in 12/2012. Saw GI 1/13 who recommended scope as he wasn't sure based on my sx it was gallbladder, or at least that wasn't all of it. Ended up having gallbladder removed 2/13, 5 days before scheduled scope. Ended up having scope 5/14 showing moderate damage to stomach lining and intestines leaning towards Celiac. Followed it up with tTG testing and was told it was negative and I did not have Celiac. I decided to go gluten free anyways last June and haven't looked back. I can tell a marked difference when I accidentally have gluten now. Things I lived for for years that I didn't think twice about until I stopped gluten. Anyways, tTG was 5. I don't know if I've had any other blood work besides that or not, the anti-gliadin etc. 

 

All of that, would you feel comfortable saying Celiac is the diagnosis? What about the kids, at least the older ones. They are 11, 9, 7, 5, and almost 2. Talk to their ped about testing via blood? I read there's a University of Chicago link I should check, correct? Is there a difference in testing them if I'm not Celiac vs just sensitive? I'm assuming so.


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cyclinglady Grand Master

It sounds like you have Celiac.

You can ask the doctor for copies of all your labs. It is important to keep track of them.

Talk to your Ped about your endo results and improvement with the gluten-free diet. Perhaps test only those kids with symptoms to start?

Anemia was my only symptom for celiac disease. My husband is not diagnosed formerly and has been gluten-free for 13 years. We did not test my daughter until we were sure the Affordable Healthcare Act was really in place since we are self-employed and did not need her to be uninsurable, like I was. She had no symptoms, no anemia and her CDs tests were negative. She will get re-tested every few years. So, there is no huge rush to test your kids if they do not have symptoms.

thepeach80 Rookie

I just realized my GI now has a patient portal so I can I have access to my past blood work. I just signed up and sent a message to add my past blood work on there so I can see what I've been tested for and the results. Is it worth doing the gene testing on myself and the children? I have 2 kids I am more concerned about than the others.

cyclinglady Grand Master

The gene test is a good tool used to rule out celiac disease when celiac disease blood tests or biopsies are inconclusive. Some 30% of folks carry the genes, but only a small amount (less than 1%??) develop celiac disease. You can see that just the gene test is not very helpful.

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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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