Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • 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 Celiac.com!
    eNewsletter
    Donate

My Biopsy Indicates Celiac...


ms. melinda

Recommended Posts

ms. melinda Newbie

I thought the biopsy is the most definitive test? I have not had a blood test. The doctor wants me to have more tests done. How likely is it the biopsy would be wrong? (I want it to be).

Link to comment
Share on other sites

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



Celiac.com Sponsor (A8-M):



Rachel--24 Collaborator

Sorry, but its not likely the biopsy is wrong. It can only be false if its negative. I dont know why your doctor wants more tests but if the biopsy showed damaged or flattened villi then you have Celiac. Did you ever have the bloodtests? Do you have any symptoms? If you do have symptoms you should feel a whole lot better after you start the diet.

Link to comment
Share on other sites
nettiebeads Apprentice
I thought the biopsy is the most definitive test? I have not had a blood test. The doctor wants me to have more tests done. How likely is it the biopsy would be wrong? (I want it to be).

Believe me, if we could, we'd want all of our tests to be wrong about celiac. But it's not horrible and life threatening (if addressed properly) and you can live a very normal life with a wide variety of yummy foods. Have you done the diet at all? What kind of symptoms do you have? Why was the biopsy ordered in the first place? And usually the biopsy is the "gold standard" so I can't understand why the dr ordered more tests. Usually the biopsy is done last. Hmm. Personally, I'd do the diet challenge for 2 to 3 weeks, eat one day with gluten, then go right back and monitor your reactions and physical well being for the whole time. Cheaper than bloodwork. My 2 cents.

Annette

Link to comment
Share on other sites
Guest nini

again, here we have an example of a Dr. that doesn't know much about Celiac. Should've done the blood tests first BUT since they didn't and since you've had the biopsy, and yes, the biopsy doesn't lie if it's positive. If it was negative we could say "oh they didn't take enough samples or they missed the damaged areas or there just isn't damage yet" BUT if there is damage, and apparently there IS, Yes my dear you have it. It's not the end of the world.

You DO NOT need the blood tests, not unless you want to monitor your levels once you go gluten free, BUT IMHO that is unnecessary.

Go ahead and start the diet immediately and trust me, if you get accidentally exposed to gluten once you've been off it for a while, (in most cases) your body will tell you right away. (some people do not have symptoms so this diet challenge doesn't always work there).

but to answer your question, the biopsy WHEN POSITIVE is not wrong. sorry. I know that's not what you want to hear, but look at this as the first day of the rest of your healthy life!

Link to comment
Share on other sites
ms. melinda Newbie
Sorry, but its not likely the biopsy is wrong. It can only be false if its negative. I dont know why your doctor wants more tests but if the biopsy showed damaged or flattened villi then you have Celiac. Did you ever have the bloodtests? Do you have any symptoms? If you do have symptoms you should feel a whole lot better after you start the diet.

I have had symptoms since end of Oct. 05 as this was the pinnacle of my divorce. Lots of stress. I had a hard time eating, was nauseous, abdominal pain, diarrhea and vomiting. Finally went to my GP and he thought it might be an ulcer and said we would not know for sure unless we did an endoscopy. So I went forward with that to Know instead of treating the symptoms. Unfortunately, my X took me off the insurance prematurely (has since added me but no record yet at inurance co.) so I could not have a "real" visit with the gastroenterologist. He took time to tell me his diagnosis, but couldn't (wouldn't) go much further. Said I need to see my primary. Insurance is a nightmare!

As soon as I'm back on the insurance, I will see the gastro for an in depth consultation.

Link to comment
Share on other sites
Rachel--24 Collaborator

Sorry about your insurance troubles. My symptoms came on during a stressful time also but on the bright side for you....you didnt go years without a diagnosis. You'll get used to the diet and you'll be happy to not live with your symptoms anymore. Are you planning on taking more tests? If you are...keep eating gluten but in my opinion the biopsy is proof enough. Starting the diet will give you more insight than any test will. Doctors dont give much help when it comes to the diet and how to find all the hidden gluten so thats where this board will come in very handy for you. :)

Link to comment
Share on other sites
KaitiUSA Enthusiast

Sorry to say this but you do have celiac. It is not likely that the biopsy is wrong. Biopsies can rule celiac in with a positive one but they can't rule it out with a negative one.

You need to go gluten free. Ignoring the diet can lead to serious and potentially deadly other things. I know it is hard to accept at first.

PS-do not go gluten free if you plan to get more tests-that will make them inaccurate...but you do have celiac so I do not see the need for more testing.

Link to comment
Share on other sites

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



Celiac.com Sponsor (A8-M):



Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,088
    • Most Online (within 30 mins)
      7,748

    Aventine
    Newest Member
    Aventine
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Welcome to the community forum, @Anmol! There are a number of blood antibody tests that can be administered when diagnosing celiac disease and it is normal that not all of them will be positive. Three out of four that were run for you were positive. It looks pretty conclusive that you have celiac disease. Many physicians will only run the tTG-IGA test so I applaud your doctor for being so thorough. Note, the Immunoglobulin A is not a test for celiac disease per se but a measure of total IGA antibody levels in your blood. If this number is low it can cause false negatives in the individual IGA-based celiac antibody tests. There are many celiacs who are asymptomatic when consuming gluten, at least until damage to the villous lining of the small bowel progresses to a certain critical point. I was one of them. We call them "silent" celiacs".  Unfortunately, being asymptomatic does not equate to no damage being done to the villous lining of the small bowel. No, the fact that your wife is asymptomatic should not be viewed as a license to not practice strict gluten free eating. She is damaging her health by doing so and the continuing high antibody test scores are proof of that. The antibodies are produced by inflammation in the small bowel lining and over time this inflammation destroys the villous lining. Continuing to disregard this will catch up to her. While it may be true that a little gluten does less harm to the villous lining than a lot, why would you even want to tolerate any harm at all to it? Being a "silent" celiac is both a blessing and a curse. It's a blessing in the sense of being able to endure some cross contamination in social settings without embarrassing repercussions. It's a curse in that it slows down the learning curve of avoiding foods where gluten is not an obvious ingredient, yet still may be doing damage to the villous lining of the small bowel. GliadinX is helpful to many celiacs in avoiding illness from cross contamination when eating out but it is not effective when consuming larger amounts of gluten. It was never intended for that purpose. Eating out is the number one sabotager of gluten free eating. You have no control of how food is prepared and handled in restaurant kitchens.  
    • knitty kitty
      Forgot one... https://www.hormonesmatter.com/eosinophilic-esophagitis-sugar-thiamine-sensitive/
    • trents
      Welcome to the forum community, @ekelsay! Yes, your tTG-IGA score is strongly positive for celiac disease. There are other antibody tests that can be run when diagnosing celiac disease but the tTG-IGA is the most popular with physicians because it combines good sensitivity with good specificity, and it is a relatively inexpensive test to perform. The onset of celiac disease can happen at any stage of life and the size of the score is not necessarily an indicator of the progress of the disease. It is likely that you you experienced onset well before you became aware of symptoms. It often takes 10 years or more to get a diagnosis of celiac disease after the first appearance of symptoms. In my case, the first indicator was mildly elevated liver enzymes that resulted in a rejection of my blood donation by the Red Cross at age 37. There was no GI discomfort at that point, at least none that I noticed. Over time, other lab values began to get out of norm, including decreased iron levels. My PCP was at a complete loss to explain any of this. I finally scheduled an appointment with a GI doc because the liver enzymes concerned me and he tested me right away for celiac disease. I was positive and within three months of gluten free eating my liver enzymes were back to normal. That took 13 years since the rejection of my blood donation by the Red Cross. And my story is typical. Toward the end of that period I had developed some occasional diarrhea and oily stool but no major GI distress. Many celiacs do not have classic GI symptoms and are "silent" celiacs. There are around 200 symptoms that have been associated with celiac disease and many or most of them do not involve conscious GI distress. Via an autoimmune process, gluten ingestion triggers inflammation in the villous lining of the small bowel which damages it over time and inhibits the ability of this organ to absorb the vitamins and minerals in the food we ingest. So, that explains why those with celiac disease often suffer iron deficiency anemia, osteoporosis and a host of other vitamin and mineral deficiency related medical issues. The villous lining of the small bowel is where essentially all of our nutrition is absorbed. So, yes, anemia is one of the classic symptoms of celiac disease. One very important thing you need to be aware of is that your PCP may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining to confirm the results of the blood antibody testing. So, you must not begin gluten free eating until that is done or at least you know they are going to diagnose you with celiac disease without it. If you start gluten free eating now there will be healing in the villous lining that will begin to take place which may compromise the results of the biopsy.
    • Anmol
      Hello all- my wife was recently diagnosed with Celiac below are her blood results. We are still absorbing this.  I wanted to seek clarity on few things:  1. Her symptoms aren't extreme. She was asked to go on gluten free diet a couple years ago but she did not completely cut off gluten. Partly because she wasn't seeing extreme symptoms. Only bloating and mild diarrhea after a meal full of gluten.  Does this mean that she is asymptomatic but enormous harm is done with every gram of gluten.? in other words is amount gluten directly correlated with harm on the intestines? or few mg of gluten can be really harmful to the villi  2. Why is she asymptomatic?  3. Is Gliadin X safe to take and effective for Cross -contamination or while going out to eat?  4. Since she is asymptomatic, can we sometimes indulge in a gluten diet? ----------------------------------------------------------------------------------------------- Deamidated Gliadin, IgG - 64 (0-19) units tTG IgA -  >100 (0-3) U/ml tTG IgG - 4   (0-5) Why is this in normal range? Endomysial Antibody - Positive  Immunoglobulin A - 352 (87-352) ------------------------------------------------------------------------------------------------ Thanks for help in advance, really appreciate! 
    • Tanner L
      Constantly! I don't want everything to cost as much as a KIND bar, as great as they are.  Happy most of the info is available to us to make smart decisions for our health, just need to do a little more research. 
×
×
  • Create New...