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

Is It Celiacs?


Guest mares83

Recommended Posts

Guest mares83

I recently was tested for celiacs (IGA-43 and IGG-110) and had a biopsy done that did not show any damage. My Endomysial IGA and Reticulin IGA were not detected. My doctor says I can either go on a gluten free trial or just not worry about it. Any advice or suggestions would be greatly appreciated because I'm not really sure what I should do.


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



Celiac.com Sponsor (A8-M):



lovegrov Collaborator

Two positive tests is a pretty high indicator of some sort of a gluten problem -- although it might not yet be full-blown celiac. In particular, the Iga test is VERY specific. Are you convinced the biopsy was done correctly, taking a minimum of a half dozen samples (10 is even better)? Damage can be patchy and can be missed.

The biggest question is whether you have symptoms. You must, otherwise why would he test you? If you do have symptoms do you feel bad enough to go gluten-free and see if that solves your problems?

richard

Guest mares83

They did take 7 biopsy samples; the only reason I can think of that the biopsy results wouldn't be accurate is that I'm on some medicane for Crohns Disease (my doctor had mentioned before that some of the same meds are used to treate both). I was initially tested a few months ago after I had a Crohns flare up and became anemic very fast (which isn't as typical with Crohns). I don't have any pain after eating; although sometimes when I eat rich food like pasta or calzones I have some stomach pain (although I'm not sure if that would be Crohns or Celiac). My doctor is referring me to a nutritionist so I can have a gluten free trial (she's says for about two months, and then have my bloodwork rechecked. So i guess we'll see..........

Archived

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

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

    • Total Members
      133,162
    • Most Online (within 30 mins)
      7,748

    Carolyn harkless
    Newest Member
    Carolyn harkless
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
    • Scott Adams
      That’s a really tough situation. A few key points: as mentioned, a gluten challenge does require daily gluten for several weeks to make blood tests meaningful, but negative tests after limited exposure aren’t reliable. Dermatitis herpetiformis can also be tricky to diagnose unless the biopsy is taken from normal-looking skin next to a lesion. Some people with celiac or DH don’t react every time they’re exposed, so lack of symptoms doesn’t rule it out. Given your history and family cancer risk, this is something I’d strongly discuss with a celiac-experienced gastroenterologist or dermatologist before attempting a challenge on your own, so risks and benefits are clearly weighed.
    • Greymo
      https://celiac.org/glutenexposuremarkers/    yes, two hours after accidents ingesting gluten I am vomiting and then diarrhea- then exhaustion and a headache. see the article above- There is research that shows our reactions.
    • trents
      Concerning the EMA positive result, the EMA was the original blood test developed to detect celiac disease and has largely been replaced by the tTG-IGA which has a similar reliability confidence but is much less expensive to run. Yes, a positive EMA is very strong evidence of celiac disease but not foolproof. In the UK, a tTG-IGA score that is 10x normal or greater will often result in foregoing the endoscopy/biopsy. Weaker positives on the tTG-IGA still trigger the endoscopy/biopsy. That protocol is being considered in the US but is not yet in place.
×
×
  • 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.