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Negative Fecal Fat But Underweight


ADevoto

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ADevoto Explorer

My 12 year old son has the following results from Enterolab -

Antigliadin IgA of 128 units (normal is <10

Antitissue Transglutaminase of 70 (normal is <10

Fecal Fat score of <300 (normal is <300)

They recommend that he go on a gluten free diet which I agree. But I am confused. He is very underweight (5%) but it shows no malabsorb issues. Is that conflicting? I would think that he isn't absorbing nutrients if he is under weight and has those high value results. Any thoughts???


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natalie Apprentice

When did he start losing weight? Maybe he has some of his intestines working properly, therefore absorbing the fat. Maybe severe damage hasn't occured yet. I would start the gluten-free diet because his numbers are high.

Natalie

debmidge Rising Star

For all the 27 years my husband went mis-diagnosed his fecal fat count was in normal range however, his weight plummeted from about 180 to 127 over the course of 2.5 years from first symptoms. Those specific blood tests were not invented or his doctors did not utilize them for the first 15 years or so of his illness. It got to the point where even new GI's viewed him as being "mentally ill" and "obsessed" over foods that gave him stomach trouble. Because using their testing methods THEY couldn't find anything wrong with him.

He lost all his body fat and became so malnourished that his body -- for lack of a better word -- ate his muscles - in the same way it would happen to an anexoric.

The doctors brushed this off and he is at point today where the muscles are not re-building; BUT as for a 12 year old he's still growing and as long as you get to the bottom of his problems (i.e., if he is celiac then go gluten-free) it shouldn't turn out this way.

My husband was 27 when he got first symptoms of celiac disease.

confused Community Regular

My step-son was negative on fecal fat also, but his numbers were kinda high on everything else. He is also underweight, but now when he does stick to the plan he is starting to grow and gain weight. He is 13, going on 14.

paula

dally099 Contributor

when you have D all the time you tend to not absorb nutrients and calories very well, im the same thing lost 10lbs in a month but my fecal fat score was normal. also if your sysem is working over time you can be burning more calories, i bet he gains weight when he goes on the diet. i did, good luck

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    • 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.
    • MicG
      Test results as follows: Deamidated Gliadin Abs, lgA 40 H (normal range 0-19) Deamidated Gliadin Abs, IgG 4 (0-19) t-Transglutaminase (tTG) IgA <2 (0-3) t-Transglutaminase (tTG) IgG <2 (0-5) Endomysial Antibody IgA Negative (Negative) Immunoglobulin A, Qn, Serum 535 H (87-352) Do I have celiac?
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