What Tests Can Be Done If Gluten Free?
Posted 24 June 2012 - 06:42 PM
The pathology report from your recent colonoscopy and endoscopy returned. The colon biopsies were normal. The duodenal biopsies showed normal small bowel. The ileum biopsies showed mild inflammation with unclear etiology (not classic for inflammatory bowel disease or crohn's disease).
Labs are normal.
Blood counts, iron studies, thyroid test, electrolytes and kidney tests, pancreatic enzyme and inflammatory markers are all normal.
Blood test for celiac disease is negative, but not reliable since you have been following a gluten free diet.
Final Pathologic Diagnosis
A. Terminal ileum, biopsy Mildly active ileitis with erosion; no
B. Colon, random, biopsy -- No diagnostic abnormality
C. Duodenum, second and third parts, biopsy -- No diagnostic
TTG ANTIBODY, IGA 1
So my doc said If you feel better stick with the gluten free diet. Come back in six months for pill cam. She saw some little white bumps at end of small intestines and alot of redness and wanted to follow me. But she had no idea what was going on. So should I have a follow up with her or look into maybe finding a second opinion.
Posted 25 June 2012 - 03:09 AM
1) You could order a genetic test which would tell you if you are at risk to get celiac disease or not.
2) Entrolab states their stool test is sensitive enough to work even a year or two gluten-free. I do not know how good/reliable they are, opinions here seem mixed.
That is about all I know of UNLESS you are willing to do a gluten challenge. To do that you would have to eat something like 4 pieces of bread a day for 8 weeks and then get your blood retested. Talk with your doc for details, but that is about what I would expect him or her to say. But in the end, I agree with your doc. If you when gluten-free and got better, stick with it.
- Vincent -
Posted 25 June 2012 - 03:34 AM
As for testing, the above poster is correct. Without doing a gluten challenge (which would be counterproductive- causing damage so you can asess the damage?) There isnt much. The fact that your antibodies are negative is a good sign though!
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