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 Our Content
    eNewsletter
    Donate
  • Jefferson Adams
    Jefferson Adams

    Does Celiac Diagnosis Take Longer in People Without Gastrointestinal Symptoms?

    Reviewed and edited by a celiac disease expert.

    Do doctors take longer to diagnose celiac disease in people without symptoms than they do for people with symptoms? Yes, much longer. That needs to change.

    Does Celiac Diagnosis Take Longer in People Without Gastrointestinal Symptoms? - Why does it take so long for doctors to diagnose celiac disease in patients with no symptoms? Photo: Richard-G
    Caption: Why does it take so long for doctors to diagnose celiac disease in patients with no symptoms? Photo: Richard-G

    Celiac.com 03/08/2018 - A team of researchers recently set out to study delays in diagnosing patients who have biopsy-proven celiac disease with gastrointestinal complaints, compared to those without non-gastrointestinal complaints.

    The research team included Marco A. Paez, MD, Anna Maria Gramelspacher, MD, James Sinacore, PhD, Laura Winterfield, MD, and Mukund Venu, MD. They are variously affiliated with the Division of Gastroenterology, Department of Medicine, Howard College of Medicine, Washington, DC; the Department of Medicine, the Department of Public Health Sciences, the Division of Gastroenterology, and the Department of Medicine at Loyola University Medical Center in Maywood, Illinois.

    Celiac.com Sponsor (A12):
    The research team first conducted a medical chart review of 687 adult patients diagnosed with celiac disease. All patients they studied had biopsy-proven celiac disease and were grouped according to presence or absence of gastrointestinal symptoms before diagnosis. The team found 101 biopsy-proven celiac patients that met their study criteria. The groups were roughly equal in size, with 52 patients showing gastrointestinal symptoms before diagnosis, and 49 with no gastrointestinal symptoms.

    The results for the groups were starkly different. Statistical analysis revealed an average diagnosis delay of 2.3 months for the group with gastrointestinal symptoms, while the group that showed no symptoms showed an average delay of 42 months. That’s a difference of nearly 3½ years.

    Nearly half of the patients with non-gastrointestinal symptoms had abnormal thyroid-stimulating hormone, as opposed to 15.5% in the gastrointestinal symptom group (P = .004). Nearly 70% of patients without gastrointestinal symptoms had anemia, compared with just 11.5% of the group with gastrointestinal symptoms.

    Also, nearly 70% of patients in the non-gastrointestinal symptom group showed abnormal bone density scans, compared with 41% in the gastrointestinal symptom group. The team saw no sex differences on chi-squared analysis between the 2 groups.

    Although there is growing awareness of celiac disease, the delay in diagnosis for patients without gastrointestinal symptoms remains prolonged, with an average delay of 3.5 years for celiac diagnosis, compared with just over two months for those with symptoms.

    Clearly, more needs to be done with regard to diagnosing celiac disease in patients who show no symptoms. On the upside, researchers are currently working on ways to better diagnose celiac disease via faster, more accurate tests, even in patients who have already gone gluten-free.

    Source:



    User Feedback

    Recommended Comments

    Guest Xandy

    Posted

    My first diagnosis was Multiple Sclerosis

    Then my adrenal glands failed

    They found Collegenic Colitis that gave a Celiac's diagnosis.

    i NEVER had a gut symptom!!!!!!!!!!!!!!!!!!!!!!!!!

    ALL healed from a gluten free diet and cannabis

     

    No more daily life saving meds (after 10 yrs of it) and NO more brain lesions!!!!!!!!!

    Link to comment
    Share on other sites
    Guest Ben

    I've never been tested for Celiac but I was having consistent back, knee and wrist pains for decades that all went away and never returned once I went gluten-free about 6 years ago. Also less headaches, a lot less advil and less anxiety. 

    Link to comment
    Share on other sites
    Guest Robin K

    Posted

    I am 62 and was first tested 2 years ago. I am positive for antibodies, GI bx changes and one genetic marker. No GI symptoms-possibly because I tend to follow a lower carb diet/minimal foods with gluten. HOWEVER, I have had periodontal disease since my 30's. I am also Hypothyroid. 

    Link to comment
    Share on other sites
    vwebsterwood

    After 8+ years of pain, mood disorders, and peripheral neuropathy  (along with hypothyroidism) I eventually received a diagnosis of fibromyalgia. It took me doing a food elimination diet at the recommendation of a coworker to discover that my symptoms went away after going gluten free. Only then did my primary care doc refer me to a GE who had me do a gluten challenge and both my biopsy and blood-work confirmed celiac. People definitely need to be more aware of the range of symptoms. I already have complications due to untreated celiac (hopefully they will heal eventually) and I still get people telling me I can't have celiac because I'm normal weight.

    Link to comment
    Share on other sites
    Guest bookmuse

    Posted

    I am still waiting for a diagnosis six years later. I'm absolutely sure I have dermatitis herpetiformis and twice now I have been told I have flea bites by dermatologists who have taken biopsies (incorrectly) of the lesions. I refuse to go back on gluten to get a small intestine biopsy. There doesn't seem to be any other option yet. The DH biopsy is very specialized and no one in my area seems to know how to do them exactly right. 

    Link to comment
    Share on other sites
    Guest Tammie

    Posted

    Couldn't  agree more. My husband was 6 years trying to get doctors to listen to his symptoms finally celiac was found through bloodwork from a biodentical hormone doctor, antibody testing then biopsy to confirm. He went gluten free and starch free has been good ever since.  It took about 4 yrs before he really started to feel good again. Even started to grow back his bone mass with the help of a natroupath and I V therapies  and peptide injections he took for 2 months.  Going gluten free was just the start of his recovery without other treatments he would not be were he is today. Gluten does so much damage to the body when not found early. Doctors really need to pay much more attention to this issue because gluten damage can effect some many areas of the body not just stomach and bowel.  Brain function is effected but this usually is overlooked too.  So many things are overlooked in this issue it's no wonder people have such a hard time being diagnosed.  I really think with all that I've read and seen with my husband and his journey that this should be a standard blood test for everyone. I am gluten free now because of my knowledge of this disease and what it has put my husband through. I feel so much better health wise you couldn't pay me to put another drop of it in my mouth!

    Link to comment
    Share on other sites


    Create an account or sign in to comment

    You need to be a member in order to leave a comment

    Create an account

    Sign up for a new account in our community. It's easy!

    Register a new account

    Sign in

    Already have an account? Sign in here.

    Sign In Now

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate
  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     


  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Related Articles

    Jefferson Adams
    Should Doctors Bother Screening for Asymptomatic Celiac Disease?
    Celiac.com 04/25/2017 - A recent issue of JAMA, the US Preventive Services Task Force (USPSTF) critically examines screening for celiac disease in asymptomatic adults, adolescents, and children.
    Celiac disease exhibits a broad spectrum of symptoms, from subtle or no symptoms to severe malabsorption. Celiac diagnoses have increased significantly over the past few decades, in part because of greater awareness, but possibly because of an actual increase in disease rates. Researchers estimate current rates of celiac disease at 0.71% among US adults, and 0.76% among US children.
    However, most celiac disease in the population remains undetected, despite wide availability of accurate serologic tests. Screening may be a good way to detect the disease, especially in people who have known risk...


    Jefferson Adams
    New Blood Test May Change the Way We Diagnose Celiac Disease
    Celiac.com 08/28/2017 - After 14-day gluten challenge, an HLA-DQ-gluten tetramer blood test provides better detection of celiac disease than biopsy. Can that lead to new disease detection methods in patients who are already on a gluten-free diet?
    Doctors attempting to diagnose celiac disease are often confronted by patients who have already given up gluten. For such patients, diagnostic guidelines currently call for a gluten challenge of at least 14 days, followed by duodenal biopsy. There isn't much good data on how many false-positive results are generated by this method. To get a better picture, a team of researchers recently studied responses to 14-day gluten challenge in subjects with treated celiac disease.
    The research team included Vikas K Sarna, Gry I Skodje, Henrik M Reims...


    Jefferson Adams
    Can Science Take the Guesswork Out of Diagnosing Seronegative Celiac Disease?
    Celiac.com 09/27/2017 - Patients who have clinical, genetic and histological signs of celiac disease, but no serological markers, present a challenge when it comes to making a diagnosis. If the patient doesn't have elevated antibodies, what signs do doctors look for? What's the best way to evaluate the patient's natural history and response to a gluten-free diet?
    A team of researchers recently set out to outline a specific profile, and to evaluate the natural history and response to a gluten-free diet of patients with seronegative celiac disease.
    The research team included Maria Pina Dore; Giovanni Mario Pes; Ivana Dettori; Vincenzo Villanacci; Alessandra Manca and Giuseppe Realdi. They are variously affiliated with the Internal Medicine Section, Department of Clinical and Experimental...


    Jefferson Adams
    Are Doctors Missing 90% of Celiac Disease Cases?
    Celiac.com 10/20/2017 - Are doctors even getting close to diagnosing the actual number of cases of celiac disease? Or are they missing the vast majority?
    Researchers have said for some time that there are far more people with celiac disease than are being diagnosed, and that the vast majority of cases go undiagnosed.
    So, just how far are we from the actual number? Well, if a new study by Canadian nutrition researchers is any indication, doctors are very far from diagnosing most cases.
    The team studied the blood work of nearly 3,000 people, and their conclusions are stunning. They say that ninety percent of celiac cases go undiagnosed.
    How could this be? One reason is that even classic celiac disease symptom, such as abdominal pain, bloating, gas, diarrhea, anemia and weight...


  • Recent Activity

    1. - Newhere19 replied to Newhere19's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      New to all of this

    2. - jjiillee replied to jjiillee's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      13

      Daughter waiting for appointment

    3. - trents replied to jjiillee's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      13

      Daughter waiting for appointment

    4. - Scott Adams replied to jjiillee's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      13

      Daughter waiting for appointment


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      126,519
    • Most Online (within 30 mins)
      7,748

    Denise Oleary
    Newest Member
    Denise Oleary
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.9k
    • Total Posts
      69.5k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Popular Now

    • Art Maltman
      4
    • JA917
      13
    • Dana Gilcrease
      5
    • marion wheaton
      6
    • Jula
  • Popular Articles

    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
  • Upcoming Events

×
×
  • Create New...