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How Accurate Are Celiac Blood Tests


dek38

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dek38 Rookie

Hi there,

   I have been suffering from unresolved health issues for almost a year now, during which time I have lost around 20 pounds in weight.  All other things have been happening to my body, stomach pain, strange BM (Undigested food/oil droplets), strange urination, fatigue, reflux that is not helped by PPI's, tooth and gum problems, aches and pains, creaking joints to name a few.

I have had an extensive work-up regarding tests/scan (Endoscopy, Colonoscopy, Abdominal and pelvic CT and ultrasounds, chest x-rays, urine analysis, loads of bloodwork plus other tests.

I visited a GI on Saturday, and he mentioned Celiac, he told me that the blood test was only 80% accurate and wants to do another Endoscopy and biopsy to check for Celiac.

As anyone been diagnosed with Celiac who had a negative blood test?  Also do the symptoms I have been having sound familiar?

Any help and advise would be greatly appreciated.


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frieze Community Regular

it is possible to get a - result, maybe even more often than your doc quotes.....get the repeat endo and go gluten free.

kareng Grand Master

I'm assuming you have not been eating gluten-free?

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Deaminated Marcus Apprentice

page 12 of this report says a DGP-IgG blood test is 99 to 100 percent accurate.

 

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dek38 Rookie

I am not sure what Celiac test they ran on me.  It was last may and it just said Celiac on the bloodwork sheet.  

I was eating at the time of the test and still am eating Gluten.

My plan is to try a Gluten free diet after my Biopsy, to see if I get better.  My symptoms are so varied and weird that it as to be something Autoimune (I think).  The reason i think the GI mentioned Celiac is because of my BM's (Undigested food, fat etc..)

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    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
    • JoJo0611
      I have been diagnosed with coeliacs disease today after endoscopy, bloods and CT scan. I have also been diagnosed with Mesenteric Panniculitis today. Both of which I believe are autoimmune diseases. I have been told I will need a dexa scan and a repeat CT scan in 6 months. I had not even heard of Mesenteric Panniculitis till today. I don’t know much about it? Has anyone else got both of these. 
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