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

What Would You Do?


answerseeker

Recommended Posts

answerseeker Enthusiast

Ok so 1 week prior to my blood work and 3 weeks prior to my biopsy I was on prednisone. A lot. I was hospitalized due to asthma so the prednisone was in my iv and I was on the oral pills. So my tests were negative. I now know for a fact prednisone interferes with testing because it was mentioned in the book "real life with celiac" written by 2 GI doctors.

Not only that but my biopsy result literally came back negative the next day. They told me at least 2 weeks so I was shocked it came back so soon. Wondering if it was even properly examined and if multiple samples were taken.

My GI dr acknowledges I could still possibly have celiac. I see him next week and may discuss possibly retesting.

If you were me would you do a gluten challenge and repeat testing to get a accurate diagnosis?


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



Celiac.com Sponsor (A8-M):



moosemalibu Collaborator

Any steroid suppresses the immune system so no doubt that if you were on prednisone it could have altered the normal function of the immune system. 

 

It is interesting that your biopsy came back the next day. I don't know how they do things specifically, but in the animal world (where I work), biopsies mean that the tissues are cut and then sent to a pathologist to interpret. The cutting and prepping and fixing of the tissue and then sending the slices on slides to the pathologist AND getting his/her interpretation takes time. Are you sure they performed a biopsy?

 

Not sure what i would do but I'd definitely ask more questions and push the docs for answers.

answerseeker Enthusiast

He said they took biopsies and I plan on asking him next week when I see him. It seems odd that it came back so quickly.

frieze Community Regular

was it a "final" or initial report?

answerseeker Enthusiast

I never saw the report so not sure

kareng Grand Master

I never saw the report so not sure

So you know what you need to do! Get the reports - you should have a pathology report for the biopsies.

answerseeker Enthusiast

But if the dr said its negative its not going to tell me anything


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



Celiac.com Sponsor (A8-M):



kareng Grand Master

But if the dr said its negative its not going to tell me anything

I must have misunderstood. I thought there was some thought it might not even have been the path report for the biopsies? Or there was some thought he might not have done biopsies? Or it wasn't the correct report? Or he only did one or two biopsies?

If you are sure you completely understand what the doctor is talking about, and its what you think he is saying, then I guess your good. If it were me, I would still want the reports

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      132,116
    • Most Online (within 30 mins)
      7,748

    Mary Pack
    Newest Member
    Mary Pack
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Colleen H
      I did ... But aren't we going to be vitamin deficienct if we are not eating due to being sick ?? If the food we eat is gluten free and we have other sensitivities , how do we get out of the cycle??  Thank you 
    • Colleen H
      Anyone else get pins and needles. ??? Burning feeling ? Heat makes it so much worse 😔  Winter is here.  I had to lower my thermostat because I couldn't take that hot air feeling 😔  Hopefully it goes away soon     
    • trents
      I assume that you already know that genetic testing for celiac disease cannot be used to confirm a celiac diagnosis. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% actually develop celiac disease. It can be used to rule out celiac disease with a high degree of confidence, however, in the case where the genetic testing is negative for the genes. Until and unless you are actually diagnosed with celiac disease I would not raise this as an issue with family. However, if you are diagnosed with celiac disease through blood antibody testing and/or endoscopy with positive biopsy I would suggest you encourage first degree relatives to also purse testing because there is a significant chance (somewhere betwee 10% and almost 50%, depending on which studies you reference) that they will also have or will develop active celiac disease. Often, there are symptoms are absent or very minor until damage to the small bowel lining or other body systems becomes significant so be prepared that they may blow you off. We call this "silent celiac disease". 
    • trents
      If you were off gluten for two months that would have been long enough to invalidate the celiac blood antibody testing. Many people make the same mistake. They experiment with the gluten free diet before seeking formal testing. Once you remove gluten from the diet the antibodies stop being produced and those that are already in circulation begin to be removed and often drop below detectable levels. To pursue valid testing for celiac disease you would need to resume gluten consumption equivalent to the amount found in 4-6 slices of wheat bread daily for at least two weeks, preferably longer. These are the most recent guidelines for the "gluten challenge". Without formal testing there is no way to distinguish between celiac disease and gluten sensitivity since their symptoms overlap. However, celiac disease is an autoimmune disorder that damages the small bowel lining, not true of gluten sensitivity. There is no test available for gluten sensitivity so celiac disease must first be ruled out. By the way, elevated liver enzymes was what led to my celiac diagnosis almost 25 years ago.
    • trents
      Then it does not seem to me that a gluten-related disorder is at the heart of your problems, unless that is, you have refractory celiac disease. But you did not answer my question about how long you had been eating gluten free before you had the blood antibody test for celiac disease done.
×
×
  • 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.