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7Yo With Weak Positive?

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My 7yo has had chronic constipation, almost since birth. She also suffers from gas, distended abdomen and daily pain. Her doctor two years ago just said she was slow motility and to continue daily miralax.

Finally a doc at a pneumonia follow up ran a celiac panel and her tTg_IgA came back weak positive at 4 (‹4 no antibody, 4-10 weak positive, >10 positive)

All other testing was normal, ttg-IgG, IgA serum, EMA and one other. No DGP testing done.

We see a ped GI later this week. Is one weak positive enough to dx her? I am concerned about getting the endoscopy... Because if it is normal, what would the value of the blood testing alone be?

And if she is DX a Celiac, I will get her siblings tested. I was blood tested last year with negative results, but have many sx's. Should I ask to be retested?

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