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 Celiac.com!
    eNewsletter
    Donate

Do You Have To Eat Gluten For A Blood Test?


M-arion

Recommended Posts

M-arion Newbie

Hi All, 

 

I have been suffering from GI symptoms for about 11yrs now, they just increase in severity. Basically they are: Bloating, fatigue, bloody stools, cramps, constipation, unexplained weight gain, dry skin, always hungry, always thirsty, brain fog, flatulence and burping. I went on a gluten free diet about 2 yrs ago and most of these symptoms disappeared. Since going gluten free, I've been on and off the diet. But for the past 4 months I've been gluten free. Recently some new symptoms have begun, about two months ago I started to experience dizzyness, weakness, cramping, nausea 24-7 and diarrhea. 

 

I went into my doctor about 3 weeks ago and she did blood tests, fecal tests and urine tests. The only thing that she found was alot of fat in my stool and a benign parasite. I continued to get weaker and weaker and when I went into work on friday (4 days ago) I felt really weak but was determined to push through it. I fell over because my legs just gave out and started to breathe really heavy and shake. It felt like my hands and feet were numb and tingly also. I was very confused and when the fire department came and then the ambulance I didn't know what was going on, my vision was also blurry. In the ER they tested me for all the normal stuff and sent me home even though I couldn't walk or talk I was so weak. They chaulked it up to stress and working too hard. The next day I continued to feel like this so my mom took me to the Dr's, they promptly sent me back to the hospital. The hospital did all the same tests and came back and told us I was just depressed. I know I'm not depressed, I'm actually quite happy most of the time. 

 

So we went another route, and went to the GI specialist. He said that my symptoms weren't symptoms of Celiacs and it was probably just stress or depression, or IBS. He said if I was Celiac, my symtoms would be gone after going gluten free. But I was wondering, what about cross contamination? I live in a gluten filled household and I've heard about people getting reactions from CC. My mom made him do a blood test for Celiacs (My family has a history of gluten intolerance even though no one has ever been tested for Celiacs) and he ordered one for thyroid. He also wants to do a colonoscopy.  

 

I have a couple of questions: One, do you have to be on a gluten filled diet to have the blood test work? 

and Two, is it true that these aren't symptoms of Celiacs disease? Three, is a colonoscopy going to tell me anything? and Four, where do I go from here? 

 

Thank you so much, I am feeling so confused right now. Any and all advise/facts are greatly appreciated!

 

Marion

Link to comment
Share on other sites

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



Celiac.com Sponsor (A8-M):



shadowicewolf Proficient

You need to be on a gluten diet for the blood tests to come back.

 

Celiac has many symptoms (200? something of that sort, could be more or less).

 

An endoscopy might find something, however, since you have been off of gluten for 4 months, that has to be taken into account.

 

You could, if you wish to pursue it, do a gluten trial, then get the blood tests ran, followed by a endoscopy with a biopsy.

Link to comment
Share on other sites
eers03 Explorer

Yes, you need to keep eating gluten or your test can return a false negative result.  

Link to comment
Share on other sites

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,088
    • Most Online (within 30 mins)
      7,748

    Aventine
    Newest Member
    Aventine
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      I'll answer your second question first. The single best antibody test for monitoring celiac blood antibody levels is the tTG-IGA and it is very cost effective. For this reason, it is the most popular and often the only test ordered by physicians when checking for celiac disease. There are some people who actually do have celiac disease who will score negatives on this test anyway because of anomalies in their immune system but your wife is not one of them. So for her, the tTG-IGA should be sufficient. It is highly sensitive and highly specific for celiac disease. If your wife gets serious about eating gluten free and stays on a gluten free diet for the duration, she should experience healing in her villous lining, normalization in her antibody numbers and avoid reaching a celiac health crisis tipping point. I am attaching an article that will provide guidance for getting serious about gluten free living. It really is an advantage if all wheat products are taken out of the house and other household members adopt gluten free eating in order to avoid cross contamination and mistakes.  
    • Anmol
      Thanks this is helpful. Couple of follow -ups- that critical point till it stays silent is age dependent or dependent on continuing to eat gluten. In other words if she is on gluten-free diet can she stay on silent celiac disease forever?    what are the most cost effective yet efficient test to track the inflammation/antibodies and see if gluten-free is working . 
    • trents
      Welcome to the community forum, @Anmol! There are a number of blood antibody tests that can be administered when diagnosing celiac disease and it is normal that not all of them will be positive. Three out of four that were run for you were positive. It looks pretty conclusive that you have celiac disease. Many physicians will only run the tTG-IGA test so I applaud your doctor for being so thorough. Note, the Immunoglobulin A is not a test for celiac disease per se but a measure of total IGA antibody levels in your blood. If this number is low it can cause false negatives in the individual IGA-based celiac antibody tests. There are many celiacs who are asymptomatic when consuming gluten, at least until damage to the villous lining of the small bowel progresses to a certain critical point. I was one of them. We call them "silent" celiacs".  Unfortunately, being asymptomatic does not equate to no damage being done to the villous lining of the small bowel. No, the fact that your wife is asymptomatic should not be viewed as a license to not practice strict gluten free eating. She is damaging her health by doing so and the continuing high antibody test scores are proof of that. The antibodies are produced by inflammation in the small bowel lining and over time this inflammation destroys the villous lining. Continuing to disregard this will catch up to her. While it may be true that a little gluten does less harm to the villous lining than a lot, why would you even want to tolerate any harm at all to it? Being a "silent" celiac is both a blessing and a curse. It's a blessing in the sense of being able to endure some cross contamination in social settings without embarrassing repercussions. It's a curse in that it slows down the learning curve of avoiding foods where gluten is not an obvious ingredient, yet still may be doing damage to the villous lining of the small bowel. GliadinX is helpful to many celiacs in avoiding illness from cross contamination when eating out but it is not effective when consuming larger amounts of gluten. It was never intended for that purpose. Eating out is the number one sabotager of gluten free eating. You have no control of how food is prepared and handled in restaurant kitchens.  
    • knitty kitty
      Forgot one... https://www.hormonesmatter.com/eosinophilic-esophagitis-sugar-thiamine-sensitive/
    • trents
      Welcome to the forum community, @ekelsay! Yes, your tTG-IGA score is strongly positive for celiac disease. There are other antibody tests that can be run when diagnosing celiac disease but the tTG-IGA is the most popular with physicians because it combines good sensitivity with good specificity, and it is a relatively inexpensive test to perform. The onset of celiac disease can happen at any stage of life and the size of the score is not necessarily an indicator of the progress of the disease. It is likely that you you experienced onset well before you became aware of symptoms. It often takes 10 years or more to get a diagnosis of celiac disease after the first appearance of symptoms. In my case, the first indicator was mildly elevated liver enzymes that resulted in a rejection of my blood donation by the Red Cross at age 37. There was no GI discomfort at that point, at least none that I noticed. Over time, other lab values began to get out of norm, including decreased iron levels. My PCP was at a complete loss to explain any of this. I finally scheduled an appointment with a GI doc because the liver enzymes concerned me and he tested me right away for celiac disease. I was positive and within three months of gluten free eating my liver enzymes were back to normal. That took 13 years since the rejection of my blood donation by the Red Cross. And my story is typical. Toward the end of that period I had developed some occasional diarrhea and oily stool but no major GI distress. Many celiacs do not have classic GI symptoms and are "silent" celiacs. There are around 200 symptoms that have been associated with celiac disease and many or most of them do not involve conscious GI distress. Via an autoimmune process, gluten ingestion triggers inflammation in the villous lining of the small bowel which damages it over time and inhibits the ability of this organ to absorb the vitamins and minerals in the food we ingest. So, that explains why those with celiac disease often suffer iron deficiency anemia, osteoporosis and a host of other vitamin and mineral deficiency related medical issues. The villous lining of the small bowel is where essentially all of our nutrition is absorbed. So, yes, anemia is one of the classic symptoms of celiac disease. One very important thing you need to be aware of is that your PCP may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining to confirm the results of the blood antibody testing. So, you must not begin gluten free eating until that is done or at least you know they are going to diagnose you with celiac disease without it. If you start gluten free eating now there will be healing in the villous lining that will begin to take place which may compromise the results of the biopsy.
×
×
  • Create New...