Cd Or Gluten Intolerance?

[Puckster]

I received my results from enterolab on 10/08/05. The more I read, the more consfused I am. Can someone tell me what I have?

Gluten Sensitivity Testing

Fecal Antigliadin IgA 35 Units (Normal Range <10 Units)

Fecal Antitissue Transglutaminase IgA 28 Units (Normal Range <10 Units)

Microscopic Fecal Fat Score: 84 Units (Normal Range < 300 Units)

HLA-DQ Gene Molecular analysis: HLA-DQB1*0302, 0501

Food Sensitivity Testing

Fecal anti-casein (cow's milk) IgA antibody 37 Units (Normal Range <10 Units)

Fecal anti-ovalbumin (chicken egg) IgA antibody 7 Units (Normal Range <10 Units)

Fecal Anti-Saccharomyces cerevisiae (dietary yeast) IgA 8 Units (Normal Range <10 Units)

Fecal Anti-Soy IgA Units (Normal Range <10 Units)

Since my fecal fat numbers are normal, does that mean I have just a sensitivity, or is it celiac disease? Does it matter if it's one or the other? I have really bad GI symptoms, but no weight loss. Just looking for input, thanks!

[tarnalberry]

I believe Enterolab usually includes an interpretation of the results with the numeric values, so you may want to check there. Technically, Enterolab never dx'es celiac disease itself, because that "traditionally" requires a biopsy (though *some* docs will take a blood test). But what you're seeing there shows that you have higher than acceptable levels of anti-gliandin antibodies (meaning that you are immunologically reacting to gluten), normal fecal fat (meaning that you don't seem to have an absorption issue - yet), one of the genetic alleles predisposing you to gluten intolerance, higher than acceptable levels of anti-casein antibodies (meaning that you are immunologically reacting to casein), and acceptable levels of antibodies to egg, yeast, and soy (meaning that you are not reacting to those items). Based on that, if you are comfortable going with their results, I would eliminate all gluten and dairy from the diet.

[Carriefaith]

Enterolab cannot diagnose celiac disease, but they can definately tell you if you are having problems with gluten. From your results it seems that you are intolerant to gluten and casein (the milk protein). It's hard to say if you have celiac disease or not, it seems like you have the celiac gene and you are having above normal scores on some of the tests, which indicates that you may have it. If you haven't started the gluten-free diet yet, a tTg celiac blood test may help confirm this. I am not a doctor, but I think that you may benefit from a gluten free and casein free diet. I am on that diet now and it isn't that bad. If you decide to try the diet and you need meal ideas just ask