Celiac Screen Stool Test

[Topper]

My situation was that I had over 100 delayed food allergies that showed up in an ELISA test. It was then recommended that I have a comprehensive stool test.

 

Stool test result presented the following:

 

Secretory IgA >7500, high being 510 to 2040

Calprotectin: Strong Positive

 

S_IGA_ANTI_GLIADIN: 228.7, with high being 0 to 100

 

S_IGA_ANTI_HTTG: 450.5, with high being 0 to 100

 

My therapist says this is a case of Celiac disease. 

 

So, is it?

 

Any responses would be appreciated.

[kareng]

Stool tests are not considered a valid test for Celiac disease.  You might want to consider seeing a MD, either a GI or primary care,  instead of a therapist (not sure what this is? ) and get the Celiac blood tests.  

 

 

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[Topper]

My situation was that I had over 100 delayed food allergies that showed up in an ELISA test. It was then recommended that I have a comprehensive stool test.

 

Stool test result presented the following:

 

Secretory IgA >7500, high being 510 to 2040

Calprotectin: Strong Positive

 

S_IGA_ANTI_GLIADIN: 228.7, with high being 0 to 100

 

S_IGA_ANTI_HTTG: 450.5, with high being 0 to 100

 

My therapist says this is a case of Celiac disease. 

 

So, is it?

 

Any responses would be appreciated.

 

Stool tests are not considered a valid test for Celiac disease.  You might want to consider seeing a MD, either a GI or primary care,  instead of a therapist (not sure what this is? ) and get the Celiac blood tests.  

 

 

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Alright Thanks. I see the lack of sensitivity and accuracy in the related stool test, but judging from the values in the stool test(which are very high), would you recommend the celiac blood test as the next step because of a high probability of postitive diagnosis? or is it so unreliable (stool test) that I have to ignore the results altogether?

[Fenrir]

Yeah, you should be seen by a GI specialist. Stool tests are not going diagnose Celiac.

[Fenrir]

Alright Thanks. I see the lack of sensitivity and accuracy in the related stool test, but judging from the values in the stool test(which are very high), would you recommend the celiac blood test as the next step because of a high probability of postitive diagnosis? or is it so unreliable (stool test) that I have to ignore the results altogether?

The stool test would only be useful if the gold standard tests support it which is to say it means nothing on it's own.

 

In order to properly diagnose celiac you need a celiac blood panel that includes Endomysial antibodies IgA

 

• Tissue transglutaminase, IgG
• Tissue transglutaminase, IgA
• Deamidated gliadin IgA
• Deamidated gliadin IgG
• Serum IgA quantitation

If the panel shows positive then you need to have an upper endoscopy with biopsies to confirm it.