Endoscopy & biopsy during asymptomatic period

[Foreignlady]

Good morning, 

I am the mother of a 5 year old who has tested positive on two blood test for tissue transglutaminase antibodies (results, over 300 then 75). She is scheduled for an endoscopy and biopsy next week. I understand that her pediatric gastroenterologist is a celiac specialist so she should be good...

My worry is that my daughter's GI symptoms have been steadily decreasing and she hasn't had a distressing episode of acute pain, nausea, vomiting or diarrhea in close to 2 months. She reports having abdominal pain that is "medium" (very hard to get a 5 year old to quantify pain). From my perspective, the pain must be rather minor since she doesn't bring it up unless she is asked. 

Because of this symptom improvement, I am afraid the procedure's timing is not good and we might get a false negative result. To be clear, she continues to eat lots of gluten, but I think her improved GI symptoms are due to better stress and anxiety management. 

Were you very symptomatic at the time of testing? Should I ask for a postponement?

Thanks for your advice.

[ravenwoodglass]

Symptoms can come and go that is not unusual. IMHO you should keep the appointment as scheduled.

[Foreignlady]

OK thanks. I guess I should just stop worrying.