Two year old - blood test interpretation

[Lilah]

Hello,

Please help me to understand the results of this test. My daughter is just 2 years old has not grown for 8 months and experiences extreme constipation. Other than that she is normal. We had blood work done and the Doctor simply referred me to a ped gastro doctor who now recommends an endoscopy and biopsy. I am trying to figure out if this is right for us. My nephew had a similar situation and his scope was inconclusive at age 5, his symptoms prevail and worsen as they wait for their next step.

Here is what I received from the blood work -

IGA, Serum 184 Mg/dL   ........standard range is 24-121  Flagged as High, Serological evidence of celiac disease is present

Tissue Transglutam AB IGA 1 U/ML.......standard Range is <4 U/mL  , Interpretation <4 : no antibody detected,  >4 antibody detected

Gliadin AB (IGA)  40 Units .................standard <20 units, Flagged as High, Interpretation <20 Antibody not detected, >20 Antibody detected

I am so confused and trying to decide if we should get the scope or just go gluten free 100% for a few months and redo blood work.

Any advise or knowledge is appreciated!

Lilah

 

[cyclinglady]

2 hours ago, Lilah said:

Hello,

Please help me to understand the results of this test. My daughter is just 2 years old has not grown for 8 months and experiences extreme constipation. Other than that she is normal. We had blood work done and the Doctor simply referred me to a ped gastro doctor who now recommends an endoscopy and biopsy. I am trying to figure out if this is right for us. My nephew had a similar situation and his scope was inconclusive at age 5, his symptoms prevail and worsen as they wait for their next step.

Here is what I received from the blood work -

IGA, Serum 184 Mg/dL   ........standard range is 24-121  Flagged as High, Serological evidence of celiac disease is present

Tissue Transglutam AB IGA 1 U/ML.......standard Range is <4 U/mL  , Interpretation <4 : no antibody detected,  >4 antibody detected

Gliadin AB (IGA)  40 Units .................standard <20 units, Flagged as High, Interpretation <20 Antibody not detected, >20 Antibody detected

I am so confused and trying to decide if we should get the scope or just go gluten free 100% for a few months and redo blood work.

Any advise or knowledge is appreciated!

Lilah

 

I am sorry that your baby is ill!  

Your daughter does have a positive on the DGP IgA (like me).  It often catches very young celiacs or elderly ones (like me).  Her Immunoglobulin A is high too and that can be elevated with autoimmune disorders.   I would consult with the PED GI.  Talk over your concerns about the endoscopy.  He or she may decide to diagnose based on the diet and a re-check on antibodies (should decline).  Let your GI help, you make the best decision for you and your daughter.  In the meantime, get prepared. Continue to research the disease and diet.   Keep her on gluten until all testing is complete.  

Hugs!