Jump to content
  • 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 Our Content
    eNewsletter
    Donate

Did I Do My Antibody Test Wrong?


misha

Recommended Posts

misha Newbie

Hi everyone. My sister has celiac disease. I suspected I had it too so I went on a gluten free diet for about a year. Then I decided to have the antibody blood tests, so for about three weeks I ate a couple of pieces of spelt and rye bread a day, then I had the tests. They came back negative for celiac disease.

Thinking I didn't have the disease, I've been eating lots of bread of all kinds since then, but feeling worse and worse -- having anemia, as my new blood tests show, other blood test abnormalities (high ESR), and very fatigued. I just stopped eating gluten last week and now I feel a thousand times better.

Do you think it's possible that I didn't eat enough gluten to build up my antibodies when I took my test? I feel really dumb about it now. Or would that have been enough gluten to make antibodies show? I'd really appreciate any advice. I feel embarrassed to talk to my doctor about it, because he already acted like I was a total pain when I asked for the tests.


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



Celiac.com Sponsor (A8-M):



SueC Explorer

You may not have been eating gluten long enough for damage to show on bloodwork. After being gluten-free it is recomended to go back to eating gluten for 3 months before being tested. You might want to try again in a couple of months! :(

Rachel--24 Collaborator

Definately not long enough for accurrate test results. If you feel bad eating gluten and then feel good off of it I'd say you already have your answer but if you need testing to be convinced...then I'd say at least 3 months eating plenty of gluten everyday.

misha Newbie

Thanks to both of you for your reply! I noticed that you had grave's disease, Rachel -- I've had hyperthyroidism too.

Definately not long enough for accurrate test results. If you feel bad eating gluten and then feel good off of it I'd say you already have your answer but if you need testing to be convinced...then I'd say at least 3 months eating plenty of gluten everyday.
  • 2 weeks later...
munchkinette Collaborator

I was wondering about this too- I tried the gluten-free diet for two weeks, and my doctor said I need to eat wheat for one week before getting my antibody tests. (next week)

Will one week be enough since I only ate gluten-free for a short time?

Rachel--24 Collaborator

Are you getting bad symptoms when you eat gluten? If it were me and I *wasnt* in too much discomfort...I'd eat it for alot longer than one week to get the most accurate test results. I was off gluten for 2 weeks before testing and the tests were negative. Once I was gluten-free for awhile I was never able to go back on it to retest because my symptoms were too severe.

Nancym Enthusiast

Dr. Fine says the intestines can heal up pretty well even as soon as two days of going gluten free and it can take years to get them messed up again to the point of detecting the disease through blood tests or biopsy. And you really do have to be pretty sick to get a positive on the biopsy. I really think the current standard lab tests are very bad at detecting gluten sensitivity unless you're at the extreme end of illness.


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



Celiac.com Sponsor (A8-M):



munchkinette Collaborator
Are you getting bad symptoms when you eat gluten? If it were me and I *wasnt* in too much discomfort...I'd eat it for alot longer than one week to get the most accurate test results. I was off gluten for 2 weeks before testing and the tests were negative. Once I was gluten-free for awhile I was never able to go back on it to retest because my symptoms were too severe.

I've been eating gluten again for 2 days and I do feel kinda gross. I jumped in because I had the same question and just like micha I have been anemic and really tired. I also had a really tiring weekend with lots of exercise (snowboarding) and drinking, so I can't pick out what is from gluten.

I'm still too new to this to understand what it's all about. My two weeks without gluten was an experiment because of my recent anemia tests. I don't actually know which symptoms are from gluten but I really think the tiredness is related since I noticed a big difference after eating gluten-free for about 4 days. It's not that I need really official test results. I'm just too new to this to determine based on how I feel, so I'd like to get an accurate test.

lemonade Enthusiast
Definately not long enough for accurrate test results. If you feel bad eating gluten and then feel good off of it I'd say you already have your answer but if you need testing to be convinced...then I'd say at least 3 months eating plenty of gluten everyday.

Rachel,

how much would you say is "plenty"?

I have never really liked bread, so before going gluten-free, i didnt eat much breads, my only grain came from oats, which are said to be lower in gluten, if not gluten free, depending on cross contamination, but im thinking that oats still cotnained enouhg gluten to send me over the edge and create the symptoms i have. Is it possible that I hadnt been eating enough gluten for the test results to be accurate?

Lemonade

Are you getting bad symptoms when you eat gluten? If it were me and I *wasnt* in too much discomfort...I'd eat it for alot longer than one week to get the most accurate test results. I was off gluten for 2 weeks before testing and the tests were negative. Once I was gluten-free for awhile I was never able to go back on it to retest because my symptoms were too severe.

Rachel...

How were you diagnosed with celiac disease?

Lemonade

Archived

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

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - GlorietaKaro replied to GlorietaKaro's topic in Super Sensitive People
      3

      Am I nuts?

    2. - trents replied to GlorietaKaro's topic in Super Sensitive People
      3

      Am I nuts?

    3. - lalan45 replied to xxnonamexx's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      29

      My journey is it gluten or fiber?

    4. - Russ H posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      0

      Anti-endomysial Antibody (EMA) Testing

    5. - Scott Adams replied to JoJo0611's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      1

      Just diagnosed today

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,806
    • Most Online (within 30 mins)
      7,748

    IleneG
    Newest Member
    IleneG
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • GlorietaKaro
      Thanks to both of you for your responses!  Sadly, even after several years of very strict gluten avoidance, I remember the symptoms well enough that I am too frightened to risk a gluten challenge— heartbeat and breathing problems are scary— Scott, thank you for the specific information— I will call around in the new year to see if I can find anyone. In the meantime, I will carry on has I have been— it’s working! Thanks also for the validation— sometimes I just feel crushed by disbelief. Not enough to make me eat gluten though—
    • trents
      Welcome to the celiac.com community, @GlorietaKaro! As Scott indicated, without formal testing for celiac disease, which would require you to have been consuming generous amounts of gluten daily for weeks, it would be not be possible to distinguish whether you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). Their symptoms overlap. The difference being that celiac disease is an autoimmune disorder that damages the lining of the small bowel. We actually no more about celiac disease than we do about NCGS, the mechanism of the latter being more difficult to classify. There are specific antibody tests for celiac disease diagnosis and there is also the endoscopy/biopsy of the small bowel lining. Currently, there are no tests to diagnose NCGS. Celiac disease must first ruled out. Researchers are working on developing testing methods to diagnose celiac disease that do not require a "gluten challenge" which is just out of the question for so many because it poses serious, even life-threatening, health risks. But we aren't there yet.
    • lalan45
      That’s really frustrating, I’m sorry you went through that. High fiber can definitely cause sudden stomach issues, especially if your body isn’t used to it yet, but accidental gluten exposure can feel similar. Keeping a simple food/symptom journal and introducing new foods one at a time can really help you spot patterns. You’re already doing the right things with cleaning and separating baking—also watch shared toasters, cutting boards, and labels like “may contain.”
    • Russ H
      I thought this might be of interest regarding anti-EMA testing. Some labs use donated umbilical cord instead of monkey oesophagus. Some labs just provide a +ve/-ve test result but others provide a grade by testing progressively diluted blood sample. https://www.aesku.com/index.php/ifu-download/1367-ema-instruction-manual-en-1/file Fluorescence-labelled anti-tTG2 autoantibodies bind to endomysium (the thin layer around muscle fibres) forming a characteristic honeycomb pattern under the microscope - this is highly specific to coeliac disease. The binding site is extracellular tTG2 bound to fibronectin and collagen. Human or monkey derived endomysium is necessary because tTG2 from other mammals does not provide the right binding epitope. https://www.mdpi.com/1422-0067/26/3/1012
    • Scott Adams
      First, please know that receiving two diagnoses at once, especially one you've never heard of, is undoubtedly overwhelming. You are not alone in this. Your understanding is correct: both celiac disease and Mesenteric Panniculitis (MP) are considered to have autoimmune components. While having both is not extremely common, they can co-occur, as chronic inflammation from one autoimmune condition can sometimes be linked to or trigger other inflammatory responses in the body. MP, which involves inflammation of the fat tissue in the mesentery (the membrane that holds your intestines in place), is often discovered incidentally on scans, exactly as in your case. The fact that your medical team is already planning follow-up with a DEXA scan (to check bone density, common after a celiac diagnosis) and a repeat CT is a very proactive and prudent approach to monitoring your health. Many find that adhering strictly to the gluten-free diet for celiac disease helps manage overall inflammation, which may positively impact MP over time. It's completely normal to feel uncertain right now. Your next steps are to take this one day at a time, focus on the gluten-free diet as your primary treatment for celiac, and use your upcoming appointments to ask all your questions about MP and what the monitoring plan entails. This dual diagnosis is a lot to process, but it is also the starting point for a managed path forward to better health. This article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):    
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.