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

Not Understanding Lab Work


mbg98

Recommended Posts

mbg98 Contributor

After a nightmare of an appt witha nutritionalst I got to thinking about her saying that there are different degrees of having this disease, I wanted to know where I stood. I have always had MILD Gi issues nothing to the extent of whats discussed in here, I always chalked it up to poor diet or un diagnosed IBS. Anyway my Celiac was discovered by fluke, had and Endoscope to check for ulcer saw damage did biopsy came back that I could possibly have Celiac and to have bloodwork to confirm. I did that and was told there was no doubt i have Celiac and we went from there. I however went today to get copies of all my blood work and i am not understanding somethings or wondering if I truly do have it, so here it goes the test reads:

*ENDOMYSIAL AB (IGA)------------------------POSITIVE (Negative)

[a]

ENDOMYSIAL AB TITER --------------------------1:40

[a]

GLIADIN AB IGG-------------------------------------------5 U/ml (<11)

[a]

Referance range:

<11 U/ml negative

11-17 U/ml equivocal

>17 U/ml Positive

Gliadin AB Iga------------------8 U/ml (<11)

[a]

Then it gives the same referance guide as above.

The top one ENDOMYSIAL has a star that my doctor drew and then a note that says "needs dietary consult (gluten-free) "

I know the top one says POSOTIVE next to it but it then has negative in (), and then the 2 GLIADIN tests are in the negative range, what does that mean??

Please someone explain.

Thanks,


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



Celiac.com Sponsor (A8-M):



mbg98 Contributor
After a nightmare of an appt witha nutritionalst I got to thinking about her saying that there are different degrees of having this disease, I wanted to know where I stood. I have always had MILD Gi issues nothing to the extent of whats discussed in here, I always chalked it up to poor diet or un diagnosed IBS. Anyway my Celiac was discovered by fluke, had and Endoscope to check for ulcer saw damage did biopsy came back that I could possibly have Celiac and to have bloodwork to confirm. I did that and was told there was no doubt i have Celiac and we went from there. I however went today to get copies of all my blood work and i am not understanding somethings or wondering if I truly do have it, so here it goes the test reads:

*ENDOMYSIAL AB (IGA)------------------------POSITIVE (Negative)

[a]

ENDOMYSIAL AB TITER --------------------------1:40

[a]

GLIADIN AB IGG-------------------------------------------5 U/ml (<11)

[a]

Referance range:

<11 U/ml negative

11-17 U/ml equivocal

>17 U/ml Positive

Gliadin AB Iga------------------8 U/ml (<11)

[a]

Then it gives the same referance guide as above.

The top one ENDOMYSIAL has a star that my doctor drew and then a note that says "needs dietary consult (gluten-free) "

I know the top one says POSOTIVE next to it but it then has negative in (), and then the 2 GLIADIN tests are in the negative range, what does that mean??

Please someone explain.

Thanks,

Can anyone help? Does anyone know what all this means?

slpinsd Contributor

I haven't seen any testings like yours, usually, I see antitTg antibodies done. I would ask your doc for clarification? Blood tests are not always accurate, and if you did have a positive biopsy, that is important. What were the findings from your biopsy? What is the response to the gluten-free diet?

mbg98 Contributor
I haven't seen any testings like yours, usually, I see antitTg antibodies done. I would ask your doc for clarification? Blood tests are not always accurate, and if you did have a positive biopsy, that is important. What were the findings from your biopsy? What is the response to the gluten-free diet?

My doc does not have very good bed side manner and makes me feel as though Im a bother when i question things, he is a gastro specialist so I feel as though i should trust his opinion, but don't really understand the bloodwork results either. According to him the Pathalogist said that I may have celiac and to get my blood tested to confirm. As far as results from bieng gluten-free i was more of the person that didn't have all the GI issues so its hard to tell, and I have only been gluten-free since Thursday. I did make an appt to go see my family doctor so hopefully he can explain better and read my tests to me. Im also hoping that he would refer me to a celiac specialst to confirm everything.

trents Grand Master

I'd look for another GE doc. No one should have to put up with a doctor who makes you feel uncomfortable in asking questions for clarification sake.

Ursa Major Collaborator

Your nutritionist says there are different degrees of Celiac disease? I think you not only need a new doctor, but a new nutritionist, too. Because you either have Celiac disease, or you don't. There are different degrees of damage, but not different degrees of celiac. If you have it, you need to be 100% gluten free, period. Even if you only had mild GI symptoms. I've heard of people who's ONLY obvious symptom was anemia, no obvious GI issues at all. They had extensive damage to the small intestine (proven by biopsy), without ever having any severe GI symptoms!

Your tests prove you have Celiac disease. That's all you really need to know, and can go from there. Very few doctors know enough about Celiac to give you good nutritional advice, and the same goes for so-called nutritionists.

Unfortunately, you will have to do your own research. And you will find all the important info on this site. For starters, you need to be absolutely sure of not eating (or drinking) anything that has any part of wheat, rye, barley or oats in it. You also need to replace any shampoo, toothpaste, lipstick/lipgloss, handcreme, lotion, make up, soap.........................the list goes on..........with wheat germ, barley extract or any other form of gluten you own and use.

You will need to buy a new toaster, if you are planning on eating gluten free bread. You need to replace any scratched non-stick pots and pans (if you have stainless steel, scrub them well, then they're okay), wooden cooking spoons and cutting boards. Even a crumb of something containing gluten is too much.

You will need to read all labels. Gluten is hidden in a lot of foods, under different names (somebody will likely post a link to a list). Your best bet is to eat freshly prepared foods and to avoid processed foods.

It will be hard at first, but gets easier with time. And you have a lot of support here, I don't know what I would have done without the help and support I get here, I learn something new every day. Hang in there!

mbg98 Contributor

Thanks everyone! My nutritionist was terrible, I have no plans on returning to see her. My GI doc also leaves a little to be disired in the explanation department, he had is secretaryu call me and say my test were positive for Celiac, i had to ask for him to call me to explain. I am really hoping that I can get refered by my family doctor to a hospital about 1 1/2 hours away, they have a center for celiac research, so they should have some doc's that know what they are talking about! I actuaally just went to see my surgen for my post gallbladder chek up and we were talking about it, he told me the same thing the nutritionalist told me, not to stress eat stuff with gluten if you want, it's not going to harm you that much. which goes against everything I have read and what my GI doc said. Peolpe around here are clueless, and it drives me crazy!


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



Celiac.com Sponsor (A8-M):



Ursa Major Collaborator

Ah, another link in the puzzle, you had your gallbladder out, too! It's incredible how many people with Celiac disease end up having to have their gallbladder out, me included (as well as my mother and sister and a ton of other people on this forum). Gallbladder disease appears to be a symptom of undiagnosed Celiac disease.

And your surgeon is definitely clueless. Unfortunately, there are people here who were diagnosed with Celiac disease years ago, but didn't follow a gluten-free diet because of bad advice from clueless doctors like that. And got sicker as a result.

VydorScope Proficient
After a nightmare of an appt witha nutritionalst I got to thinking about her saying that there are different degrees of having this disease, I wanted to know where I stood. I have always had MILD Gi issues nothing to the extent of whats discussed in here, I always chalked it up to poor diet or un diagnosed IBS. Anyway my Celiac was discovered by fluke, had and Endoscope to check for ulcer saw damage did biopsy came back that I could possibly have Celiac and to have bloodwork to confirm. I did that and was told there was no doubt i have Celiac and we went from there. I however went today to get copies of all my blood work and i am not understanding somethings or wondering if I truly do have it, so here it goes the test reads:

*ENDOMYSIAL AB (IGA)------------------------POSITIVE (Negative)

[a]

ENDOMYSIAL AB TITER --------------------------1:40

[a]

GLIADIN AB IGG-------------------------------------------5 U/ml (<11)

[a]

Referance range:

<11 U/ml negative

11-17 U/ml equivocal

>17 U/ml Positive

Gliadin AB Iga------------------8 U/ml (<11)

[a]

Then it gives the same referance guide as above.

The top one ENDOMYSIAL has a star that my doctor drew and then a note that says "needs dietary consult (gluten-free) "

I know the top one says POSOTIVE next to it but it then has negative in (), and then the 2 GLIADIN tests are in the negative range, what does that mean??

Please someone explain.

Thanks,

IM NOT A DOCTOR

THe reason it says (NEGATIVE) is thats the normal result, meaning if you sorce NEGATIVE you are normal but if you score POSTIVE, you have celiac disease. Make sense? You have a postive blood test, time to start the diet.

Patti Newbie

Hi

I feel for you, as I too am newly diagnoised ( Positive Biopsy and Blood testing) and not getting enough answers to satisfy me. My nutritionist put me on flax seed and that sent me to the emergency room because it was milled in a plant that grinds wheat. (duh). I have been on a G.F. diet and am finally feeling better. My Sister died from Lymphoma a complication of Celiac disease. It's genetic and I also beleive that my Dad had it too.

I also have had my gallbladder removed and have Pheripheal Neuropathy for the past 10 years. I hope the P.N will subside with the diet. The nutritionist told me it woul take aleast a year before I will know.

Anyone else been told that?

Love to hear from you! Patti

Ursa Major Collaborator

Vincent, what a sweet picture of Tymber! I've put in an order with my one daughter for a kid with red, curly hair. None of my kids has inherited my red hair or blue eyes. But my second daughter is due with her first baby in May, and her husband has red, curly hair (her hair is extremely curly, but very dark, like my husband's used to be). So, with her kids there are genes for red hair on both sides. Unfortunately, also genes on both sides for Celiac, as her husband's mother has it, too!

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. - lil-oly replied to Jmartes71's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Gluten tester

    2. - knitty kitty replied to JudyLou's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Seeking advice on potential gluten challenge

    3. - JudyLou replied to JudyLou's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Seeking advice on potential gluten challenge

    4. - knitty kitty replied to JudyLou's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      11

      Seeking advice on potential gluten challenge

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

    • Total Members
      133,155
    • Most Online (within 30 mins)
      7,748

    Beccad611
    Newest Member
    Beccad611
    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

    • lil-oly
      Hey there, have you been tested for allergies? You may not only have celiac disease but be allergic. I have celiac disease and am allergic to Barley, wheat and rye. 
    • JudyLou
    • knitty kitty
      I have osteopenia and have cracked three vertebrae.  Niacin is connected to osteoporosis! Do talk to your nutritionist and doctor about supplementing with B vitamins.  Blood tests don't reveal the amount of vitamins stored inside cells.  The blood is a transportation system and can reflect vitamins absorbed from food eaten in the previous twenty-four to forty-eight hours.  Those "normal limits" are based on minimum amounts required to prevent disease, not levels for optimal health.   Keep us posted on your progress.   B Vitamins: Functions and Uses in Medicine https://pmc.ncbi.nlm.nih.gov/articles/PMC9662251/ Association of dietary niacin intake with osteoporosis in the postmenopausal women in the US: NHANES 2007–2018 https://pmc.ncbi.nlm.nih.gov/articles/PMC11835798/ Clinical trial: B vitamins improve health in patients with coeliac disease living on a gluten-free diet https://pubmed.ncbi.nlm.nih.gov/19154566/   Nutritional Imbalances in Adult Celiac Patients Following a Gluten-Free Diet https://pmc.ncbi.nlm.nih.gov/articles/PMC8398893/ Nutritional Consequences of Celiac Disease and Gluten-Free Diet https://www.mdpi.com/2036-7422/15/4/61 Simplifying the B Complex: How Vitamins B6 and B9 Modulate One Carbon Metabolism in Cancer and Beyond https://pmc.ncbi.nlm.nih.gov/articles/PMC9609401/
    • JudyLou
      Thank you so much for the clarification! Yes to these questions: Have you consulted dietician?  Have you been checked for nutritional deficiencies?  Osteoporosis? Thyroid? Anemia?  Do you take any supplements, or vitamins? I’m within healthy range for nutritional tests, thyroid and am not anemic. I do have osteopenia. I don’t take any medications, and the dietician was actually a nutritionist (not sure if that is the same thing) recommended by my physician at the time to better understand gluten free eating.    I almost wish the gluten exposure had triggered something, so at least I’d know what’s going on. So confusing!    Many thanks! 
    • knitty kitty
      @JudyLou,  I have dermatitis herpetiformis, too!  And...big drum roll... Niacin improves dermatitis herpetiformis!   Niacin is very important to skin health and intestinal health.   You're correct.  dermatitis herpetiformis usually occurs on extensor muscles, but dermatitis herpetiformis is also pressure sensitive, so blisters can form where clothing puts pressure on the skin. Elastic waist bands, bulky seams on clothing, watch bands, hats.  Rolled up sleeves or my purse hanging on my arm would make me break out on the insides of my elbows.  I have had a blister on my finger where my pen rested as I write.  Foods high in Iodine can cause an outbreak and exacerbate dermatitis herpetiformis. You've been on the gluten free diet for a long time.  Our gluten free diet can be low in vitamins and minerals, especially if processed gluten free foods are consumed.  Those aren't fortified with vitamins like gluten containing products are.  Have you consulted dietician?  Have you been checked for nutritional deficiencies?  Osteoporosis? Thyroid? Anemia?  Do you take any supplements, medicine, or vitamins? Niacin deficiency is connected to anemia.  Anemia can cause false negatives on tTg IgA tests.  A person can be on that borderline where symptoms wax and wane for years, surviving, but not thriving.  We have a higher metabolic need for more nutrients when we're sick or emotionally stressed which can deplete the small amount of vitamins we can store in our bodies and symptoms reappear.   Exposure to gluten (and casein in those sensitive to it) can cause an increased immune response and inflammation for months afterwards. The immune cells that make tTg IgA antibodies which are triggered today are going to live for about two years. During that time, inflammation is heightened.  Those immune cells only replicate when triggered.  If those immune cells don't get triggered again for about two years, they die without leaving any descendents programmed to trigger on gluten and casein.  The immune system forgets gluten and casein need to be attacked.  The Celiac genes turn off.  This is remission.    Some people in remission report being able to consume gluten again without consequence.   However, another triggering event can turn the Celiac genes on again.   Celiac genes are turned on by a triggering event (physical or emotional stress).  There's some evidence that thiamine insufficiency contributes to the turning on of autoimmune genes.  There is an increased biological need for thiamine when we are physically or emotionally stressed.  Thiamine cannot be stored for more than twenty-one days and may be depleted in as little as three during physical and emotional stresses. Mitochondria without sufficient thiamine become damaged and don't function properly.  This gets relayed to the genes and autoimmune disease genes turn on.  Thiamine and other B vitamins, minerals, and other nutrients are needed to replace the dysfunctional mitochondria and repair the damage to the body.   I recommend getting checked for vitamin and mineral deficiencies.  More than just Vitamin D and B12.  A gluten challenge would definitely be a stressor capable of precipitating further vitamin deficiencies and health consequences.   Best wishes!    
×
×
  • 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.