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Biopsy results from endoscopy show evidence of celiac disease and lab work results in a weak positive TT IgA result of 4


Rhonda H

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Rhonda H Newbie

I recently had an endoscopy for what we thought was for reflux.  The biopsy results showed evidence of celiac disease.  I followed the next day with lab work using the TT IgA test which resulted with a weak positive of a 4 (normal range 0-3).  I don't meet for follow up with my GI Dr. for a few weeks but curious what this might mean.  I generally eat a low carb diet and have been for about a year but not carb free. I eat breads in moderation.  I wonder if my low carb diet lifestyle "skewed" the results.  I don't have most symptoms of those the celiac disease but I know everyone is different.  I wonder if it's possible I just have a gluten sensitivity  and could go "gluten free" rather than the more serious work so many people with this disease to clean their home and life of any gluten? 


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Scott Adams Grand Master

If you have a positive endoscopy result, including a positive blood test for celiac disease, it definitely means that you probably have celiac disease. Since you were eating a low gluten diet your blood test results were likely lower than they would have been if you were doing a proper gluten challenge before the test. You could not get false positive results from eating a low gluten diet before these tests--this could only produce false negative results.

Rhonda H Newbie

Is there any form or celiac disease that I can completely eliminate gluten from my diet but not have to worry so much about cross contamination or other more serious changes in my household? 

Scott Adams Grand Master

No, celiac disease requires a 100% gluten-free diet. 

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.):

 

 

Rhonda H Newbie

Thank you.  My ultimate hope was that I certainly could go 100% gluten free but my husband not be impacted so severely by not being able to have certain foods, cookware and utensils, etc. in a shared space with me.  My understanding is I may have to do a completely kitchen clean out and segregate foods with gluten and rid our kitchen of non-stick cookware, some wood and plastic (which we don't really have any anyway).

 

Scott Adams Grand Master

I live in a mixed household, so it can be done, but it does take understanding from those in the family who still eat gluten.

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