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Is The Blood Test Enough?


cocoa smurf

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cocoa smurf Newbie

Hi guys, I'm from Australia and I have just been diagnosed with coeliac disease (it has an 'o' down here). I had a blood test and these were the results:

Gliadin IgA (EIA): this reading was greater than 100 units when the normal range is below 20

Transglutaminase IgA Ab: This reading was also greater than 100 AU/ml when the normal range is below 7.

I don't know if this means anything to any of you but my doctor said the readings were off the scale and has no question that I am coeliac.

According to the coeliac society back home, a true diagnosis cannot be determined without the biopsy of the bowel.

Does anyone know anything about this?


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MySuicidalTurtle Enthusiast

I was diagnosed with only a blood test and it is enough. After my brother had his blood test, he then had the biopsy and both were positive. That only further confirms my results since this disease is genetic. If the blood test says you have Celiacs and the diet helps you, why have a biopsy? It would just be unneeded then. However, if you feel like you need more then have it done but you have to continue eating gluten up until you have the procedure.

Matilda Enthusiast

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KaitiUSA Enthusiast

Your blood tests highly indiacte celiac. I was able to get an official diagnosis from blood tests alone. They are pretty accurate. Now, biopsies can rule celiac in but not out so in other words if you get a negative biopsy you can still have celiac...there may be no damage if you are in beginning stages or you may have sporadic damage that they missed. For that reason I did not get a biopsy done and they felt I didn't need one with the results I had. So if I were you I would go gluten free and then get the same tests in about 6 months to see if those levels went down. They measure compliancy to the diet through blood tests.

Guest nini

I was dx'ed by blood tests alone... My dr. said that since my results were so high there was no question and a biopsy can only confirm it anyway, it can never ever rule it out, so if your blood tests were positive, you have it. Keep in mind that everyone's healing time varies, there is a learning curve to learning the diet, but try to go 100% gluten-free as soon as possible and don't look back. The average healing time is 2 years, but there may be other health issues that don't go away on the diet. You can continue to pursue other diagnoses while on the diet, but Celiac is a definite for you...

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    • Rogol72
      Hey @Butch68, I also have dermatitis herpetiformis but don't suffer from it anymore. I used to drink Guinness too but I drink Cider now when out on social occasions. I assume you are in Ireland or the UK. If it's any good to you ... 9 White Deer based in Cork brew a range of gluten-free products including a gluten-free Stout. I'm not sure if they are certified though. https://www.9whitedeer.ie/ I haven't come across any certified gluten-free stouts this side of the pond.
    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
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