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

Is There A Need For Further Testing?


Nic

Recommended Posts

Nic Collaborator

Hi, my father and my son both have Celiac. I have had my youngest son tested and so far is testing negative. I had not tested myself because I had no syptoms but over the past year I have noticed more bloating, stomach pain, and fatigue after eating meals with gluten (primarily lunch because that is the meal I eat outside of the house, I cook gluten free for dinner). So I went yesterday for the blood work to see if I have the antibodies. If I do I don't see any real reason to go any farther (biopsy) because with a father and a son with Celiac it kind to lends to reason that if I have the gluten antibodies I most likely have it to. I kind of had it in mind if my youngest son ever tests positive for the antibodies I would do the same for him. I feel like what is the point. Does anyone disagree with this? Could I end up missing something this way?

Nicole


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



Celiac.com Sponsor (A8-M):



tarnalberry Community Regular

A lot of us don't feel that the biopsy is necessary for *anyone*. If you have antibodies in your blood, you are having an immune response to gluten, period, and should avoid it.

Debbie65 Apprentice

I agree that if the antibodies are present then you don´t need the biopsy especially since you also have symptoms when you eat glutenous foods. Also, you can have a false negative biopsy like I and others have which totally confuses the issue forther.

You should try to go completely gluten-free though to avoid discomfort and damage to your body.

par18 Apprentice
Hi, my father and my son both have Celiac. I have had my youngest son tested and so far is testing negative. I had not tested myself because I had no syptoms but over the past year I have noticed more bloating, stomach pain, and fatigue after eating meals with gluten (primarily lunch because that is the meal I eat outside of the house, I cook gluten free for dinner). So I went yesterday for the blood work to see if I have the antibodies. If I do I don't see any real reason to go any farther (biopsy) because with a father and a son with Celiac it kind to lends to reason that if I have the gluten antibodies I most likely have it to. I kind of had it in mind if my youngest son ever tests positive for the antibodies I would do the same for him. I feel like what is the point. Does anyone disagree with this? Could I end up missing something this way?

Nicole

Hi Nicole,

I think you are doing everything ok. I had a positive biopsy only. To me it does not matter if you use a blood test or biopsy because either way you still have to respond to the diet. I did not have a blood test until 15 months into the diet. The only resason I got it was to make sure I was not getting any gluten in my diet. I must not be getting any as all anti-body levels are negetive. I did get the gene test and was positive for one of the genes. My question to you is how often will you be testing your youngest? Did you or any members of you family test positive for the gene. If your youngest does not have the gene it is unlikely he will ever develop Celiac.

Tom

Nic Collaborator
Hi Nicole,

I think you are doing everything ok. I had a positive biopsy only. To me it does not matter if you use a blood test or biopsy because either way you still have to respond to the diet. I did not have a blood test until 15 months into the diet. The only resason I got it was to make sure I was not getting any gluten in my diet. I must not be getting any as all anti-body levels are negetive. I did get the gene test and was positive for one of the genes. My question to you is how often will you be testing your youngest? Did you or any members of you family test positive for the gene. If your youngest does not have the gene it is unlikely he will ever develop Celiac.

Tom

Hi Tom,

My son who is positive for Celiac was tested for the Gene and yes he has it. My youngest son was only tested for the antibodies and will eventually be tested for the gene, I just haven't done it yet. He has been through a lot of testing already for medical problems unrelated to the Celiac and I am trying to spread out the blood work, he is only 4. I am not sure why they didn't test for the gene but they just ran a Celiac panel on him. So far I only had him tested once since we were checking him for diabetes and hypothyroid as well. All negative thank goodness. Just to let you know, I recentlly discovered that my son (the Celiac) had been ingesting gluten once every two weeks for the past year because the chinese take out place by us told me they were not putting soy sauce in the rice and they were (miss communication). He was still having symptoms that no one could figure out why. The doctor ran blood work to see if antibodies were present and it came back negative. So according to the bloodwork, he was not getting gluten, but he was so I am not sure about these tests.

Nicole

par18 Apprentice
Hi Tom,

My son who is positive for Celiac was tested for the Gene and yes he has it. My youngest son was only tested for the antibodies and will eventually be tested for the gene, I just haven't done it yet. He has been through a lot of testing already for medical problems unrelated to the Celiac and I am trying to spread out the blood work, he is only 4. I am not sure why they didn't test for the gene but they just ran a Celiac panel on him. So far I only had him tested once since we were checking him for diabetes and hypothyroid as well. All negative thank goodness. Just to let you know, I recentlly discovered that my son (the Celiac) had been ingesting gluten once every two weeks for the past year because the chinese take out place by us told me they were not putting soy sauce in the rice and they were (miss communication). He was still having symptoms that no one could figure out why. The doctor ran blood work to see if antibodies were present and it came back negative. So according to the bloodwork, he was not getting gluten, but he was so I am not sure about these tests.

Nicole

Nicole,

Interesting about the Chinese. I don't know how much one would have to ingest to get raised levels of the anti-bodies. I had negetive levels and had no symptoms so I was not surprised. There are a couple of tests (tTG IgA and tTG igG) which have a level which is defined as a "weak positive". I wonder if this is the beginning of a problem. I think the testing labs probably have their own way of listing and determining their results. To me the best result is how a person feels. I know I feel perfectly normal with none of my previous symptoms. I will probably get blood tests every year or two for a while. Good luck.

Tom

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,902
    • Most Online (within 30 mins)
      7,748

    Patty6133
    Newest Member
    Patty6133
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Who's Online (See full list)

  • Upcoming Events

  • Posts

    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
×
×
  • 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.