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

Can The Lab That Runs The Bloodwork Make A Difference


cyan1117

Recommended Posts

cyan1117 Newbie

A year ago my 2 y/o had blood work for Celiac that came back negative. Shortly after the Dr wanted to do a biopsy and scope to get a look at his stomach & intestines due to severe reflux, FTT, D, and an upper GI that shows thickening of the jujenum(?) folds. All normal except a few lymphocytes in lining of esophagus that we were told not to worry about.

Flash forward a year and reflux is improving, still have D many times daily, weight has gone up 5 lbs from March to Sept but he had been consuming 2200+ calories a day between food and supplements. We took him off supplements in late Sept and he seems to be holding onto the weight, just a little fluctuation right now but he has been sick. Ped GI is happy with weight gain but basically told me that I was crazy to even think that he could have Celiac with the negative blood and biopsy results.

He had surgery on Monday to correct a hernia and I had them draw blood when he was under and had the Celiac Panel that the regular pediatrician suggested be re-run (TTG, IGG, IGA). All are completely normal. I was looking back through all of his labs and realized that everytime he had labs done at duPont they send it to Quest Diagnostics. I was wondering if the lab that runs the test makes a difference?

Do I just believe the GI Dr that it can't be Celiac? I really thought that we might finally have an answer to all of his odd symptoms and issues but she really doesn't believe that it could be this. She says it's just Toddlers D, cut back on juice and it will go away. I wanted to smack her! He doesn't get more than 8 ounces of juice in a day, much less on most days. We give him a rubbermaid juice box with 3/4 water and 1/4 juice no more than twice a day on most days. If it's hot and we are outside then it would be more but I truly can't believe that 6 to 8 ounces of juice in 24 hours would cause this much D.

I have recently tested positive on bloodwork and my GI is doing biopsies in a week. I really put Celiac out of my mind for him until my results came back a month ago. I guess I am starting to think that I am pulling at straws with him now after his Drs strong negative response to my suggestion that I would like to take another look at it being Celiac.

He just has so much going on and this did make sense. Be honest, please. I am just so frustrated at this point, it's been two years of it could be this, nope; it could be that, nope; well maybe it's this, no again; it has to be this, wrong. UGHH!

Thanks


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



Celiac.com Sponsor (A8-M):



Fiddle-Faddle Community Regular

Welcome, Cyan!

I just wanted to suggest that you give the gluten-free diet a try, maybe for a month or so and see if there's a good result. Many of us here tested negative for celiac for a variety of reasons (for example, stupid doctors who didn't know that being gluten-free already screws up the bloodwork). Also, I've read several times that the tests have a very high false negative level in toddlers and babies.

cyan1117 Newbie
Welcome, Cyan!

I just wanted to suggest that you give the gluten-free diet a try, maybe for a month or so and see if there's a good result. Many of us here tested negative for celiac for a variety of reasons (for example, stupid doctors who didn't know that being gluten-free already screws up the bloodwork). Also, I've read several times that the tests have a very high false negative level in toddlers and babies.

My husband and I have been talking about this for a few days and once I get through the biopsy I think we are just going to do it no matter which way the results go. Even if it isn't Celiac the two kids and I could just be intolerant to gluten. Worst case is there isn't any improvement and I can eat all the pasta I want in a month.

Thanks

celiacgirls Apprentice

I agree you should just try the diet. My younger daughter had mild symptoms her whole life but her blood tests were always negative and the doctors said it wasn't celiac. 7 years later, I did the Enterolab test which confirmed gluten was a problem for her. I knew she did better on the diet but let myself be convinced by others that she didn't have it and so we didn't always stick with the diet. Now we are strictly gluten-free and she doesn't complain about her tummy anymore. I don't know if she is truly a celiac but she does need to be gluten-free.

Fiddle-Faddle Community Regular
. Worst case is there isn't any improvement and I can eat all the pasta I want in a month.

Thanks

You can eat all the pasta you want, anyway! Tinkyada makes gluten-free brown rice pasta that most of us think tastes exactly like regular pasta. You can also go to an Asian grocery staore and get rice stick noodles, which is pretty much the same thing made from white rice flour--doesn't taste quite as wonderful as the brown rice pasta, but good nonetheless, especially for kids, who like their pasta mushy anyway, and it's much, much cheaper than Tinkyada.

There is also corn pasta available, and quinoa pasta. They taste slightly different, but if you're slathering it with sauce, who cares?

Guest cassidy

I would definitely try the diet. Reflux was my worst symptom. I had surgery for it when I was 10 and I was about to have it again last February. All three of my GI docs and my surgeon told me I didn't have celiac because my blood test and biopsy was negative and I was complaining about reflux not D (which I had but thought was normal because I always had it). I went gluten-free and cancelled the surgery a few days before I was supposed to have it. Good thing I didn't listen to those guys.

I would give the diet a try and hopefully you will have surprisingly good results!

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. - trents replied to Atl222's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      1

      Increased intraepithelial lymphocytes after 10 yrs gluten-free

    2. - Scott Adams replied to Aretaeus Cappadocia's topic in Gluten-Free Foods, Products, Shopping & Medications
      1

      Brown Rice Vinegar (organic) from Eden Foods is likely gluten free

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

      nothing has changed

    4. - Scott Adams commented on knitty kitty's blog entry in Thiamine Thiamine Thiamine
      1

      About Celiac Remission

    5. - Scott Adams replied to TheDHhurts's topic in Gluten-Free Foods, Products, Shopping & Medications
      2

      need help understanding testing result for Naked Nutrition Creatine please

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

    • Total Members
      133,190
    • Most Online (within 30 mins)
      7,748

    Atl222
    Newest Member
    Atl222
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • trents
      Welcome to the celiac.com community, @Atl222! Yes, your increased lymphocytes could be in response to oats or it could possibly be cross contamination from gluten that is getting into your diet from some unexpected source but not enough to damage the villi. And I'm certain that increased lymphocytes can be caused by other things besides celiac disease or gluten/oats exposure. See attachment. But you might try eliminating oats to start with and possibly dairy for a few months and then seek another endoscopy/biopsy to see if there was a reduction in lymphocyte counts. 
    • Scott Adams
      This is a solid, well-reasoned approach. You’re right that “koji” by itself doesn’t indicate gluten status, and the risk really does come down to which grain is used to culture it. The fact that you directly contacted Eden Foods and received a clear statement that their koji is made from rice only, with no wheat or barley, is meaningful due diligence—especially since Eden has a long-standing reputation for transparency. While the lack of gluten labeling can understandably give pause, manufacturer confirmation like this is often what people rely on for traditionally fermented products. As always, trusting your body after trying it is reasonable, but based on the information you gathered, your conclusion makes sense.
    • Scott Adams
      Seven months can still be early in celiac healing, especially if you were mostly asymptomatic to begin with—symptoms like low iron, vitamin D deficiency, nail changes, and hair issues often take much longer to improve because the gut needs time to recover before absorption normalizes. A tTG-IgA of 69 is not “low” in terms of immune activity, and it can take 12–24 months (sometimes longer) for antibodies and the intestinal lining to fully heal, particularly in teens and young adults. Eating gluten again to “test” things isn’t recommended and won’t give you clear answers—it’s far more likely to cause harm than clarity. Weight not changing is also very common in celiac and doesn’t rule anything out. Please know that your frustration and sadness matter; this adjustment is hard, and feeling stuck can really affect mental health. You deserve support, and if you can, reaching out to a GI dietitian or mental health professional familiar with chronic illness could really help you through this phase. This study indicates that a majority of celiacs don't recover until 5 years after diagnosis and starting a gluten-free diet: Mucosal recovery and mortality in adults with celiac disease after treatment with a gluten-free diet However, it's also possible that what the study really shows is the difficulty in maintaining a 100% gluten-free diet. I suspect that if you looked closely at the diets of those who did not recover within 2 years might be that their diets were not 100% gluten-free. Perhaps they ate out more often, or didn't understand all of the hidden ingredients where gluten can hide. Either way, it shows how difficult recovery from celiac disease can be for most people. According to this study: This article explores other causes of flattened villi:    
    • Scott Adams
      Gluten testing is normally reported in ppm (parts per million), which is equivalent to mg/kg, not micrograms by itself. A result of <0.025 mcg only becomes meaningful if you know the sample size tested (for example, mcg per gram or per kg). If that value represents <0.025 mcg per gram, that would equal <25 ppm, which is above the gluten-free threshold; if it’s <0.025 mcg per kilogram, it would be extremely low and well within GF limits. Without the denominator, the result is incomplete. It’s reasonable to follow up with the company and ask them to confirm the result in ppm using a validated method (like ELISA R5)—that’s the standard used to assess gluten safety.
    • Scott Adams
      Medication sensitivity is very real for many people with celiac and other autoimmune conditions, and it’s frustrating when that’s brushed off. Even when a medication is technically gluten-free, fillers, dose changes, or how your nervous system reacts—especially with things like gabapentin—can cause paradoxical effects like feeling wired but exhausted. The fact that it helped bloating suggests it may be affecting gut–nerve signaling, which makes sense in the context of SIBO, but that doesn’t mean the side effects should be ignored. You’re carrying a heavy load right now with ongoing skin, eye, and neurological uncertainty, and living in that kind of limbo is exhausting on its own. It’s understandable to feel overwhelmed and discouraged when systems and providers don’t meet you where you are—your experience is valid, and continuing to advocate for yourself, even when it’s hard, really does matter. You can search this site for prescriptions medications, but will need to know the manufacturer/maker if there is more than one, especially if you use a generic version of the medication: To see the ingredients you will need to click on the correct version of the medication and maker in the results, then scroll down to "Ingredients and Appearance" and click it, and then look at "Inactive Ingredients," as any gluten ingredients would likely appear there, rather than in the Active Ingredients area. https://dailymed.nlm.nih.gov/dailymed/   
×
×
  • 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.