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New Here And Axious


jfem4

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rez Apprentice
Rez,

Thank you for your amazing post... I have been so blessed here with an amazing amount of info and support.

The MD's didn't do the endoscopy b/c they were looking for Celiac...they thought it was reflux, but when the path came back-it pointed toward the blunting of the villi and the deepening crypts in the duodenum. They are puzzled at why no lymphocytes were present.

He said if he had all 3 , the pathologist would have diagnosed him w/Celiac..so now we are getting the blood test.

What is a full panel of blood tests? THe MD is calling me back today because I want to have them add a CBC to chekc if he is anemic, and just to check to make sure everything else is ok.

What is ttg? So having what he says are 2 out of 3 "markers" doesn't automatically make my son have Celiac? But he does have a gluten-sensitivity or intolerance, right?

What is a positive EMA? Blood test? How do I make sure I am getting that one done?

WHo si your MD in Chicago? We know a great MD there,too, not a GI though.

When will you have the biopsy results?

What is EE?

I'm sorry for all the questions, but I'm just learning all the terms... : )

MD # 6??? WOw that is a nightmare, but it seems as though you have found a great one, finally!!!

I completely understand about the Chron's...

Please keep us informed about the results,

Good Luck and many,many Thanks!!!

Jane

The doctor's office is supposed to be calling this afternoon. There's a big knot in my stomach as I type. :) I'll try to answer your questions as best I can. The big bummer thing about Celiac is it seems there is such a gray area.

The total blood panel is:

AGA Igg

AGA IgA

Total IgA serum

tTG

EMA

The two most specific to Celiac are the tTG and the EMA. You need the total IgA to make sure you are not IgA deficient. The two AGA tests are not used by many physicians anymore due to their lack of specificity. The EMA and tTG show anti-self antibodies (auto-immune indicators) and the other two are anti-gluten antibody indicators.

The way they diagnose Celiac is based on blood and biopsy results. Some cases seems very clear cut, but I think when it is caught early or the damage is patchy, it's harder to diagnose. I really recommend DR. Green's book. I think it will answer a lot of your questions.

Our doctor is Dr. Guandalini at the University of Chicago. He's wonderful. He came from Italy in the 90's and noticed that Celiac in the US was grossly underdiagnosed. He started The University of Chicago Celiac Research Center. I would highly recommend going to the top of the food chain if you have any questions. Don't mess around. We have been doctoring with my son for 13 months!! I can't believe the year has been eaten away by this. It's obsessed me and been my entire focus. Celiac is his specialty and he wrote the guidelines for diagnosing Celiac to be used by the GI's all around the world. It will take a month or two to get in, so I would call ASAP if you're interested.

I will let you know what, and if, we hear any news.


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jfem4 Newbie

Thanks for all the info...

Any news yet??

The waiting must be so hard....

here's hoping you get good news and good news quicky!!!

J

The doctor's office is supposed to be calling this afternoon. There's a big knot in my stomach as I type. :) I'll try to answer your questions as best I can. The big bummer thing about Celiac is it seems there is such a gray area.

The total blood panel is:

AGA Igg

AGA IgA

Total IgA serum

tTG

EMA

The two most specific to Celiac are the tTG and the EMA. You need the total IgA to make sure you are not IgA deficient. The two AGA tests are not used by many physicians anymore due to their lack of specificity. The EMA and tTG show anti-self antibodies (auto-immune indicators) and the other two are anti-gluten antibody indicators.

The way they diagnose Celiac is based on blood and biopsy results. Some cases seems very clear cut, but I think when it is caught early or the damage is patchy, it's harder to diagnose. I really recommend DR. Green's book. I think it will answer a lot of your questions.

Our doctor is Dr. Guandalini at the University of Chicago. He's wonderful. He came from Italy in the 90's and noticed that Celiac in the US was grossly underdiagnosed. He started The University of Chicago Celiac Research Center. I would highly recommend going to the top of the food chain if you have any questions. Don't mess around. We have been doctoring with my son for 13 months!! I can't believe the year has been eaten away by this. It's obsessed me and been my entire focus. Celiac is his specialty and he wrote the guidelines for diagnosing Celiac to be used by the GI's all around the world. It will take a month or two to get in, so I would call ASAP if you're interested.

I will let you know what, and if, we hear any news.

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    • 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.
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    • 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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