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Negative Blood/ Positive Biopsy?


tmk

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tmk Explorer

Hello! This may have already been a topic, but I wanted to ask how many people out there have had negative blood results but went on to get a biopsy and it was positive? I keep going back & forth w/ the biopsy thing -- if I really want to deal w/ it all. Whoever wants to share, it would be greatly appreciated!!!!

Thank You! :D


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nikki-uk Enthusiast

My husband had negative bloods - and went on to have a positive biopsy (total villous atrophy :blink: ) ...so it came as quite a suprise!!!

Whether you go on to have the biopsy is completely up to you.

For some people, they try the gluten-free diet - feel much better - never look back :)

In a way, I'm glad my hubby had the biopsy as when he started the gluten-free diet he didn't feel any better (he was very ill)

If he hadn't of had proof - he would of abandoned the diet!! :o ...as it turned out, it took around 6 months to feel the benefit of the diet :)

Good luck in what you choose to do :)

GeoffCJ Enthusiast

Me. I was negative on the blood test, but the biopsy showed damage even after having eaten gluten free for 4-6 weeks before biopsy. (no one told me that I needed to keep eating gluten)

Geoff

Nancym Enthusiast
Hello! This may have already been a topic, but I wanted to ask how many people out there have had negative blood results but went on to get a biopsy and it was positive? I keep going back & forth w/ the biopsy thing -- if I really want to deal w/ it all. Whoever wants to share, it would be greatly appreciated!!!!

Thank You! :D

Someone posted something recently that unless you have total villious atrophy there's a 33% chance your blood work will be negative for EMA and TTG.

tmk Explorer
In a way, I'm glad my hubby had the biopsy as when he started the gluten-free he didn't feel any better (he was very ill)

If he hadn't of had proof - he would of abandoned the diet!! :o ...as it turned out, it took around 6 months to feel the benefit of the diet :)

that's kind of what i'm worried about -- that if i just try the diet and don't see some improvement right away that i would just abandon the thought and go w/ -- well, i must not of been celiac. i'm leaning towards just going and getting the biopsy done -- i've just never had much luck w/ doctors!

Thanks to all of you for your replies!!!!!!!!!!

tom Contributor

It happens all the time.

Following link goes to a summary of a study by the esteemed Dr. Green at Columbia U.

https://www.celiac.com/st_prod.html?p_prodid=1023

laurie1067 Contributor
Hello! This may have already been a topic, but I wanted to ask how many people out there have had negative blood results but went on to get a biopsy and it was positive? I keep going back & forth w/ the biopsy thing -- if I really want to deal w/ it all. Whoever wants to share, it would be greatly appreciated!!!!

Thank You! :D

I'm a seronegative celiac. I had an endoscopy done for GERD to see if I have a hernia. The gastro did random biopsies while he had the scope in, and imagine my surprise when they called me with the results! We weren't even looking for celiac disease! My symptoms have been 1) weight loss of 35 lbs in 5 months, 2) peripheral neuropathy, 3) GERD, 4) a "lump" feeling in my chest when I swallow, 5) a bout of fainting and/or seizure, and 6) a persistent cough for a year that didn't respond to allergy or asthma meds. Even the gastro hadn't suspected celiac disease although I had/have a lot of the symptoms. Even now he's still testing me since my blood tests came back negative. (I go back on 6/18...I'm guessing for genetic testing next.) I can tell you that I have noticed a difference since going gluten-free. My GERD is better, the ulcers in my mouth are gone, and my cough is getting better. The endoscopy was no big deal...I rolled on my side & the next thing I knew I was waking up in recovery. I definitely recommend having one done if you are concerned.


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cyberprof Enthusiast

This Laura had similar results as Laurie.

I had an endoscopy for acid reflux and suspected ulcer. GI did biopsies as a matter of course, not suspecting anything. I had a lot of other symptoms but no-one suspected celiac: D, gas, stomach noises constantly, mouth ulcers routinely, anxiety, low-level depression. All of these have gone on the gluten free diet, except for accidental glutening, which brings them back. Blood tests done after the biopsy were negative.

Good luck to you.

I'm a seronegative celiac. I had an endoscopy done for GERD to see if I have a hernia. The gastro did random biopsies while he had the scope in, and imagine my surprise when they called me with the results! We weren't even looking for celiac disease! My symptoms have been 1) weight loss of 35 lbs in 5 months, 2) peripheral neuropathy, 3) GERD, 4) a "lump" feeling in my chest when I swallow, 5) a bout of fainting and/or seizure, and 6) a persistent cough for a year that didn't respond to allergy or asthma meds. Even the gastro hadn't suspected celiac disease although I had/have a lot of the symptoms. Even now he's still testing me since my blood tests came back negative. (I go back on 6/18...I'm guessing for genetic testing next.) I can tell you that I have noticed a difference since going gluten-free. My GERD is better, the ulcers in my mouth are gone, and my cough is getting better. The endoscopy was no big deal...I rolled on my side & the next thing I knew I was waking up in recovery. I definitely recommend having one done if you are concerned.
newlyfree Rookie
It happens all the time.

Following link goes to a summary of a study by the esteemed Dr. Green at Columbia U.

https://www.celiac.com/st_prod.html?p_prodid=1023

Hey - my brother's getting tested right now (because I am positive and he has many GI/'classic' symptoms), and I'm wondering if anyone knows if the tests have gotten better since this summary (dated 2004)? I'm afraid if he tests negative he'll give up on further exploration of the possibility of celiac disease :(

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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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