Gi Doc Said Dont Need To Eat Gluten For Blood Test?

[tbradley93]

I read on this forum that you need to eat wheat (gluten) to get an accurate result for blood panel. My GI doc said that as long as it hasnt been 3 years w no gluten the test would still pick up the antibodies he is looking for.

I guess it really doesn't matter b/c he said either way the results go he will still do the endoscopy and test my intestines (I think I said that right).

Has anyone got a pos blood panel after not eating gluten for a little over a month? I have had an accident on halloween where I took a bite of a candy bar that had gluten in it.

[dolly]

I am not a doctor so I don't know for certain, but that doesn't sound correct to me. Hopefully, more knowledgable others on this board will respond. Good Luck!!

[Ursa Major]

Unfortunately, this doctor doesn't have a clue what he is talking about. Three years? By then your intestines will be perfectly healed, and you'd be told you definitely don't have celiac disease, even if you do.

After being gluten-free for a month you will likely get a false negative on your blood tests, possibly even on your endoscopy, unless the damage was very severe to begin with.

Yes, you absolutely have to eat A LOT of gluten to test positive. After being gluten-free for a month, probably four slices of bread for about three to six months might result in an accurate test result.

Your only chance of getting accurate results at this point would be to get tested with Enterolab.

[Emily Elizabeth]

The endoscopy is the "gold standard" for diagnosis right now (so I'm told) so as long as he does that you should know for sure. I have read that you have to be ingesting gluten for at least 2 months (I think it was) to get accurate, no fail blood test results. I know my doctor told me that 1 year after diagnosis he will order another blood test for me and as long as I am successful with following the diet then the test should be completely normal. So I don't think the 3 years amount is correct. Like Dolly though, I'm not a doctor. I can only share what I have learned over the last six months. Good luck!

I read on this forum that you need to eat wheat (gluten) to get an accurate result for blood panel. My GI doc said that as long as it hasnt been 3 years w no gluten the test would still pick up the antibodies he is looking for.

I guess it really doesn't matter b/c he said either way the results go he will still do the endoscopy and test my intestines (I think I said that right).

Has anyone got a pos blood panel after not eating gluten for a little over a month? I have had an accident on halloween where I took a bite of a candy bar that had gluten in it.

[Ursa Major]

The endoscopy is the "gold standard" for diagnosis right now (so I'm told) so as long as he does that you should know for sure. I have read that you have to be ingesting gluten for at least 2 months (I think it was) to get accurate, no fail blood test results. I know my doctor told me that 1 year after diagnosis he will order another blood test for me and as long as I am successful with following the diet then the test should be completely normal. So I don't think the 3 years amount is correct. Like Dolly though, I'm not a doctor. I can only share what I have learned over the last six months. Good luck!

Well, you don't seem to understand that the blood tests after a year are supposed to tell the doctor if you've followed the diet. If you have been cheating and haven't healed as a result, your blood tests could come back elevated. If, on the other hand, you've been strictly gluten-free, your numbers should be in the normal range.

The three years are garbage. Most people heal perfectly within six months to a year. Only older people with a lot of damage over many years might never heal properly, because of permanent damage. And then of course those unfortunate people who have refractory sprue, who will never heal.

And you can never get 'no fail' blood test results, as they aren't all that reliable. Neither are the biopsies, as the damage is so easily missed.

[nora-n]

I think they actually call it refractory celiac disease if there is still damage after three years off gluten...

Sometimes people post on the forums with something like that, but it is rare.

nora

[tbradley93]

the doc did say that I need to eat wheat the night before the endoscopy procedure. He said that the damage is done right after I eat the wheat product.

[Ridgewalker]

the doc did say that I need to eat wheat the night before the endoscopy procedure. He said that the damage is done right after I eat the wheat product.

Well, now THAT is definitely wacky. . So he's saying you don't need to eat gluten for a blood test, but you do for an endoscopy- but just right before the procedure? This is nonsense.

First of all, it takes consistent ingestion of gluten to raise antibody levels and cause intestinal damage.

Secondly, what would that prove? That gluten still causes damage? ie- That you still have Celiac? Of course you do, you have it forever.

I am generally hesitant about badmouthing doctors, but this one truly sounds like he doesn't know what he's talking about.

The only point of having further endoscopies would be to see how well you're healing- which, with your level of damage, I don't blame you for wanting to do, for your peace of mind!

Edit-- Actually, I have no idea what level of damage you have, or if this is your 1st endoscopy- got you mixed up with someone else there for a sec Sorry. Doesn't really affect anything else I said above.

[nora-n]

Some researchers take biopsies and then expose the biopsies to gluten or lgiadin and then measure the antibodies with immunfluorescence.

Only then would the test be accurate, if you happen to be a subject in one of these studies......

They do not do that in us ordinary patients (yet)

The researchers are also in the middel of studies for a new test, where you must have been gluten-free for at least a week and then they measure freshly activated T cells in resposne to gluten:

Open Original Shared Link

nora

[Joss]

Your GI man must have gone to school with my idiot doctor because he told me that if I am truly gluten intolerant, there are always detectable traces of gluten anitbodies. I tokld him he was an idiot, nicely of course.

[ravenwoodglass]

The endoscopy is the "gold standard" for diagnosis right now (so I'm told) so as long as he does that you should know for sure.

The endo may be the gold standard for diagnosis but it is not as accurate as you think. The endo and blood tests can tell you that you definately have full blown celiac but they can not rule it out if they are negative. Also many GI do not recognize the many forms of damage that are seen before you get to the point where you are almost dead. I have actually heard a GI tell a family member that they were not celiac...yet. The guy said if they wanted they could keep eating the gluten until the biopsies showed positive. Celaic has to be one of the few disease in the world where doctors want us to be almost ready to die before they will confirm we have it.

The best diagnostic tool, IMHO, is your bodies reaction to being gluten free and then perhaps a SHORT gluten challenge (until you react) after your problems have resolved a bit. Enterolab is also another valid route to diagnosis, and you don't have to be poisoning yourself to do the tests.

[Tequila]

I was symptomatic for a week before i got the blood tests. My mother has celiac so I knew what to look for, didn't even see the dr. Just called her and told her to order the tests. They were all positive. I'll never know if they would have been positive the week before, but I had sudden onset of digestive symptoms. So hard to know how long they had been building up. Anyway, I went gluten-free right away. It was pretty easy since I knew what to do. Not that its that easy getting used to eating rice bread . Three months later all blood tests negative, and biopsy was negative also after three months. Hope that helps. I have also heard varying ideas on how long you must ingest gluten. I've heard that the damage can appear immediately. Not sure about that, but sure feels like it does. For sure the blood tests would take longer, it takes a while for the immune response to build up. How long that is I'm not sure, I have not read a study on that. I would have offered to be a guinea pig but the GI docs don't seem to be interested in learning anything new.