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I Need A Gastro? Or Allergy? Dr.


janpfunny

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janpfunny Newbie

I live 20 miles north of Detroit, MI. I would like to find a doctor to figure out if I have celiac disease. But I am not sure if I should see a gastro or allergy doctor. I get migraines and neck inflammation, but no intestinal distress. My obgyn authorized an antibody test for me. But for 4 years I haven't eaten obvious gluten, only hidden glutens, so there was minimal positive response on the igA(12) and the tTG(16), and none on the igB(5). Can anyone give me a name and/or maybe some direction? Thank you in advance.


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MySuicidalTurtle Enthusiast

You may have to start eating gluten again to have the tests done.

I did blood through my normal doctor and my mom too but my brother saw a specialist for biopsy. You should talk to your regular doctor about re-taking the tests and all and decide if you need a specialist.

mommida Enthusiast

If you find a good gastro in this area let me know. I will not post over the net names of Gastro's to avoid, but if you think that advice would be helpful, private message me.

L.

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      Welcome to the celiac.com community, @melthebell! I certainly would have a biopsy repeated as it has been 5 years since the first one. You mentioned he was scheduled for an endoscopy but make sure a biopsy is also done. It's possible he, like you are, is a "silent" celiac where the damage to the intestinal mucosa happens very slowly and can take years to manifest to the point of being detectable and where symptoms are minimal or absent. At 10 years old, his immune system may not be mature enough het to trigger the usual IGA responses that the IGA celiac tests are designed to detect.  I would also have genetic testing done to confirm that he has or doesn't have the potential to develop celiac disease. The genetic profile can also offer insight into the type of celiac disease a person will develop if they ever convert from latent to active. Take a look at table 2 under the section "Types of Celiac Disease" in the article found in this link: https://pmc.ncbi.nlm.nih.gov/articles/PMC9980758/  Genetic testing is available from 3rd party labs. I think you just have to send in a cheek swab sample.
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      Hello community; it's nice to have found you. I am a 42 year old biopsy confirmed celiac. I have had it since I was 18. Well managed on a gluten free diet. No idea if I have the gene (presume I do) as never tested. Diagnosed as was anaemic and had a high celiac market (can't recall which), and a positive biopsy. Asymptomatic. Given this, I regularly test my two children. My eldest is the child in question. First tested at age 5 due to slight anaemia. Everything negative except for a slightly high DGP IGG (slightly elevated at 25). Not IGA deficient. Did a biopsy with a pediatric gastro, was negative. Next test at age 8. Everything once again negative, high DGP IGG at 116 U/ml this time. Living in a country now with no celiac knowledge so decided to whack him on a gluten-free diet and see how he goes. Next test at age 9 after a year on gluten-free diet. Everything once again negative, high DGP IGG at 174 U/ml this time! On a gluten-free diet. Final test was a week ago at age 10, on continued gluten-free diet. Once again a positive DGP IGG, this time over 250 U/ml. On a gluten-free diet. what the heck is going on with my kid? We have seen a pediatric gastro via telehealth, who was equally puzzled and suggested doing a gluten challenge and an endoscopy, which we have schedule for end of April. Kid is otherwise fine. Energetic and growing well. No significant gastrointestinal symptoms. Has anyone encountered something like this before?
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