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Can Anyone Tell Me What They Know About Enterolab Testing?


TammyK

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TammyK Apprentice

Does this lab actually dx Celiac Disease? Or does it merely tell you if you are gluten sensative? I read discussion after discussion about biopsys. Can you find out you have Celiac Disease before your intestines are damaged? Is gluten sensativity merely a precursor Celiac?

Ok, I know that is a string of questions but I really am confused about this. My daughter has had a long time issue with wheat. I switched her to spelt and that lasted a few years until seizures and migraines appeared. Taking her off gluten proved to be the trick. She has no gut issues like bloating, gas, cramps, etc... We did have blood work done for Celiac but that was after she was on the gluten-free diet for a couple of weeks or so. It was negative. I am trying to decide how important further testing at EnteroLab is. If all it will tell me is that she is sensative, then we can just save the money.

What do you think?


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mftnchn Explorer

Enterolab does not claim to diagnose celiac; it does pick up gluten sensitivty and says that they can do so for up to a year after going gluten-free. Whether gluten sensitivity is a precursor to celiac is a matter of discussion. However, gluten sensitivity seems to occur for more reasons that just celiac. It is particularly hard to digest so if your gut is compromised it can be a problem. Resolving the underlying issue can resolve the gluten sensitivity for some people, but not for celiacs.

Celiac can be asymptomatic, and can have negative blood and biopsies.

Since you are convinced she is better on the gluten-free diet, I wonder what you hope to gain from Enterolab?

TammyK Apprentice
Since you are convinced she is better on the gluten-free diet, I wonder what you hope to gain from Enterolab?

Ok - that makes so much more sense!

As for what can be gained from Enterolab, there is a full panel that includes more than the gluten-sensativity test but a malabsorption test, antibody test, gene test (for Celiac? Anyone know?), milk sensativity and more. Guess I still don't if any well be helpful, except that I feel the gluten-sensative one is unnecessary for me and I know diary purposed problems as well. But malabsorption and gene testing???

I am trying to decide if Celiac should be further considered or if I think it is a gut problem. She did have abdominal cramps and diarrhea her first 1-2 years of life but those did go away with eliminating diary. We have randomly reintroduced diary and she has never went back to any of those symptoms. She had been treated long term for chronic ear infections (antibiotics), having her first set of tubes put in at 6 months old (and several sets since). Then at 6, she was dx with Asthma. It is sounding to me to be the leaky gut thing but then there is the fact that I cannot eat gluten, eggs or oats without itching and rash and in the past few years was dx with 2 autoimmune diseases. That makes me think more Celiac due to the hereditary factor. Ugh... Wish this was easier to figure out.

I don't want to learn in 10 years it was really Celiac after all. Knowing seems important because Celiacs have to be so careful. I have a family of six and do have gluten in the kitchen and all around her. Knowing it was Celiac would mean changing everyone's diet, cleaning up the kithcen, being resolved for the long haul and teaching and preparing her for her adult life - how she will approach her health.

Unfornately it has taken this mama too long to read the writing in the sky. I am just now up to full speed on understanding that it really was gluten all along (not just wheat) and that she never should have been reintroduced to diary. It took seizures and migraines to wake me up. Thank God, our bodies take dramatic means to communicate with us.

Does anyone have any thoughts on this?

fedora Enthusiast

they do a gene test. It is a reliable test that can tell you if she has the main genes for celiac. About 94% of celiacs have on of those two genes. Doctors can order gene testing too that her insurance might cover.

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    • Scott Adams
      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
    • trents
      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
    • MicG
      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
    • trents
      Possibly. Your total IGA (Immunoglobulin A, Qn, Serum) is actually high so you are not IGA deficient. In the absence of IGA deficiency, the most reliable celiac antibody test would be the t-Transglutaminase (tTG) IgA for which your score is within normal range. There are other things besides celiac disease that might cause an elevated DGP-IGA (Deamidated Gliadin Abs, lgA) for which you do have a positive score. It might also be of concern that your total IGA is elevated as that can indicate some other health problems, some of which are serious.  Had you been practicing a gluten free or a reduced gluten free diet prior to the blood draw? Talk to your physician about these things. I would also seek an endoscopy/biopsy of the small bowel to check for damage to the villous lining, which is the gold standard diagnostic test for celiac disease.
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