So Nervous For Testing Tomorrow...

[wockandwoll]

Hey all.. been trying to go gluten-free, but accidentally glutened myself the last two days, and I was only gluten-free for 2 days before that. Went to my GP today to tell him what was going on with my body, and before I could even say "Gluten" he said "Have you ever heard of Celiac Disease? I think it could be a definite possibility." THANK GOD! SO he ordered the tests but he didn't really tell me what they were going to do for the tests so I came here. Here's what my sheet says:

US ABDOMEN COMPLETE (Ultrasound for my gallbladder.. why?)

TISSUE TRANSGLUTAMATE IgA & IgG (omg is that a biopsy? I've never had one. Is there anesthetic involved? Will I be able to come to work?)

GLIADIN IgG ANTIBODY (a blood test, i presume)

ENDOMYSIAL IgA AB (another blood test?)

I have no idea what they're even looking for and all this medical jargon is making my head spin. Can someone give me some insight, and perhaps a bit of insight?

[ShayFL]

Looks like all blood and an ultrasound. No anesthesia. You will be fine.

[lizard00]

TISSUE TRANSGLUTAMATE IgA & IgG (omg is that a biopsy? I've never had one. Is there anesthetic involved? Will I be able to come to work?)

GLIADIN IgG ANTIBODY (a blood test, i presume)

ENDOMYSIAL IgA AB (another blood test?)

These tests are all part of the Celiac Panel; which is the blood test. You might want to mention getting a complete IgA serum though, just in case you are IgA deficient. (IgA is associated with your immune systen and it's responses) The back up to this test is the IgG, (which I'm impressed that your doctor put in the test orders), but it's good to know if you're IgA deficient or not.

Not sure about the gall bladder, did they offer an explanation?

[wockandwoll]

He wanted to make sure I didn't have any gallstones, allthough I can't see how that is relevant. THe word "tissue"

made me wonder if that was a biopsy. Thank you for clearing that up. So will they just take a syringe of blood and do the ultrasound and that's it?

[GFinDC]

It should be just a blood draw for the anitbodie tests, all those IGA IGE etc things.. The other test they do for celiac is an endoscopy. I am pretty sure they would use anesthesia for that though, and brief you ahead of time on the procedure and possibly having someone drive you home. In an endoscopy they insert a tube down the throat and take samples of the small intestine lining. It doesn't sound like you are getting an endoscopy. That would usually be done after the blood test results are back. My opinion, if you have the antibodies in your blood tests then you shouldn't need the endoscopy.

[*lee-lee*]

yup, it sounds like a routine blood draw. they took about 4 or 6 vials when i had mine done.

make sure you eat a bunch of gluten tonight - have pizza or pasta or something. your blood work will be skewed if you're not consuming gluten.

[dksart]

....sounds like you have an awesome doc!

[wockandwoll]

Actually, I was really nervous that he would give me the "depressed housewife" or "IBS" diagnosis. Called me to say he wants to do another series of tests. Thyroid, metabolic profile and CBC, just to be sure of things. What's a metabolic profile.

[ravenwoodglass]

I am surprised he didn't order those tests when he did the panel. The test is really a routine test, here is what it is for-

"The CMP is a frequently ordered panel that gives your doctor important information about the current status of your kidneys, liver, and electrolyte and acid/base balance as well as of your blood sugar and blood proteins. Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed.

The CMP is used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease, and kidney disease. The CMP may also be ordered to monitor known conditions, such as hypertension, and to monitor patients taking specific medications for any kidney- or liver-related side effects. If your doctor is interested in following two or more individual CMP components, he may order the entire CMP because it offers more information.

The CMP is routinely ordered as part of a blood work-up for a medical exam"

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[withnail69]

I am surprised he didn't order those tests when he did the panel. The test is really a routine test, here is what it is for-

"The CMP is a frequently ordered panel that gives your doctor important information about the current status of your kidneys, liver, and electrolyte and acid/base balance as well as of your blood sugar and blood proteins. Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed.

The CMP is used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease, and kidney disease. The CMP may also be ordered to monitor known conditions, such as hypertension, and to monitor patients taking specific medications for any kidney- or liver-related side effects. If your doctor is interested in following two or more individual CMP components, he may order the entire CMP because it offers more information.

The CMP is routinely ordered as part of a blood work-up for a medical exam"

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hmmmm is gallbladder ultrasound part of diagnosis cause when I went he said my gall bladder was collapsed (I had eaten and hadn't been told I wasn't allowed to) ps:- I am in agony at the moment and could really do with a diagnosis