Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Enterolab Stool Test


coldnight

Recommended Posts

coldnight Apprentice

From what I understand, this technically can't diagnose celiac disease, but can prove an immunological reaction to gluten?

Is this correct? Or can it indicate celiac disease? I wasn't going to do it, because the diet has been proof. I'm taking, I estimate, 1/20th of the medicine I was, and even that is too much. But, I guess I'm just neurotic? I need a name to put to this, something I can say, this is it. I'm positive wheat is it. But I don't know what to call it, or perhaps I'd like reassurance that wheat IS it beyond the effect of the diet.

I'm sure many of you have done this, did you find it helpful?

Thanks again.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



lbd Rookie

This is a big issue on this forum. I, personally, found that the Enterolab test was very important for me because it confirmed what I already knew to be the truth - that I had a problem with gluten. In addition, it pinpointed a problem with casein, which was the key to ending my lifelong migraines. I knew the gluten-free diet was helping my health, but I guess I kept wondering if I was just imagining it. The Enterolab tests gave me the confirmation I needed to really pursue and stick to a gluten-free lifestyle. I looked carefully into the science behind it (I have a good science background) and am very satisfied that the tests are accurate and valid. Some will question if Enterolab can give a diagnosis, but there are so many problems with the blood tests and endoscopic procedures giving false negatives, that I question whether they are good diagnostic tools either.

Laurie

mftnchn Explorer

I agree with Laurie, Enterolab can be valuable when you carefully consider what it offers and your own situation. The gold standard is great when a person fits it, but many of us for one reason or another are left with a more nebulous situation in terms of a final diagnosis. And there are limitations to the "gold standard" approach, too.

I did Enterolab on a whim (it was recommended to my daughter by her doctor) when I was looking for answers to chronic constipation. By the time I got the results I was in China for 10 months and had no access to blood tests or biopsy (accurate ones at least). I can't find anyone here that has even heard of celiac disease, LOL! Anyway, I had phone consults with two of my doctors and both did NOT want me to wait to go gluten-free.

My Enterolab tests were startlingly positive. I am double DQ2, so these results plus response to gluten-free diet, plus profound malabsorption issues later confirmed with various tests, has given me a clinical diagnosis of celiac. I had a previous endoscopy (no biopsy) that has pix of the duodenum that are suggestive as well. It was done here in China and no suggestion was made of abnormality, plus they didn't keep any copies, so all I have is a tiny picture as evidence. I have also apparently had continuing villi damage because I haven't been digesting carbs (the digestive enzymes formed in the villi are inadequate), so now I am on SCD and finally seeing some improvement.

It took me a year to finally confirm the diagnosis in my own mind. I have weighed all the evidence, not just gone by the Enterolab. My doctors are fully convinced, but I don't expect that my Enterolab results will be convincing to most health practitioners. I may ask for a follow up biopsy this year.

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,899
    • Most Online (within 30 mins)
      7,748

    dcarter1682
    Newest Member
    dcarter1682
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.