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''celiac And Doesn't Need A Biopsy'' Told Me 2 Doctors! Help Me!


Shallyssa

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Tallforagirl Rookie
What's a genetic testing? In which situation they suggest that? I though every test like that was free here! :huh:

Julie

The genetic test for celiac disease will tell you whether you have the genetic markers that give you the potential to develop celiac disease.

The test can rule out the disease, as you can't develop celiac disease if you don't have the right genetic markers for it.

However, the genetic test can't confirm that you have celiac disease, as it's possible to have the genetic markers and not develop active celiac disease.

Only the antibody blood tests and biopsy can confirm that you do have celiac disease.


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tom Contributor
2. There is a genetic marker test--I think it is called Proteus--that offers close to absolute validation.

Yikes I wish that were true.

That'd make things a lot easier.

The currently recognized (in the U.S. - it's different in Europe, I hear) 2 genes for celiac (HLA DQ2 & 8) are in 30% of the population, yet just over 1% develop celiac disease.

Although researchers have been scratching for a while, they've barely scratched the surface of Celiac genetics.

Much work is to be done.

Also, there are biopsy-confirmed celiacs w/ neither of the "currently recognized" celiac genes.

Gemini Experienced
What's a genetic testing? In which situation they suggest that? I though every test like that was free here! :huh:

Julie

Actually, your medicine is not free, if you think about it. Canadians pay huge taxes to fund their health care system so everyone pays out of their income. The US is not far behind with our HMO system. We can no longer go to a doctor of our absolute choice...you have to pick one from their lists or pay for a private physician. It was a private physician who tested me because I paid for it. That's the ONLY way I was able to get a diagnosis. Pretty sad.......

Good luck with your endo, Julie! I'm sure you will do fine!

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    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
    • Ello
      I have always eaten gluten and never stopped until my recent episode. I started more wheat products as my Dr. requested for the Tissue Transglutaminase Iga Antibody. mye result Value <1.0 Value interpretation: <15.0 Antibody not detected > or =15.0 Antibody detected I do not understand any of it. After eating all that wheat product my body exploded with all sorts of symptoms. I stop gluten ASAP. I am still in the healing process. I started having issues after my surgery. 
    • trents
      Welcome to the celic.com community @Ello! You say you had a blood test for celiac disease after eating gluten for 2 weeks. Were you gluten free before that? Had you ever been officially diagnosed with celiac disease previously? You say the result of the blood test was 1.5. Can you provide the name of the test and the reference range for negative vs. positive for the test? I ask because different labs used different reference ranges so scores without a reference range aren't very helpful.
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