Help With Reading The Blood Tests

[heartofgold]

I am in ontario canada so i am not sure how to read these tests meaning i have seen some blood tests posted but I could not compare anything cause the labs may post differently here. LIke you said maybe someone can help me on it here .

Gliadin AB IgG 36 H (which is high i am sure ) then it says 20 KEU/L CMH

Gliadin Ab IgA 21 H 20 KEU/L CMH

tTransglut IgA 45 H 20 KEU?L CMH

Interpretation Positive findings of IgA Endomystal antibodies (IgA Transglutaminese) are essentially diagnostic of Celiac Disease or Dermatitis Herpatiformis. The IgA Endomystal antibodies should disappear with a strict adherence to a gluten free diet and can be used to monitor adherence to diet.

*** i know i dont have the D.H. skin disease.

Again i hope someone can interrupt this as it is a canadian hospital that did them.

[psawyer]

First off, I am not a doctor, so I can not diagnose. I am in Ontario, Canada.

tTg of 45 suggests to me an indication of celiac disease. Your doctor can confirm this, or offer an alternative explanation to this result.

[still tiredofdoctors]

I'm with Peter on this one . . .

I'm not a doctor, either. It does appear that your titres indicate celiac.

The antigliadin antibodies alone are high enough to cause Neurogenic Celiac Disease (the latest term for "Gluten Ataxia", "Sprue-Related Ataxia" and/or "Neurological Celiac.

I had only the antigliadin antibodies, and the only manifestation with regard to Celiac damage that I have incurred is in my cerebellum.

[heartofgold]

First off, I am not a doctor, so I can not diagnose. I am in Ontario, Canada.

tTg of 45 suggests to me an indication of celiac disease. Your doctor can confirm this, or offer an alternative explanation to this result.

thanks peter for the info. do you know if there are any gluten-free products for gas we can buy in ontario . i just found out Gas-X has gluten in it. I have mild chronic gastritis i was told from the biopsy. People on the blogs here have mentioned it might be secondary to the celiac like the celiac caused it. i have a proton pump to help with acid but really wanted something more for gas in the stomach and intestine as i have a fair amount of pain each day about 2 inches above the navel and it gets bloated and hard. the doctor said it was cause of the pain which i find weird. any suggestions about anything you have would be grateful as i am so new at this. if it was not for a lovely lady named raven on here telling me about tums i would not have known. thanks for listening Anne

[heartofgold]

I'm with Peter on this one . . .

I'm not a doctor, either. It does appear that your titres indicate celiac.

The antigliadin antibodies alone are high enough to cause Neurogenic Celiac Disease (the latest term for "Gluten Ataxia", "Sprue-Related Ataxia" and/or "Neurological Celiac.

I had only the antigliadin antibodies, and the only manifestation with regard to Celiac damage that I have incurred is in my cerebellum.

thanks tired for the info . the Gastrologist was really not that helpful he even said maybe you have just irritable bowel since my biopsy was negative so he said we can give you another i said no thanks i am just going gluten free i am sick of this pain. any hints you have i would appreciate too like foods to eat etc you both can email me at my acct too or heartofgoldie@hotmail.com thanks again Anne

[psawyer]

A negative biopsy really doesn't prove much.

A number of samples are taken from the lining of the upper small intestine. The number is usually rather small. The damage may be spotty in many cases.

An analogy which may help understand the accuracy of the biopsy follows. It is graphic, but effective.

Imagine that your front lawn is 25 feet wide and 10 feet deep. That is 250 square feet of grass. Now imagine that you go onto your lawn and choose, at random, 12 3-inch square samples. In none of those samples, which total less than 1 square foot out of 250, do you find any dog feces. Well, then, you can declare that your lawn is free of dog sh!t, can't you? Of course you can't.

A negative on the biopsy does not prove that there is no damage, it only means that they did not find any in the small sample. The fewer samples taken, the more likely it is that damage will be missed. Most times a lot less than twelve samples are taken, and they are all taken from within the first few inches of the small bowel.

[curiousgeorge]

Ont here too and your lab work looks like it went through the same lab as mine with the exact same wording.

I found it took me 6 months to get rid of the tummy pains. I stopped taking prilosec after a month of gluten-free. You should likely try a grain free trial. I suspect you'd find your gas gone.

From what I have seen on line, it seems that pathologists outside of Ontario are more willing to dx celiac based on chronic inflammation than ones here. I suspect its bc Ont doesn't cover testing and they don't see it all that frequently. Was your gastritis in your stomach or duodenum?

[ravenwoodglass]

A negative biopsy really doesn't prove much.

A number of samples are taken from the lining of the upper small intestine. The number is usually rather small. The damage may be spotty in many cases.

An analogy which may help understand the accuracy of the biopsy follows. It is graphic, but effective.

Imagine that your front lawn is 25 feet wide and 10 feet deep. That is 250 square feet of grass. Now imagine that you go onto your lawn and choose, at random, 12 3-inch square samples. In none of those samples, which total less than 1 square foot out of 250, do you find any dog feces. Well, then, you can declare that your lawn is free of dog sh!t, can't you? Of course you can't.

A negative on the biopsy does not prove that there is no damage, it only means that they did not find any in the small sample. The fewer samples taken, the more likely it is that damage will be missed. Most times a lot less than twelve samples are taken, and they are all taken from within the first few inches of the small bowel.

Great analogy Peter. Many don't understand that a negative biopsy isn't conclusive but a positive is and this explanation is a great way to picture it.