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

Discussing Enterolab Lab Results With Doctor


lapentola

Recommended Posts

lapentola Rookie

I am preparing to discuss my daughter's enterolab results with her pediatrician, and I'm stressing out a little bit because of the validity issues surrounding enterolab's method of testing. We don't currently have insurance which is why I decided to have enterolab testing done in the first place. (Actually I was okay with putting her on a gluten free diet even before the testing was done, but the other side of my daughter's family refused to feed her gluten free foods until she was tested.) So now I am wondering if he will want to order more tests and if so, if you all think it would be necessary. I believe that it would be wise to tell my daughter that she should be gluten free at least until she's 18 or so (to make sure that she develops properly) and at that time it might be appropriate to do more testing. I fear that giving her gluten in childhood could cause problems to slowly build up over time, as they did in me, and I just don't think that it is that difficult, or in the least bit unhealthy, to eat gluten free. (I'm a stay at home mom, I love to cook and bake, and I cook foods for her to take to her relatives houses.) So, even with these test results I have family (and probably soon to come , a doctor) who thinks that I'm being reckless with my daughters well being. Am I jumping the gun? Would you have more testing done if the doctor recommends it? If further testing indicates that she shouldn't be gluten free would you keep your child off gluten anyway, just to be safe?

I look forward to hearing your opinions. Thanks!

Here are her test results from enterolab... (She's 11, by the way)

Fecal Anti-gliadin IgA 212 Units (Normal Range <10 Units)

Fecal Anti-tissue Transglutaminase IgA 123 Units (Normal Range <10 Units)

Quantitative Microscopic Fecal Fat Score <300 Units (Normal Range <300 Units)

Fecal Anti-casein (cow


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



Celiac.com Sponsor (A8-M):



cyberprof Enthusiast
I am preparing to discuss my daughter's enterolab results with her pediatrician, and I'm stressing out a little bit because of the validity issues surrounding enterolab's method of testing. We don't currently have insurance which is why I decided to have enterolab testing done in the first place. (Actually I was okay with putting her on a gluten free diet even before the testing was done, but the other side of my daughter's family refused to feed her gluten free foods until she was tested.) So now I am wondering if he will want to order more tests and if so, if you all think it would be necessary. I believe that it would be wise to tell my daughter that she should be gluten free at least until she's 18 or so (to make sure that she develops properly) and at that time it might be appropriate to do more testing. I fear that giving her gluten in childhood could cause problems to slowly build up over time, as they did in me, and I just don't think that it is that difficult, or in the least bit unhealthy, to eat gluten free. (I'm a stay at home mom, I love to cook and bake, and I cook foods for her to take to her relatives houses.) So, even with these test results I have family (and probably soon to come , a doctor) who thinks that I'm being reckless with my daughters well being. Am I jumping the gun? Would you have more testing done if the doctor recommends it? If further testing indicates that she shouldn't be gluten free would you keep your child off gluten anyway, just to be safe?

I look forward to hearing your opinions. Thanks!

I don't think you're jumping the gun. And yes, I would keep her off gluten until she is 18 even if the doc's tests are negative.

I guess the question is...What do you want the pediatrician to do? Is she generally healthy otherwise? Pediatricians and doctors in general will not look kindly on Enterolab, unless you get really lucky. I did not discuss Enterolab with my son's pediatrician, only told them that we had his genes tested and he has the celiac gene and that I was diagnosed with celiac. I assume that you are diagnosed or someone in the family is?

If she is having other health issues then you may have to tell the doc your worries. But going gluten-free, as you've said, is the best way to prevent problems from building up.

We've told our son that he can do a gluten challenge when he's 21 or when he's done growing and can do the EDG then if he wants.

Good luck to you!

Jestgar Rising Star

You bring in the test results, and you tell the doc that you will be keeping her off gluten, and that these results support your discoveries that your daughter is much healthier when she doesn't eat gluten. Tell him that you'll expect his support in keeping her healthy while on this (high vegetable, low processed foods) diet.

IF he still questions your conclusions, ask HIM to explain why your daughter is making so many antibodies to gluten, as shown by the Enterolab tests.

It's your child. You call the shots.

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      132,202
    • Most Online (within 30 mins)
      7,748

    PatBurnham
    Newest Member
    PatBurnham
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
    • Xravith
      I'm very confused... My blood test came out negative, I checked all antibodies. I suppose my Total IgA levels are normal (132 mg/dl), so the test should be reliable. Still, I'm not relieved as I can't tolerate even a single biscuit. I need to talk to my doctor about whether a duodenal biopsy is necessary. But it is really possible to have intestinal damage despite having a seronegative results? I have really strong symptoms, and I don't want to keep skipping university lectures or being bedridden at home.
    • Scott Adams
      They may want to also eliminate other possible causes for your symptoms/issues and are doing additional tests.  Here is info about blood tests for celiac disease--if positive an endoscopy where biopsies of your intestinal villi are taken to confirm is the typical follow up.    
    • Scott Adams
      In the Europe the new protocol for making a celiac disease diagnosis in children is if their tTg-IgA (tissue transglutaminase IgA) levels are 10 times or above the positive level for celiac disease--and you are above that level. According to the latest research, if the blood test results are at certain high levels that range between 5-10 times the reference range for a positive celiac disease diagnosis, it may not be necessary to confirm the results using an endoscopy/biopsy: Blood Test Alone Can Diagnose Celiac Disease in Most Children and Adults TGA-IgA at or Above Five Times Normal Limit in Kids Indicates Celiac Disease in Nearly All Cases No More Biopsies to Diagnose Celiac Disease in Children! May I ask why you've had so many past tTg-IgA tests done, and many of them seem to have been done 3 times during short time intervals?    
×
×
  • 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.