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

Blood Result Questions


faithinhope

Recommended Posts

faithinhope Newbie

Hi everyone... I'm new to this forum but not to gluten issues ;)

We have a family history of gluten intolerance (people in the family who show negative reactions to gluten), and one biopsy confirmed case of celiac disease (the only person who has actually been biopsied).

When my first son first was exposed to gluten (besides through my breastmilk) he reacted very negatively. After two weeks of being on it (and I lose the term very loosely because he actually stopped being able to break down any foods, they all just came out undigested in his diaper or else he was throwing them up) he had bloodwork run and his blood tests were negative. I took him off all gluten and he got better. After that if he was getting gluten through his diet it was in very small amounts (as in cross contamination... never would he eat pasta/bread etc that was made from wheat/rye/barley). He got gluten in a larger amount one night several months later when he was 21 months old and reacted strongly again. We actually ended up in hospital. More bloodwork run and this time it was higher but still negative. I was told he could not possibly have celiac disease.

So now I have his test results in front of me. I have been doing more and more research and realize that his test results shouldn't have been positive right? Because he wasn't on gluten for long enough before either test?

My second question is why are the levels for measuring TtG different between labs? What do the reference numbers mean. I have seen some that say a positive is over 20, and others that say a weak positive is over 3.

His blood results were as follows:

12 months:

Gliadin IgA = 4

TtG IgA = <3

At 21 months:

TtG IgA = 5

Anti-Glutamic Acid Decarboxylsase = <1.00 (and this was flagged as abnormal but I'm not sure what it means)

He also has a hard time with iron and B12 absorbtion... he is always low in both as well as low hemoglobin, hematocrit, MCV, MCH.

He got known glutened more recently and didn't react nearly as strongly. I am wondering if it is worthwhile to persue testing through enterolabs and actually put him on a gluten diet to get the testing done since he's never had a proper trial on it. He is almost 3 now... will the stool results be accurate?

I am also thinking about having myself tested. I have had digestive issues my whole life, as well as enamel problems on my teeth, and when I was reading about people describing their brain fog I can relate to that as well. I am (newly) currently gluten free to see if it makes a difference for my second born, who is 2.5 months old now and exclusively breastfeeding but having a reaction to something (tried dairy first, made no difference).

Anyway, any thoughts would be appreciated. :)

~Alison


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



Celiac.com Sponsor (A8-M):



GlutenWrangler Contributor

Alison,

In my opinion, you shouldn't bother going through Enterolab. Their testing methods aren't proven. Dr. Fine still hasn't gotten around to publishing his research, after years of saying he's "about to publish". There's a reason for that. You already know that your son has issues with gluten. Putting him back on gluten will just cause him to suffer needlessly. If you're dead set on putting him back on gluten, do it for traditional testing. It may take 6 months or more, but at least the diagnosis will be solid. But honestly, I think your best bet is to just put your son on a gluten-free diet. You don't need an official diagnosis. And you're right. The testing that was done on your son couldn't possibly be accurate because he wasn't eating gluten. The doctor who told you that your son could not possibly have Celiac Disease is sadly mistaken. Any good doctor should know that a patient needs to be consuming gluten in order for the tests to be accurate. You may want to find a new doctor. Good luck,

-Brian

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,663
    • Most Online (within 30 mins)
      7,748

    Funnybone
    Newest Member
    Funnybone
    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

    • Inkie
      Thank you for the information ill will definitely bring it into practice .
    • Scott Adams
      While plain, pure tea leaves (black, green, or white) are naturally gluten-free, the issue often lies not with the tea itself but with other ingredients or processing. Many flavored teas use barley malt or other gluten-containing grains as a flavoring agent, which would be clearly listed on the ingredient label. Cross-contamination is another possibility, either in the facility where the tea is processed or, surprisingly, from the tea bag material itself—some tea bags are sealed with a wheat-based glue. Furthermore, it's important to consider that your reaction could be to other substances in tea, such as high levels of tannins, which can be hard on the stomach, or to natural histamines or other compounds that can cause a non-celiac immune response. The best way to investigate is to carefully read labels for hidden ingredients, try switching to a certified gluten-free tea brand that uses whole leaf or pyramid-style bags, and see if the reaction persists.
    • Scott Adams
      This is a challenging and confusing situation. The combination of a positive EMA—which is a highly specific marker rarely yielding false positives—alongside strongly elevated TTG on two separate occasions, years apart, is profoundly suggestive of celiac disease, even in the absence of biopsy damage. This pattern strongly aligns with what is known as "potential celiac disease," where the immune system is clearly activated, but intestinal damage has not yet become visible under the microscope. Your concern about the long-term risk of continued gluten consumption is valid, especially given your family's experience with the consequences of delayed diagnosis. Since your daughter is now at an age where her buy-in is essential for a gluten-free lifestyle, obtaining a definitive answer is crucial for her long-term adherence and health. Given that she is asymptomatic yet serologically positive, a third biopsy now, after a proper 12-week challenge, offers the best chance to capture any microscopic damage that may have developed, providing the concrete evidence needed to justify the dietary change. This isn't about wanting her to have celiac; it's about wanting to prevent the insidious damage that can occur while waiting for symptoms to appear, and ultimately giving her the unambiguous "why" she needs to accept and commit to the necessary treatment. This article might be helpful. It breaks down each type of test, and what a positive results means in terms of the probability that you might have celiac disease. One test that always needs to be done is the IgA Levels/Deficiency Test (often called "Total IGA") because some people are naturally IGA deficient, and if this is the case, then certain blood tests for celiac disease might be false-negative, and other types of tests need to be done to make an accurate diagnosis. The article includes the "Mayo Clinic Protocol," which is the best overall protocol for results to be ~98% accurate.    
    • Scott Adams
      Welcome to the community! Generally, for a gluten challenge before celiac disease blood tests, Tylenol (acetaminophen) is considered safe and should not interfere with your antibody results. The medications you typically need to avoid are those like ibuprofen (Advil, Motrin) or naproxen (Aleve) that can cause intestinal irritation, which could potentially complicate the interpretation of an endoscopy if you were to have one. However, it is absolutely crucial that you confirm this with either your gastroenterologist or your surgeon before your procedure. They know the specifics of your case and can give you the definitive green light, ensuring your surgery is comfortable and your celiac testing remains accurate. Best of luck with your surgery tomorrow
    • Xravith
      Thank you for the advice. I’ve actually never checked for nutritional deficiencies, but for as long as I can remember, I’ve always taken vitamin and mineral supplements — otherwise my symptoms get worse. This week I stopped eating gluten to confirm whether my symptoms are really caused by it. Starting next week, I’ll reintroduce gluten — it’s sad to go back to how I was before — but at least I’ll be able to take the necessary tests properly. I think the diagnostic process will be long, but at least I’m happy that I finally decided to address this doubt I’ve had for years.
×
×
  • 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.