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Should I Get Biopsy Done? Need Advice Pleae!


mom26boys

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mom26boys Apprentice

My labs came back as follows:

ENDOMYSIAL AB (IGA) SCREEN POSITIVE (REF RANGE: NEGATIVE)

ENDOMYSIAL AB TITER 1:5 NO REF RANGE GIVEN

I've been reading lots of posts where people had lots of numbers and ranges in their labs, but this is all mine says. I don't understand what the test is and what it means. Also what is a titer and what does the 1:5 in the "out of range" column mean?

I posted this previously and got some good advice as to going back to eating gluten if I have the endoscopy done (I've been gluten-free for 2 weeks now), but then I started thinking about whether I should even bother having the endoscopy done. I realize ultimately its my decision, but I would surely appreciate any input anyone on here has on the subject. Is this lab result enough to assume I have celiac? This is all new to me so I appreciate any input. Thanks!


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Roda Rising Star

For me I wanted the biopsy, even knowing the potential for false negatives. It helped me to deal with it knowing it was positive. Also, the way I saw it was they could be on the look out for any other problems besides biopsy for celiac. My gi doc also had me do an occult blood stool test. It came out positive several months after my EGD. I was told that they wanted me to have a colonoscopy. I knew deep down that there was nothing wrong, (figured it was from hemorrhoids) but for the peace of mind I went through with it. The doc ended up removing a polyp (it was benign) and the rest of it was good. Yeah, I don't have to have another one until I'm 45! :lol: It's a very individual decision and I'm sure you will come to a decision that you are comfortable with.

Jestgar Rising Star

I chose not to pursue any further diagnoses. It doesn't matter to me what the tests show, I'm still not eating gluten, so why go through the trouble and expense?

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    • Russ H
      HI Nancy, In your first post, you said that you were diagnosed by biopsy and blood test - this is what I was referring to: the blood test is for antibodies that are made during active disease. After a period on a strictly gluten-free diet, the antibodies return to low level. It is a good way of checking for accidental exposure if symptoms persist. If you are reacting to foods that don't contain gluten, you may be reacting to something else. Alternatively, a condition called SIBO is common in people with coeliac disease, where there is an overgrowth of bacteria in the small intestine. This can be tested for with a simple breath test. The main treatment is with a course of antibiotic. Small Intestinal Bacterial Overgrowth (SIBO)
    • Aretaeus Cappadocia
      I'm not saying this is what you have, but your description reminds me of Morgellons, which are not very well understood. Here is a review from a reputable source. If it seems similar to your experience, you could raise this question with your Dr.  https://my.clevelandclinic.org/health/diseases/morgellons-disease
    • nancydrewandtheceliacclue
      Hi Trent, no dairy. Other than good quality butter. I have been lactose free for years. No corn, sugar, even seasonings and spices. I don't eat out. I cook my own food.
    • trents
      @nancydrewandtheceliacclue, are you consuming dairy? Not sure if dairy is part of the carnivore diet.
    • nancydrewandtheceliacclue
      Hello Russ! Thank you so much for your reply.  I have not had an antibody test done, ever, relating to gluten. Last year I had an allergy test done via blood draw (as my insurance wouldn't cover the skin test) but this was for pollen and grasses, not food. Even on the blood test I had extremely high levels of reactions to each allergen. Could this seasonal allergy inflammation be contributing to my celiac inflammation? I am so careful, there is no way I could ingest gluten. For example, couple of months ago I tried a cough drop that says it was gluten free. I checked ingredients, it seemed fine. But just taking one of those caused me to have nausea, vomiting, and the same extreme abdominal pain. Have you ever heard of anyone else having symptoms like mine after being diagnosed celiac and strictly gluten free? The last episode I had like this was yesterday, after I ate a certified gluten-free coconut macaroon with a little chocolate on it. I have eaten coconut and chocolate before with no issue,  so I didn't see how I could all of a sudden have such a strong response. 
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