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

New Here...do Test Results Mean I Have Celiac?

Mom2Boys

Recommended Posts

Mom2Boys Newbie
Mom2Boys
Posted

I am working with a new doctor to try and figure out why I am tired and sleepy so much and he ordered a lot of tests. When I spoke to him last night, he went over my labs with me. Based on the Gliadin AB IGG being 38 (a positive result is >17), he said he's almost certain I have Celiac. He said the only way to confirm for sure is to have a biopsy done, but he doesn't think it's necessary. My Gliadin AB IGA was 7 and <11 is considered negative. He also ordered HLA typing for Celiac, but those results aren't back yet. He told me I needed to eliminate gluten from my diet and get tested for additional food allergies. I am hypothyroid and he said that is likely from the gluten sensitivity.

All of the testing is confusing. Is the Gliadin AB IGG a strong indicator for celiac or should there be further testing to confirm?

Thanks for any help!

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

Celiac.com Sponsor (A8-M):


ravenwoodglass Mentor
ravenwoodglass
Posted

I personally would just go ahead and start the diet as your doctor advised. If you do choose to go for a biopsy keep eating gluten until that is done and since there is a chance of a false negative with the endo do start the diet as soon as the endo is done.

JillianLindsay Enthusiast
JillianLindsay
Posted

It's a personal choice too. Some people absolutely need to know 100% for sure that they have celiac disease before embarking on the high-maintenance gluten-free diet. Others only need a positive response on the diet to motivate them to stay gluten-free :) Also you may want to see if your DR is willing to give you a complete Dx (diagnosis) for insurance purposes. Depending on where you live, some people get a tax break on the more expensive gluten-free foods, or a subsidy for groceries, etc. I am also waiting for my HLA typing results. Good luck and welcome to the forum!

Mom2Boys Newbie
Mom2Boys
Posted
  • Author

Thanks for the replies! I just got back from the bookstore with the "Gluten-Free Bible" that my doc recommended, so hopefully it will be helpful and not too technical. My doc was explaining that he likes to rely on the IGG results more so than the IGA results; is this typical? My doc is conventionally trained but takes a more alternative approach to his practice. He was saying that he wants to do more IGG food testing, but most insurance companies won't cover it...anyone know why not? Also, what will the HLA results show?

Thanks so much!! (Sorry so many questions.)

Lisa Mentor
Lisa
Posted

Here is some information for you:

Open Original Shared Link

This is a great place to learn about the diet. Welcome

happygirl Collaborator
happygirl
Posted

You may be interested in running the total IgA, the tTG IgA, and/or EMA IgA tests - discuss with your doctor.

GFPamela Newbie
GFPamela
Posted

what will the HLA results show?

I think the article at celiac.com, "Ten facts you need to know about celiac genetic testing" by Scot Lewey was really helpful to me. And there are others too. I'm waiting for preauthorization by my insurance company, but I'm still going to have a biopsy after a five-week 'gluten challenge' (after being gluten free for 2 yrs). It would have been easier 2 years ago, but I was not well informed. However, many people are satisfied by the positive effects of the diet, so it's a very personal decision. Good luck.

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

Celiac.com Sponsor (A8-M):


momxyz Contributor
momxyz
Posted

The anti-gliadin IgG is considered more sensitive than some of the other tests (it will detect a disease state more often than some of the other tests) but, some consider it to be less specific (it may be positive in disease states other than celiac).

But I wonder if some of the "false positives" are true positives, because if you read long enough on this board, you will encounter more than one person who may have had a positive antibody but a negative biopsy.

I think its really good that your Dr. order the HLA test, and I would read all the info offered by the posters in this thread!

BettyinMD Newbie
BettyinMD
Posted

I don't think companies like to cover a bunch of testing, because there isnt anything in it for them!

If you are allergic/intolerant to a food(gluten) then the cure is to not eat it! <_<

BettyinMD Newbie
BettyinMD
Posted
I am working with a new doctor to try and figure out why I am tired and sleepy so much and he ordered a lot of tests. When I spoke to him last night, he went over my labs with me. Based on the Gliadin AB IGG being 38 (a positive result is >17), he said he's almost certain I have Celiac. He said the only way to confirm for sure is to have a biopsy done, but he doesn't think it's necessary. My Gliadin AB IGA was 7 and <11 is considered negative. He also ordered HLA typing for Celiac, but those results aren't back yet. He told me I needed to eliminate gluten from my diet and get tested for additional food allergies. I am hypothyroid and he said that is likely from the gluten sensitivity.

All of the testing is confusing. Is the Gliadin AB IGG a strong indicator for celiac or should there be further testing to confirm?

Thanks for any help!

Were you already gluten free when you had those tests done? Or does it matter?

I understand that one can be gluten intolerant but NOT have celiacs...are the tests the same I wonder?

I only ask, cause lately there seems to be a few of us with hypothyroid that suspect gluten intolerances, and so Im just trying to learn..I had my follow up appt yesterday, but didnt even get in to see the doc..(logn story)

Keep us posted!! :)

Chuck8268 Rookie
Chuck8268
Posted
I am working with a new doctor to try and figure out why I am tired and sleepy so much and he ordered a lot of tests. When I spoke to him last night, he went over my labs with me. Based on the Gliadin AB IGG being 38 (a positive result is >17), he said he's almost certain I have Celiac. He said the only way to confirm for sure is to have a biopsy done, but he doesn't think it's necessary. My Gliadin AB IGA was 7 and <11 is considered negative. He also ordered HLA typing for Celiac, but those results aren't back yet. He told me I needed to eliminate gluten from my diet and get tested for additional food allergies. I am hypothyroid and he said that is likely from the gluten sensitivity.

All of the testing is confusing. Is the Gliadin AB IGG a strong indicator for celiac or should there be further testing to confirm?

Thanks for any help!

I was always under the impression a biopsy was the gold standard.But maybe that has changed since my Diagnosis over 6 yrs ago.

Chuck

Mom2Boys Newbie
Mom2Boys
Posted
  • Author
Were you already gluten free when you had those tests done? Or does it matter?

I understand that one can be gluten intolerant but NOT have celiacs...are the tests the same I wonder?

I only ask, cause lately there seems to be a few of us with hypothyroid that suspect gluten intolerances, and so Im just trying to learn..I had my follow up appt yesterday, but didnt even get in to see the doc..(logn story)

Keep us posted!! :)

Hi BettyinMD. No, I wasn't gluten free when the tests were done. My doc wants me to go off gluten and then will retest the gliadin antibody levels in 4 months. I've been reading more and I need to give my doc a call. It sounds like other tests are normally used to help diagnose celiacs, but not the gliadin tests I had done. Apparently, the gliadin tests are good for follow-up to see if the antibodies to gliadin (a component of gluten) are going down. I'm still awaiting results of the HLA typing for celiacs, but I think that just shows the genetics that could make one more susceptible to having celiacs. I want to ask my doc why he ordered the gliadin antibody tests and not the other ones mentioned in this post; I'm sure he has his reasons.

I am hypothyroid, too. The doc said that my hypothyroid could be a result of the celiacs or gluten intolerance. I went to this doc because my family MD wasn't really helping much. I've been feeling very tired and my family doc just blames everything on my extra weight. I'm in PA, but my new doc is in MD. I really like him, but just wish he was closer.

Mom2Boys Newbie
Mom2Boys
Posted
  • Author
I was always under the impression a biopsy was the gold standard.But maybe that has changed since my Diagnosis over 6 yrs ago.

Chuck

Hi Chuck. Yes, you are right. My doc is more alternative in his approach and just feels there's no need to put me through the biopsy if he's fairly sure it's celiacs. As I learn more, I may decide to have one done. I know he would prescribe it if I wanted to have it done.

Mom2Boys Newbie
Mom2Boys
Posted
  • Author

Thank you for all the help...I've been reading everything recommended and trying to absorb it all. If I turn out to be gluten intolerant and not have celiacs, what is the difference? Both would require eliminating gluten from my diet, right?

Can gluten be found in things other than foods, like cosmetics, lotions, pills, supplements, etc.? How do you know what is safe to use and what isn't?

Thanks!!

Archived

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

Go to topic listing

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate
  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):



    Celiac.com Sponsors (A17-M):



  • Recent Activity

    1. Scott Adams
      - Scott Adams replied to Butch68's topic in Gluten-Free Foods, Products, Shopping & Medications
      1

      Guinness, can you drink it?

      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley...
    2. MogwaiStripe
      - MogwaiStripe replied to Midwestern's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      15

      Gluten Issues and Vitamin D

      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease. Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/
    3. Scott Adams
      0

      Tahini Swirl Fudgy Brownies (Gluten-Free)

    4. Butch68
      - Butch68 posted a topic in Gluten-Free Foods, Products, Shopping & Medications
      1

      Guinness, can you drink it?

      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too. is this everyone’s experience? Can I drink it? I get dermatitis herpetiformis and don’t get instant react...
    5. trents
      - trents replied to Xravith's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      17

      Taking Probiotics but Still Getting Sick After Gluten – Advice?

      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.
  • Celiac.com Sponsor (A19):


  • Member Statistics

    • Total Members
      132,216
    • Most Online (within 30 mins)
      7,748
    Athenablue
    Newest Member
    Athenablue
    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

    • Scott Adams
      Guinness, can you drink it?

      By Scott Adams · Posted

      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Gluten Issues and Vitamin D

      By MogwaiStripe · Posted

      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Guinness, can you drink it?

      By Butch68 · Posted

      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      Taking Probiotics but Still Getting Sick After Gluten – Advice?

      By trents · Posted

      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
      Taking Probiotics but Still Getting Sick After Gluten – Advice?

      By Scott Adams · Posted

      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.
×
×
  • 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.