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Blood Pos/neg, Do Endo Or Not Do Endo Advice


pufffee

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pufffee Apprentice

Hi

Lots of people here have helped me so I figured I would share my story. Please see my time line of events to see my struggle found on my profile.

Lots of people ask on this site, My blood was negative so I am fine right? or it was positive and I don't want to do endoscopy because I feel ok. DO NOT BELIEVE YOUR RESULTS THE FIRST TIME. TRY TRY AGAIN, I went through hell and had Celiac all along. My Gastro dr and Primary Care Dr almost had me diagnosed with OC and went through MEdication after medication for all the wrong reasons, All because blood work was negative and the one sample they took of biopsy seemed normal(should take min of 5 biopsy's). I finally got fed up and went to Lahey Clinic. Within one week I had a panel of blood work done above and beyond what was tested before. I had results next day, ALL Positive! Then scheduled Endo for very next week. I had extreme inflamation and most of the villi were folded down and all samples were positive.

Basically two points, Do not let blood work be your determining factor. And Do yourself a favor and see a specialist right away. you will only be hurting yourself dealing with someone who only knows a little.

Hope this helps and sorry to ramble. My experience was horrible and now have answers.


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mommida Enthusiast

Hi,

Thank you for posting. Now you know why so many seem to be "self" diagnosed, with negative blood tests. :rolleyes:

ravenwoodglass Mentor

I went through the same thing as far as negative blood work goes. Over and over again told I didn't have it even though I was so obviously celiac but since the blood tests were negative no one thought to do a scope and look. Hence my constant repeating to try the diet after all testing is done.

I am glad you finally got answers and am sorry you to had to suffer so long first.

chasbari Apprentice

Negative bloodwork here as well but doc was willing to send me for endoscope anyway because of anecdotal evidence being so strong. Biopsy was very conclusive for positive diagnosis. Good thing you kept digging.

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
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