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Positive Blood Test - Does That Mean I Have The Disease?


Kimmy1119

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Kimmy1119 Newbie

Hi! I am new to this forum, and new to Celiac/gluten free lifestyle. I have been fighting anemia for a couple of years now and last week received blood results from hematologist. She said that I tested positive on two ( I don't even remember what they were) tests that point to Celiac disease. She recommended me to a GI doctor for consultation. My question is, how likely is it that I have the disease? Are the blood tests usually right, or is there a chance that I could be celiac free?

Also, any advice on how to adapt to a gluten free lifestyle is extremely appreciated! Should I go gluten free now or should I wait until after I visit the GI doc?

Thanks so much!


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Lisa Mentor

Hello and Welcome...you've found the right place!

Here are some answers to questions you might have:

Open Original Shared Link

Please do not go gluten free until you have satisfied your testing. Gluten needs to be in your system for accuracy in testing.

This is a great place....take a walk around. :)

ravenwoodglass Mentor

While false negatives are common with testing false positives are not. Do stay on gluten until your done with all the testing you choose to do. Be aware that biopsies can also have a fairly high rate of false negatives so not matter what the results of the biopsy are do get on the diet as soon as the testing is finished. You can start the day they do the biopsy you don't need to wait for the results.

Kimmy1119 Newbie

Hello and Welcome...you've found the right place!

Here are some answers to questions you might have:

Open Original Shared Link

Please do not go gluten free until you have satisfied your testing. Gluten needs to be in your system for accuracy in testing.

This is a great place....take a walk around. :)

Thanks so much! This is a bit overwhelming and I am sure I will feel more comfortable once I have my diet set. Old habits are hard to break, but if it means feeling better, I am so ready to break them! :)

Kimmy1119 Newbie

While false negatives are common with testing false positives are not. Do stay on gluten until your done with all the testing you choose to do. Be aware that biopsies can also have a fairly high rate of false negatives so not matter what the results of the biopsy are do get on the diet as soon as the testing is finished. You can start the day they do the biopsy you don't need to wait for the results.

Thank you so much for the advice! I have a feeling I'm going to be needing a lot more soon! :unsure:

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    • Scott Adams
      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.
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      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/ 
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      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
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    • 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.
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