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

Test Results In, Please Help.


somi

Recommended Posts

somi Newbie

Hi, I have been having constant D, bloating, and pain so I went to my doctor and had blood tests.

Celiac Disease Panel

IGA Sufficient

Gliadin IgA Ab Out of Range 35

Tis. Transgult.Ab IgA 4

My question is what is a Gliadin IgA test? is 35 an indicator of Cealiac disease?

What should my next step be? I still feel awful.


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



Celiac.com Sponsor (A8-M):



mushroom Proficient

The Gliadin IgA measures your antibodies to gluten. While each lab sets their own reference ranges, nomally the maximum top end for even a mildly positive test is 30, so 35 sounds like a definite positive to the test, especially because you make sufficient IgA. So yes, it is an indicator of celiac disease. Did your doctor not follow up with you on this?? I can't believe it!!!

The next step is normally referral to a gastroenterologist for an upper endoscopy with biopsy, where they will take tissue samples from your duodenum/small intestine and try to confirm the diagnosis through microscopic changes that take place in the tissue. If your doctor did not intend to refer you, you should have been given some instructions on what to do next, like start the gluten free diet / see a nutritionist, but something. Do you have a follow-up appointment scheduled?

somi Newbie

The range for the test i scored 35 on is 0-19.

He circled the Tis. Trasglut Ab IgA (which was only 4) 0-19 range, and drew a line to

"the American GI Asssoc. recommends thaat "in the primary care setting the igA tTga is the most efficient single serologic test for the detection of celiac disease. Evidence indicats at the additional inclusion of IgG antifliadin gastrenteralog 205:131:1977-1980

And then he mailed me the test results...

mushroom Proficient

In view of that one positive result, I would insist on the full celiac panel being run:

Anti-Gliadin (AGA) IgA

Anti-Gliadin (AGA) IgG

Anti-Endomysial (EMA) IgA

Anti-Tissue Transglutaminase (tTG) IgA

Deamidated Gliadin Peptide (DGP) IgA and IgG

Total Serum IgA

and referral to a GI. That is very incomplete testing. The old school doctors love their tTG testing, but in reality it is not a specific test for celiac disease and the DGP is very specific. It is possible to have intestinal damage on endoscopy with a negative tTG score.

somi Newbie

Ok. Thank you! I have an appointment Wed with a nurse practitioner at a gastro. I will take her the blood tests and see what they think. I started glutton free the second I saw the results.

It is amazing how doctors can be so sure of themselves. I complained about brain fog and stomach issues last march and got put on Adderall... Probably why he didn't request a follow up...

mushroom Proficient

Get back on the gluten!! You do not want to go gluten free until all testing is finished, I'm afraid, as it can affect the results. The antibodies start to disappear if there is nothing there to attack :)

kerid Newbie

my daughter tested negative on the whole panel, except tTG IgG. she was a mild positive (9) after 2 weeks on gluten, and a positive (12) after 6 more weeks on gluten, so the doctor said he thinks she has celiac disease.

i read that 70% of full-blown celiacs will test negative on the panel, but almost 100% test positive on stool testing from EnteroLab. so, we did that. we had the gluten sensitivity panel run (checks for antibodies, ttg- which tests for tissue damage, and malabsorption).

you have gluten antibodies, which means you may or may not have celiac disease. but regardless if you do or don't, you DO have antibodies, which means other organs in your body could be attacked by the antibodies (pancreas, which you could end up with diabetes, joints- rheumatoid arthritis, thyroid, etc.)


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



Celiac.com Sponsor (A8-M):



kerid Newbie

wait! i just looked at my daughter's results and reference ranges, and noticed that you had a 4 on the ttg iga? the reference range is 0-3. ttg is an enzyme found IN your intestinal cells. when gluten antibodies attack your intestines, the ttg comes out, and you form antibodies against it. those ttg antibodies can then go through your blood and attack other organs, like i explained above.

and please remember that if you have the biopsy, and it's negative, that just means that they didn't find it, or it's subclinical (can't see it YET in the microscope!) i would strongly suggest you go on EnteroLab's website and read their info!

mushroom Proficient

wait! i just looked at my daughter's results and reference ranges, and noticed that you had a 4 on the ttg iga? the reference range is 0-3.

Different labs have different reference ranges. So her 4 could be totally different from a 4 on your test. Their ranges depend, among other things, on the kind of equipment they use, for example.

kerid Newbie

i know, but her other results were the same, so i thought it might be the same. but just in case it wasn't, i put the reference range in.

psawyer Proficient

I read that 70% of full-blown celiacs will test negative on the panel, but almost 100% test positive on stool testing from EnteroLab. so, we did that

From my observation reading here for the past 8+ years, 100% of ALL Enterolab results report positive for gluten intolerance. Send Dr Fine your stool sample; he'll report back that you have an issue with gluten, while happily cashing your check. I don't recall ever seeing a case where Enterolab reported a negative finding with respect to gluten. Fine has never published a study to establish the basis for his tests. Just saying.

somi Newbie

Get back on the gluten!! You do not want to go gluten free until all testing is finished, I'm afraid, as it can affect the results. The antibodies start to disappear if there is nothing there to attack :)

buuttttttt the gluten is nasty I always hated pasta and bread. I think I know why now. I see the gastro tomorrow, I haven't had gluten since Friday. Should I eat it today? I am still bloated after every non gluten meal..

mushroom Proficient

buuttttttt the gluten is nasty I always hated pasta and bread. I think I know why now. I see the gastro tomorrow, I haven't had gluten since Friday. Should I eat it today? I am still bloated after every non gluten meal..

No, one day isn't going to make any difference at this point. And, it has been less than a week off ......

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,551
    • Most Online (within 30 mins)
      7,748

    Newest Member

    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):




  • Who's Online (See full list)


  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Scott Adams
      Your post demonstrates the profound frustration and isolation that so many in the Celiac community feel, and I want to thank you for channeling that experience into advocacy. The medical gaslighting you endured for decades is an unacceptable and, sadly, a common story, and the fact that you now have to "school" your own GI specialist speaks volumes about the critical lack of consistent and updated education. Your idea to make Celiac Disease a reportable condition to public health authorities is a compelling and strategic one. This single action would force the system to formally acknowledge the prevalence and seriousness of the disease, creating a concrete dataset that could drive better research funding, shape medical school curricula, and validate the patient experience in a way that individual stories alone often cannot. It is an uphill battle, but contacting representatives, as you have done with Adam Gray, is exactly how change begins. By framing it as a public health necessity—a matter of patient safety and protection from misdiagnosis and neglect—you are building a powerful case. Your voice and your perseverance, forged through thirty years of struggle, are exactly what this community needs to ensure that no one else has to fight so hard just to be believed and properly cared for.
    • Scott Adams
      I had no idea there is a "Louisville" in Colorado!😉 I thought it was a typo because I always think of the Kentucky city--but good luck!
    • Scott Adams
      Navigating medication safety with Celiac disease can be incredibly stressful, especially when dealing with asthma and severe allergies on top of it. While I don't have personal experience with the HealthA2Z brand of cetirizine, your caution is absolutely warranted. The inactive ingredients in pills, known as excipients, are often where gluten can be hidden, and since the FDA does not require gluten-free labeling for prescription or over-the-counter drugs, the manufacturer's word is essential. The fact that you cannot get a clear answer from Allegiant Health is a significant red flag; a company that is confident its product is gluten-free will typically have a customer service protocol to answer that exact question. In situations like this, the safest course of action is to consider this product "guilty until proven innocent" and avoid it. A better alternative would be to ask your pharmacist or doctor to help you identify a major national brand of cetirizine (like Zyrtec) whose manufacturer has a verified, publicly stated gluten-free policy for that specific medication. It's not worth the risk to your health when reliable, verifiable options are almost certainly available to you. You can search this site for USA prescriptions medications, but will need to know the manufacturer/maker if there is more than one, especially if you use a generic version of the medication: To see the ingredients you will need to click on the correct version of the medication and maker in the results, then scroll down to "Ingredients and Appearance" and click it, and then look at "Inactive Ingredients," as any gluten ingredients would likely appear there, rather than in the Active Ingredients area. https://dailymed.nlm.nih.gov/dailymed/   
    • Scott Adams
      What you're describing is indeed familiar to many in the Celiac community, especially in the early stages of healing. When the intestinal villi are damaged from Celiac disease, they struggle to properly digest and absorb fats, a condition known as bile acid malabsorption. This can cause exactly the kind of cramping and spasms you're seeing, as undigested fats can irritate the sensitive gut lining. It is highly plausible that her reactions to dairy and eggs are linked to their higher fat content rather than the proteins, especially since she tolerates lean chicken breast. The great news is that for many, this does improve with time. As her gut continues to heal on a strict gluten-free diet, her ability to produce the necessary enzymes and bile to break down fats should gradually return, allowing her to slowly tolerate a wider variety of foods. It's a slow process of healing, but your careful approach of focusing on low-fat, nutrient-dense foods like seeds and avocado is providing her system the best possible environment to recover. Many people with celiac disease, especially those who are in the 0-2 year range of their recovery, have additional food intolerance issues which could be temporary. To figure this out you may need to keep a food diary and do an elimination diet over a few months. Some common food intolerance issues are dairy/casein, eggs, corn, oats, and soy. The good news is that after your gut heals (for most people who are 100% gluten-free this will take several months to two years) you may be able to slowly add some these items back into your diet after the damaged villi heal. This article may be helpful: Thank you for sharing your story—it's a valuable insight for other parents navigating similar challenges.
    • Beverage
      I had a very rough month after diagnosis. No exaggeration, lost so much inflammatory weight, I looked like a bag of bones, underneath i had been literally starving to death. I did start feeling noticeably better after a month of very strict control of my kitchen and home. What are you eating for breakfast and lunch? I ignored my doc and ate oats, yes they were gluten free, but some brands are at the higher end of gluten free. Lots of celics can eat Bob's Red Mill gluten-free oats, but not me. I can now eat them, but they have to be grown and processed according to the "purity protocol" methods. I mail order them, Montana Gluten-Free brand. A food and symptoms and activities log can be helpful in tracking down issues. You might be totally aware, but I have to mention about the risk of airborne gluten. As the doc that diagnosed me warned . . Remember eyes, ears, nose, and mouth all lead to your stomach and intestines.  Are you getting any cross contamination? Airborne gluten? Any pets eating gluten (they eat it, lick themselves, you pet them...)? Any house remodeling? We live in an older home, always fixing something. I've gotten glutened from the dust from cutting into plaster walls, possibly also plywood (glues). The suggestions by many here on vitamin supplements also really helped me. I had some lingering allergies and asthma, which are now 99% gone. I was taking Albuterol inhaler every hour just to breathe, but thiamine in form of benfotiamine kicked that down to 1-2 times a day within a few days of starting it. Also, since cutting out inflammatory seed oils (canola, sunflower, grapeseed, etc) and cooking with real olive oil, avocado oil, ghee, and coconut oil, I have noticed even greater improvement overall and haven't used the inhaler in months! It takes time to weed out everything in your life that contains gluten, and it takes awhile to heal and rebuild your health. At first it's mentally exhausting, overwhelming, even obsessive, but it gets better and second nature.
×
×
  • 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.