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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes

Positive Celiac Blood Work...
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Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee

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Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee

Welcome!

With very positive blood work and a positive response to the diet, I would say that you are good to go. Other tests you may want to ask for are iron, B vitamins, Vit D as these are things that can be low in Celiac disease and should be monitored.

You still may want to check with your doctor with what they recommend. I had very very high blood work but totally atypical symptoms, so I had the biopsy (that the GI said looked like celiac while he was poking around in there). Even so, my GP was positive it was Celiac from the blood work but my symptoms were so unknown to the DR's around here that she just wanted to make sure we left no stone unturned.

Good luck, any questions, ask away!

ada

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Welcome!

With very positive blood work and a positive response to the diet, I would say that you are good to go. Other tests you may want to ask for are iron, B vitamins, Vit D as these are things that can be low in Celiac disease and should be monitored.

You still may want to check with your doctor with what they recommend. I had very very high blood work but totally atypical symptoms, so I had the biopsy (that the GI said looked like celiac while he was poking around in there). Even so, my GP was positive it was Celiac from the blood work but my symptoms were so unknown to the DR's around here that she just wanted to make sure we left no stone unturned.

Good luck, any questions, ask away!

ada

Thank you very much for your quick reply! I am very much looking forward to learning as much as I can about Celiac, and maybe will be able to hopefully help someone else out someday lol

Apaprently my doctor is sending me for more blood tests this week he did say something about anemia etc. but to be honest my head was still just hearing celiac... Anyway, he sent me to the dietitian the next day and seems to have things rolling for me, so I am quite grateful for that!

Thanks again!

Dee

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It seems like you have a good doctor who is on top of things. Yes, anemia is very common, so is low Vit. D and B12, potassium, magnesium, calcium, zinc. I had low levels of all these except calcium. It is important to have your doctor check your levels because you may need prescription strength supplements for some things, especially D3. I still get injections of B12 because I can't handle the sublinguals that most people take to bypass the gut which is not doing a very good job of absorbing things right now.

I am glad you found the dietitian helpful. If we can help you in any way with foods, recipes, etc., just holler :D There is a very good recipe section on the forum and googling gluten free and ( ) whatever, will bring up thousands more. Frankly, because of other intolerances I get most of my recipes here or elsewhere on the net, not out of cookbooks, although one good cookbook will help - maybe Gluten Free for Dummies or something else your dietitian recommended.

Most of us end up taking some form of probiotic to promote healing in the gut, and many take digestive enzymes because gluten seems to put the pancreas on holiday and it does not produce the enzymes we need to digest our food. Speaking of enzymes, lactase is made in the area of the small intestine which is damaged by gluten so you should skip milk, cream, ice cream for a few months until you have had a chance to heal. It is possible other dairy will give you problems too - you will just have to try and see,

To address your initial question of whether you should have a biopsy, the people to whom this seems to matter the most are doctors and schools (who need the piece of paper to provide a gluten free environment for children) also those gluten intolerants who feel that they will not adhere to the diet without the piece of paper. For the rest of us, we know that the treatment is the same regardless of the piece of paper, so if we want to feel better we just don't eat gluten and don't worry about whether or not we are sufficiently damaged to test positive on the biopsy. :)

Good luck on your healing journey.

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Hello, everyone. I am new, this is my first post. I have very limited knowledge of Celiac Disease, just what little I gathered from the internet and what my doctor has explained to me. I do, however, have a question for those of you more knowledgeable than I who have been through it all before me!

I have had symptoms for years, had a colonoscopy a few months ago which I was told only showed inflammation. I had an upper GI barium x ray series which basically only showed that even barium shoots through my digestive system at the speed of light. The blood test for Celiac showed the numbers were extremely high... in the hundreds. I did not, however, have an endoscopy and biopsy. The only biopsy taken was when I had the colonoscopy. I have been gluten free for 7 days and already feel so much better. My question is do I ask for an endoscopy and biopsy, or are they right in diagnosing me with the tests that have been done? Thanks for any advice you can give me!

Dee

Since you have been gluten free for 7 days, it is likely too late to arrange an endoscopy.

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You would need to go back on gluten and stay on it until the biopsy. I would take your doctors diagnosis and be happy he is educated enough to give you one. Many doctors are now skipping the biopsy when the bloods are positive as the endo has a high risk of a false negative anyway. Stay on the diet and consider yourself diagnosed.

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Wow! Thank you all so very much for your input, it is so very much appreciated. Yes, I am very grateful to have a doctor who is as wonderful as mine is. He always takes the time to listen, and more often than not we end up chatting about our families etc before I leave. Such a nice man, and a caring one. He didn't give up on me, encouraged me when I was getting fed up with the tests and depressed and sometimes even irritable with him for digging into my health issues with such vigor lol. I owe him my life.

I am so very glad I stumbled in here last night, I was truthfully getting a little fed up as I was starting to focus more on what I couldn't eat than what I could and I am typically not a negative person. This is fabulous, I look forward to learning much from you all! Have a fabulous day!

Dee

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