Talk to your doc: You may need an upper endoscopy with biopsies since blood work is not extremely reliable in establishing the diagnosis. Ultimately a trial of gluten free diet with symptom tracking will help in understanding the cause for your symptoms. Your best resource along the way will be your gastroenterologist.
Answered 7/8/2015
2.6k views
Consider biopsy: With the strong family history, your gastroenterologist may be willing to do the biopsy and ask the pathologist to count lymphocytes. I have some reason to think that there are biopsy-demonstrable celiac disease cases for which the antibodies do not turn positive. Your third-party payer may balk but this may not be an unsurmountable problem.
Answered 7/8/2015
2.6k views
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