A member asked:

I have lots of symptoms that point to coeliac. 3 members of my family have it but my blood tests keep coming back negative. i do think that i have it, what should i do?

2 doctors weighed in across 2 answers
Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

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

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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

Thank

Related Questions

A member asked:

Can celiac disease be 100% ruled out with the blood test?

3 doctors weighed in across 2 answers