Doctor insights on:
Can Blood Tests Check For Celiac Disease
In Celiac disease the body reacts to gluten (in wheat and gluten like proteins in rye and barley) in the small intestine causing damage. This limits the intestine's ability to absorb some nutrients. Classically people have loose stool, bloating, and abdominal discomfort but more often are just found when screened for other reasons (like symptoms of a nutritional deficiency like ...Read more
My doc ordered 4 blood tests testing for celiac disease. I live in rural Iowa. They had to sent to Mayo. Why is this? What are the tests?
Varies: There are a number of tests that are used to screen for celiac disease. The tissue transglutaminase IGA is one of the more dependable, usually ordered with an IGA level.There are others, and the delicate nature of the tests requires that they be done in a facility that does them often to be reliable. Local hospitals rarely have the volume to invest in the specialized equipment. ...Read more
Is it absolutely impossible to have celiac disease without positive blood tests and biopsy? Even with all symptoms and other autoimmune diseases?
Very unlikely: The gold standard of celiac disease is the small bowel biopsy. Blood tests, if positive are helpful. You don't provide enough clinical detail to give you more specific advice. Denmark has several excellent hospitals and medical schools.I suggest you should be evaluated in a tertiary medical center.l ...Read more
I have not checked for Celiac disease. Should I get a blood test? I have been under a lot of stress lately. I also drink a lot of caffeine.
Maybe: Your question does not provide enough info to confirm or exclude need for a celiac screening. It is a real problem with some subtle symptoms and effects. Screening is simple but confirmation requires an intestinal biopsy.You should have it confirmed before trying a gluten free lifestyle, which has a cult like following. True celiacs have other associated risks that need to be explored. ...Read more
Anti-tTG first: In suspected celiac disease / gluten enteropathy / sprue, the cheap screening test is the anti-ttg (tissue transglutiminase); followup may include the more costly IgA anti-endomysial antibdies (ema), biopsy of the gut, and/or a trial of a gluten-free diet. No one knows how common celiac disease really is; what matters is whether gluten elimination ultimately helps you. ...Read more
No, definite chance: Blood tests for wheat allergy measure IgG and/or IgE antibodies to proteins in wheat (which may include gluten) but not everyone with celiac disease will have these antibodies. The best blood test is IgA anti-tissue transglutaminase. If you really want to rule out celiac disease you should get that test- but only after eating gluten! See http://www.csaceliacs.org/diagnosis_of_celiac_disease.jsp ...Read more
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