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Doctor insights on: Celiac Disease And Staff Bacteria In Urine Test

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Are these bad results in my urine test or no? URINE EPITHELIAL CELLS-None seen Mucus, UA-Present BACTERIA IN URINE-Few

Are these bad results in my urine test or no?
URINE EPITHELIAL CELLS-None seen 	
Mucus, UA-Present 	
BACTERIA IN URINE-Few

Not really: In a normal urine, there shouldn't be any epithelial cells. Trauma or infection can cause them to be present. Few bacteria are not necessarily a bad sign. There is a condition called asymptomatic bactiuria (which just means bacteria in the urine without there being an infection). I'm not very concerned about the mucus. This should all be correlated with your symptoms of course. ...Read more

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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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Child going to GI dr for possible chrons or celiac disease. What test will be done ?

Child going to GI dr for possible chrons or celiac disease. What test will be done ?

Blood, stool, ?scope: A history and physical exam will be most important. They will very likely start with blood tests. Often they get stool tests which can take a few days to come back. Based on all of this data they will decide on whether your child needs an endoscopy or colonoscopy which is a direct look in the bowels with a small camera. Good luck! ...Read more

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Can blood tests check for celiac disease?

Can blood tests check for celiac disease?

Yes: Blood tests can be done as well as if an egd is done, a biopsy can be done that is more specific to test for celiac. ...Read more

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Could celiac disease blood tests work if you are not currently eating gluten?

Yes: The antibody test is likely to remain positive for a long time after going on gluten free diet. The test for hla antigen will certainly remain unchanged. See this site for more info. http://digestive.niddk.nih.gov/ddiseases/pubs/celiactesting/. ...Read more

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For celiac disease, which is more accurate, endoscopy or genetic tests (like enterolab)

For celiac disease, which is more accurate, endoscopy or genetic tests (like enterolab)

Evolving issue: For diagnosis, the intestinal biopsy is the accepted confirmatory test for cd.It identifies the villous atrophy that reverses on a gluten free diet. Several gene markers (dq2 , dq8 ) are found in 90% of patients with cd but are also found in 40-50% of the population.Immune markers are suggestive, but which immune markers to study is under study.Cyrex labs has some detailed info posted on their site. ...Read more

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How accurate is the blood test for celiac disease?

How accurate is the blood test for celiac disease?

Not very : It is perhaps about 50% accurate. We believe it when positive but not when negative. Even biopsy can miss the diagnosis. Best to test celiac genetic panel. Mayo lab and enterolab can do this. Google enterolab and order the test yourself $150. ...Read more

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If one tests negative for wheat blood allergy test, does this mean no chance of celiac disease?

If one tests negative for wheat blood allergy test, does this mean no chance of celiac disease?

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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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.

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

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Can you still have celiac disease if all tests are negative?

Can you still have celiac disease if all tests are negative?

Hard to comment: You provide no list of the "tests" you are referring to.The intestinal biopsy that is considered the gold standard by some can be negative if you have been gluten free for an extended period. Some blood screening tests are more precise than others. You are welcome to start over & provide us with more information.Your questions are never linked & we cannot see uploads on this site. ...Read more

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Are at home celiac disease test kits reliable?

Are at home celiac disease test kits reliable?

It is a screening: Not the definitive test for diagnosis. If you have a positive talk to your doctor about whether further testing makes sense. ...Read more

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What's the best age to test for celiac disease?

What's the best age to test for celiac disease?

Celiac diagnosis: The age at which you suspect the diagnosis. You test whenever the symptoms occur and are consistent with possible celiac disease. I know of people who have been diagnosed in early childhood and at advanced ages. The oldest person I have seen diagnosed and successfully controlled with diet was my own mother, who i always assumed had been tested decades ago. Just shows we need to think of it more. ...Read more

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Celiac disease blood testing involves what tests usually?

Celiac disease blood testing involves what tests usually?

TTG IgA , others : Arguably the most accurate is the ttg IgA level. In those who are IgA deficient, i believe a dpg igg is the best. Others include anti-endomysial antibodies. The gold standard is duodenal biopsies obtained during endoscopy. ...Read more

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

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

Yes: If genetic markers (DQ 4, 8) are negative and there is not antibody to gliadin peptide, celiac disease can be ruled out. ...Read more

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Celiac disease screening involves what kinds of tests?

Celiac disease screening involves what kinds of tests?

Bloodwork: Celiac disease is usually screened for (in the right patient) with blood tests. Depending on the results of these blood tests, you may be referred to a gastroenterologist to get a biopsy to confirm the diagnosis. You have to be on a regular diet (not gluten-free!) for these tests to be valid. ...Read more

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Diffuse increase in intraepithelial lymphocytes. How likely is it celiac disease? What other tests should be done?

Too vague a question: I trust you are referring to some biopsy findings and thus need to know where the biopsy was obtained. The definitive diagnosis for celiac disease is a small intestinal biopsy. Certain blood tests such as IgA ttg is said to be over 90% sensitive in detecting gluten sensitivity provided that you are not avoiding gluten when the blood sample is obtained. ...Read more

Bacteria (Definition)

Are omnipresent single celled organisms which are the both the simplest form of life and the original form of life on earth. The are ...Read more


Dr. John Chiu
620 doctors shared insights

Celiac Disease (Definition)

An immune reaction to eating gluten, a protein found in ...Read more