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Doctor insights on: What Is A Celiac Reflexive Panel Test

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What are symptoms of celiacs disease and am I more likely to have it because my grandfather does?

What are symptoms of celiacs disease and am I more likely to have it because my grandfather does?

Variable Sx; slight: Celiac can have variable sx, incl gas, bloat, diarrhea, wt loss, rarely gain, constipation, joint aches and pains (often from vitamin d def), fatigue (often from iron def), osteoporosis, swallowing probl, rarely liver probl. Can get screened with blood testing, and/or genetic testing. Assoc with other autoimmune diseases such as ibd, psoriasis, rheum arth, lupus, type 1 diabetes, thyroid disease. ...Read more

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Dr. John Chiu
606 doctors shared insights

Celiac Disease (Definition)

In celiac disease, the body reacts to gluten (in wheat and gluten-like proteins in rye and barley) resulting in damage to the small intestine. This limits the intestine's ability to absorb some nutrients. Typically, people with celiac disease have loose stools, bloating, abdominal pain or discomfort, weight loss, poor weight gain ...Read more


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Please describe the tests for celiac disease?

Please describe the tests for celiac disease?

Blood tests: Blood tests for antibodies to tissue transglutaminase and deamidated gliadin are hte usual starting tests. Let your doctor pick the order of testing as an alogirthm allows for more efficient testing, depending on initial findings. ...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?

Celaic diease: What tests?. If the celiac panel is negative including the latest addition and the biopsy is negative then you should for a allergy to wheat or other grains. ...Read more

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What are the tests for celiac disease? Blood?

What are the tests for celiac disease? Blood?

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

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Someone thinks I have a glutten alergy - celiac disease. Wwhat tests are done for this?

Someone thinks I have a glutten alergy - celiac disease. Wwhat tests are done for this?

Blood tests: The initial tests are for serum levels of iga, IgA antibodies to tissue transglumaninase and igg antibodies to deamidated gliadin, and hla typing. Let your doctor figure out the order for testing. ...Read more

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My brother tested positive on a celiac panel. Does that mean that he has celiac disease?

My brother tested positive on a celiac panel. Does that mean that he has celiac disease?

Celiac diagnosis: The "gold standard" procedure for diagnosis of celiac disease is the upper GI biopsy, but a skin biopsy for dermatitis herpetiformis (itchy blisters) from an elbow or shin can also be definitive. Both biopsies show IgA antibodies in the tissues. Many people without "perfect" diagnoses still find they benefit from gluten free diets. Your brother's blood test is suggestive but not definitive. ...Read more

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Help please. Could avoiding gluten for a month before a celiac disease test interfere with results?

Help please. Could avoiding gluten for a month before a celiac disease test interfere with results?

Absolutely: Testing for celiac disease should always be performed before a patient start gluten free diet. That can be a cause of a false negative test. ...Read more

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I have symptoms of celiacs disease but don't have it due to just having a negative blood test, what could it be ?

I have symptoms of celiacs disease but don't have it due to just having a negative blood test, what could it be ?

Depends: It depends on your symptoms. Also, blood tests can be negative at some times and later can be positive. Depending on how severe your symptoms are, you can always see a gastroenterologist so they can get a full history, review your lab tests and see if they can help you with a diagnosis of celiac disease or something else that explains your symptoms. ...Read more

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If your children are born into an already gluten free household, is there a test that can be done to detect celiacs?

If your children are born into an already gluten free household, is there a test that can be done to detect celiacs?

Genetic testing: Consider genetic testing such as celiac id from prometheus labs. If the genetic test is high risk, then a gluten trial for at least 2 weeks before testing for celiac antibodies is required. Testing for celiac antibodies should be done in children older than 3 years. ...Read more