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Doctor insights on: What Is A Lipase Celiac Panel

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Abdominal pain when I eat, nausea, anorexia. CBC, CMP, lipase, celiac panel all normal. Been going on for about 2 months.

Abdominal pain when I eat, nausea, anorexia. CBC, CMP, lipase, celiac panel all normal. Been going on for about 2 months.

Further work up : Is needed. Depending on the pain location, imaging studies may help in diagnosing your condition. Alternatively, an upper endoscopy would definitely help in ruling in or out esophageal and/ or gastric pathology. A gastroenterology consult would be appropriate in such circumstances. ...Read more

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Dr. Todd Igel
353 doctors shared insights

Lipase (Definition)

Lipases, such as lipoprotein lipase and endothelial lipase, are enzymes that breakdown circulating triglycerides (tg). Specifically, lipases degrade tg rich lipoproteins including chylomicrons, very low density lipoprotein (vldl) and remnant particles produced by breakdown of chylomicron and vldl particles. Decreased lipase function leads to accumulation of ...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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Celiac panel testing - will that tell me for sure if I can or cannot eat wheat?

Celiac panel testing - will that tell me for sure if I can or cannot eat wheat?

Complex issue: The celiac panel can give you information about how your body reacts to gluten proteins.If it shows that you have circulating antibodies called gliadin-transglutaminase IgA or other transglutaminases, your body produces antibodies that can injure your gut. A secondary test, the intestinal biopsy can prove the injury.If you get sick if you eat it you shouldn't, regardless of the test results. ...Read more

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Can you tell me the most common cause for elevated igg? I had a celiac panel and this was the only abnormal result.

Can you tell me the most common cause for elevated igg? I had a celiac panel and this was the only abnormal result.

Usually nothing: Unless extremely elevated and found to be monoclonal (identical property in layman's term), it usually does not mean much. Other causes include a chronic bacterial infection. ...Read more

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What is the definition or description of: celiac panel?

Serum tests : A series of tests are done for diagnosis of celiac disease. This includes: the following serology tests: IgA endosomal assay, antitissue trans-glutaminase antibodies, antigliadin antibody assay. These tests are done during exposure to gluten. Small bowel biopsy is also done. ...Read more

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If EGD came up negative for celiac, do I need to do a celiac panel blood test?

If EGD came up negative for celiac, do I need to do a celiac panel blood test?

Doubtful.: The EGD with biopsy and direct investigation is the gold standard in regards to diagnostic testing for celiac disease. ...Read more

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I recently had a celiac panel done and it came back negative. However the immunoglobulin a, qn, serum level was low at 59. Is this serious?

I recently had a celiac panel done and it came back negative. However the immunoglobulin a, qn, serum level was low at 59. Is this serious?

Unlikely: Low IgA occurs in about 1/333 people. Most people with this isolated deficiency do not have problem. A very low IgA level may make a celiac test based on IgA antibody false-negative- ie. The disease is there but the test fails to detect it. However yours is not low enough. ...Read more

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How much gluten food does a patient need to eat before taking a celiac panel blood test? How far in advance does she need to eat gluten food? Thanks!

How much gluten food does a patient need to eat before taking a celiac panel blood test?  How far in advance does she need to eat gluten food? Thanks!

Sometimes none: A celiac "panel" should look for several things and some of those will be positive in people with celiac disease without any exposure to gluten at or before the time of the test. Certain antibodies will only be positive if you have been exposed to gluten a day or so before the study, but they do not define celiac disease. ...Read more

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I have duodenal lymphocytosis but negative celiac panel. I have fasciculations in my whole body all day long x6 months, magnesium seems to help. Why?

I have duodenal lymphocytosis but negative celiac panel. I have fasciculations in my whole body all day long x6 months, magnesium seems to help. Why?

Magnesium: Magnesium is a common help for muscle twitching -- in fact it's a great all-over body relaxer. http://tinyurl.com/yawcxk3 stress, anxiety, fatigue, and caffeine may play a part in muscle twitching also. Eliminate caffeine, and institute stress-relief practices like yoga, tai chi, and meditation. Magnesium glycinate or taurate seem the most easily absorbed and well-tolerated kinds. ...Read more

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My doc sent me for the Celiac panel, Gliadin & Transglutaminase were normal but IGA serum was 424, doc said the norm is 90, what does this mean?

My doc sent me for the Celiac panel, Gliadin & Transglutaminase were normal but IGA serum was 424, doc said the norm is 90, what does this mean?

Nonspecific test: IgA is the bodies first line of defense for many infections at the mucosal surfaces. An elevated IgA is often associated with inflammation or infection. The test is very nonspecific alone and I'd advise you to continue to follow up with your physician as per their request for the work up of your symptoms. ...Read more

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Three gastroenterologists have assured me that my abd. Discomfort is functional. Even after CT abd. & chest, colonoscopy, celiac panel, I am anxious.?

Three gastroenterologists have assured me that my abd. Discomfort is functional. Even after CT abd. & chest, colonoscopy, celiac panel, I am  anxious.?

"I am anxious": If you've had multiple GI consultations arriving at the same conclusion, then it's time to pursue treatment for your anxiety. Many people with anxiety disorders worry extensively about their physical health. The GI system is richly interconnected with brain and emotions. Treatment for the anxiety issues through appropriate psychotherapy and medications if needed, can provide relief. ...Read more

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I have hypocholesterolemia (ttl76), heterogenius thyroid, enlarged liver & spleen.Dr can't find cause.Celiac panel neg 2x, what could be poss causes?

I have hypocholesterolemia (ttl76), heterogenius thyroid, enlarged liver & spleen.Dr can't find cause.Celiac panel neg 2x, what could be poss causes?

?: Is that total cholesterol 76? If so that is normal (maybe even low). An enlarged liver and spleen should be pursued until workup is found - have you seen a liver specialist? The thyroid description could represent thyroiditis and lab work can be sent to delineate further. ...Read more

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Dr. Jill Carnahan
26 doctors shared insights

Celiac Panel (Definition)

A series of tests are done for diagnosis of celiac disease. This includes: the following serology tests: IgA endosomal assay, antitissue trans-glutaminase antibodies, antigliadin antibody assay. These tests are done during exposure to gluten. Small bowel ...Read more


Dr. John Chiu
619 doctors shared insights

Celiac Disease (Definition)

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