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Positive Ttg But Negative Antireticulin?


Lissa283

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Lissa283 Rookie

I had a positive ttg (12.6) but a negative antireticulin...the rheumatologist said I have celiac disease....does this sound right??


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nvsmom Community Regular

Yes.  :(  The reticulin tests were not that reliable and missed too many celiacs.  Not many labs still use them.  The tTG IgA is the most common tests with a specificity to celiac disease of 95%.  Most likely you have celiac disease.

 

How do you feel about that diagnosis? Does it seem to fit?

 

Welcome to the board.  :)

Lissa283 Rookie

I have tons of symptoms and they all fit the celiac picture. I've been off gluten for 2 days and already feel more energetic.

nvsmom Community Regular

That's probably a match then.  :( Welcome to the club.  ;)

 

Are they planning on doing the endoscopic biopsy to confirm the diagnosis?  If so, you'll need to be eating gluten in the 2-4 weeks prior to the procedure so you may not want to go gluten-free yet if you are having it done.  Many celiacs find it really tough to go back on gluten after starting to feel better.

 

The biopsy is not necessary for a diagnosis though - I skipped it. If you and your doctor are comfortable with the diagnosis, then definitely stay gluten-free.

 

I hope you continue to feel better. If you experience any withdrawal symptoms in the next week or so, just remind yourself that it only last a couple of weeks.  Best wishes.  :)

Lissa283 Rookie

That's probably a match then.   :( Welcome to the club.   ;)

 

Are they planning on doing the endoscopic biopsy to confirm the diagnosis?  If so, you'll need to be eating gluten in the 2-4 weeks prior to the procedure so you may not want to go gluten-free yet if you are having it done.  Many celiacs find it really tough to go back on gluten after starting to feel better.

 

The biopsy is not necessary for a diagnosis though - I skipped it. If you and your doctor are comfortable with the diagnosis, then definitely stay gluten-free.

 

I hope you continue to feel better. If you experience any withdrawal symptoms in the next week or so, just remind yourself that it only last a couple of weeks.  Best wishes.   :)

I don't think i'm going to do the biopsy. I can't wait another 6 weeks to find the answer when it's probably true.  I feel just too terrible most days.  I think I may just go gluten free and have my labs rechecked and see if there is improvement.

nvsmom Community Regular

Good luck with the diet!  :)

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    • trents
    • Skg414228
      Correct. I’m doing both in the same go though. Thanks for clarifying before I confused someone. I’m doing a colonoscopy for something else and then they added the endoscopy after the test. 
    • trents
      It is a biopsy but it's not a colonoscopy, it's an endoscopy.
    • Skg414228
      Well I’m going on the gluten farewell tour so they are about to find out lol. I keep saying biopsy but yeah it’s a scope and stuff. I’m a dummy but luckily my doctor is not. 
    • trents
      The biopsy for celiac disease is done of the small bowel lining and in conjunction with an "upper GI" scoping called an endoscopy. A colonoscopy scopes the lower end of the intestines and can't reach up high enough to get to the small bowel. The endoscopy goes through the mouth, through the stomach and into the duodenum, which is at the upper end of the intestinal track. So, while they are scoping the duodenum, they take biopsies of the mucosal lining of that area to send off for microscopic analysis by a lab. If the damage to the mucosa is substantial, the doc doing the scoping can often see it during the scoping.
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