Gluten Free Prior Endoscopy

[Nick431]

I was told this week that I am celiac. I have significant iron deficiency, my celiac antibody indicators were all high.  I went gluten free about three days ago (11/20). I had upper endoscopy scheduled today for 12/10, from what I gather I should keep eating some gluten till after the endoscopy? I did message my doctor in the patient portal but just to get some community input as well.

Also on a side note I paid to unlock my 23andMe health results and the celiac report said I had both gene variants for celiac. 

Thanks!

[trents]

Strictly speaking, you should continue to eat gluten until after the endoscopy but I doubt there could be enough healing in the small bowel in to invalidate the results. But if you can stick it out, eat the gluten until then.

[Scott Adams]

It sounds like your doctor has already made the formal diagnosis based on your blood test results, iron deficiency, etc., so perhaps the results won't be a big factor for your doctor either way. Three days off gluten likely isn't enough time to heal if you do have gut damage. Let us know how it turns out!

[trents]

Scott, the endoscopy is not until Dec. 10. So maybe like 15 days.

[Nick431]

24 minutes ago, Scott Adams said:

It sounds like your doctor has already made the formal diagnosis based on your blood test results, iron deficiency, etc., so perhaps the results won't be a big factor for your doctor either way. Three days off gluten likely isn't enough time to heal if you do have gut damage. Let us know how it turns out!

Yeah my primary doctor told me I was celiac based no all that and sent my stuff to Gastroenterology to see if they wanted to see me. Their receptionist scheduled a biopsy yesterday. They told me this morning to keep eating my normal diet till the test. I don't have any major noticeable stomach issues so I'll be okay eating some gluten till then I think. I'm on iron supplements which are already helping with the anemia.

My bloodwork was:

TT Iga-  148 U/ml

Anti-gliadin IgG 51 U/ml

Anti-Gliadin IgA 174 U/ml

 

Thanks for the help!

[Scott Adams]

Yes, continue to eat gluten until the testing is finished...normally a slice of wheat bread a day is the amount recommended.