Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

My Endo Ordered The Celiac Disease Panel Test, ?'s For Anyone


dizzygrinch

Recommended Posts

dizzygrinch Enthusiast

Hello all, I just noticed, that my endrocinologist, ordered a celiac disease panel test, I am being seen by her because of a severe vitamin d deficiency. Weird thing, I was just telling her all my problems, and after I mentioned to her the findings from a GI doc, right when I said "flattened mucosa" she said, "that is Celiacs disease, that would explain why your deficient in vitamin d", so, I told her my GI doc never even mentioned the possibility of Celiacs, she was shocked, and just shook her head. Well, I have been gluten free for about 5 weeks now, and before that, I have cut back a lot. Should I even bother with the blood test? Im also being tested for other things to, the pituitary glands and things, and I didnt even notice until I read the order for the lab that she is checking for celiacs. I wish I would have known that my Endo would check, then maybe I wouldnt have stopped eating gluten. Should I just start cramming gluten down my throat, suffer, and have the blood work done next week? She needs these tests soon, so I was just wondering... any thoughts?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



leadmeastray88 Contributor

Unfortunately, you're in a bit of a pickle.

5 weeks gluten free may have been enough to change the antibodies in your blood. Even if you cram gluten down your throat for a week, there's a chance your bloodwork will be a false negative.

5 weeks may have also been enough to heal your 'flattened mucosa', although everyone heals differently.

I really don't know what to suggest, although if a clinical diagnosis is important to you then it may not be too late. If you do want to pursue testing you should be eating the equivalent of 4-6 slices of bread per day for 6 weeks, (I think is the recommended intake) and then do the bloodwork. A week isn't long enough.

Hopefully that helps, someone else will probably chime in soon too.

Best wishes!

ThatlldoGyp Rookie

Have you had an edoscopy with biopsies taken that showed flattened villi?

That really may be all that you need for a diagnosis. Check the path report from your endoscopy and see what it says (if you had one). That may be all that they need to secure a diagnosis.

I don't know what to tell you about deliberately glutening yourself. Wild horses could not make me do it for anything, personally! I hope you have had the endo and path report and you don't need to walk down that path at all!

Blessings and please keep us updated!

neesee Apprentice

I would definately take the blood test if I were you. If I recall, you said the somewhat flattened mucosa was in the terminal ileum. That is the last little bit of the small bowel. A finding like that might be more consistant with crohn's or colitis. You really need to get to the bottom of what is making you feel sick.

Good luck :)

neesee

dizzygrinch Enthusiast

Hello all! you do remember correct, it was flattened mucosa in the TI. But, in the same report, he ruled out Chrons and colitis. Said I was normal. So, I just thought it was interesting that the endo decided to check for celiacs. Since Im getting the blood work anyhow, because she is checking other things as well, Im just going to see what it says. Interesting, cause I have been gluten free for so long, I will just tell her that when I see her in three weeks. Now Im really curious on what the results will be, although, sounds like should be normal cause I have been gluten free for so long, but, I will keep you all posted! thanks

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      128,073
    • Most Online (within 30 mins)
      7,748

    David Croft
    Newest Member
    David Croft
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121k
    • Total Posts
      70.6k

  • Celiac.com Sponsor (A22):




  • Who's Online (See full list)


  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      @KRipple, thank you for the lab results from your husband's celiac disease blood antibody testing. The lab result you share would seem to be the tTG-IGA (Tissue Transglutaminase IGA) and the test result is in excess of 10x normal. This is significant as there is an increasing tendency for physicians to grant a celiac disease diagnosis on the basis of antibody testing alone when the scores on that particular test exceed 10x normal. This trend started in the UK during the COVID pandemic when there was tremendous pressure on the medical system over there and it has spread to the USA. The tTG-IGA is the centerpiece of celiac disease blood antibody testing. All this to say that some doctors would grant a celiac disease diagnosis on your husband's bloodwork alone and not feel a need to go forward with an endoscopy with biopsy. This is something you and your husband might wish to take up with his physicians. In view of his many health issues it might be wise to avoid any further damage to his small bowel lining by the continuing consumption of gluten and also to allow healing of such to progress. The lining of the small bowel is the place where essentially all of our nutrition is absorbed. This is why celiac disease when it is not addressed with a gluten free diet for many years typically results in additional health problems that are tied to nutritional deficiencies. The millions and millions of tiny finger-like projections that make up the nutrient absorbing surface of the small bowel lining are worn down by the constant inflammation from gluten consumption. In celiac disease, the immune system has been tricked into labeling gluten as an invader. As these finger-like projections are worn down, the efficiency of nutrient absorption becomes more and more compromised. We call this villous atrophy.   
    • KRipple
      Thank you so much! And sorry for not responding sooner. I've been scouring the hospital records and can find nothing other than the following results (no lab info provided): Component Transglutaminase IgA   Normal Range: 0 - 15.0 U/mL >250.0 U/mL High   We live in Olympia, WA and I will be calling University of Washington Hospital - Roosevelt in Seattle first thing tomorrow. They seem to be the most knowledgeable about complex endocrine issues like APS 2 (and perhaps the dynamics of how APS 2 and Celiacs can affect each other). His diarrhea has not abated even without eating gluten, but that could be a presentation of either Celiac's or Addison's. So complicated. We don't have a date for endoscopy yet. I will let my husband know about resuming gluten.    Again, thank you so much for sharing your knowledge with me!
    • Jmartes71
      Ginger is my best friend, it helps alot with tummy issues..
    • aattana
      Hi Phosphone, did you ever figure out what elevated your DGP?  I am in the same boat. 
    • trents
      Scott makes a good point about the prednisone. It has a general suppressing effect on the immune system. Don't misunderstand me. In view of your husband's several autoimmune afflictions, it would seem to be an appropriate medication therapy but it will likely invalidate endoscopy/biopsy test results for celiac disease.
×
×
  • Create New...