Guest guest Posted May 24, 2001 Report Share Posted May 24, 2001 Trying to explain Celiac testing. There are a number of tests that can be performe IgA antigliadin anti-endomysial tTg IgG anti gliadin some tests are more specific than others...in other words, if you test positive there's no discussion of being Celiac or not. However, a lot of Celiacs are IgA deficient...all tests, other than the IgG anti gliadin, are based on IgA bloodwork. So, in other words. If you are IgA deficient, these tests will be negative and your health care professional will likely not diagnose you (unless you have a positive Celiac biopsy). This becomes a problem when you have an inexperienced health care professional do your biopsy. (most GI docs don't have a clue about Celiac, and the diagnosis based on biopsies is completely subjective-it's someone's opinion.). Most GI docs, unless highly experienced, will take around 5 biopsies from a potential Celiac. Evidence of Celiac can be very patchy and taking this few amount of biopsies is not an accurate enough guage of whether a person is Celiac or not. The minimum recommended amount of biopsies that I have read about is 15-20. I have seen recommended as many as 30-40 for an accurate reading.... So, it's possible to go through ALL the Celiac tests, and still not be considered a Celiac. Celiac can be very serious. You can develop malnutrition, GI lymphoma (cancer), any number of neurological problems, any number of auto-immune diseases...the list is just about endless. At this point in history though, only the " classic " persons are accurately diagnosed...and when I say classic, it's the people who really show damage on their biopsies..or who show classic symptoms, diarrhea, failure to thrive in kids, etc... And then there's the rest of us. I had elevated IgG along with all the classic symptoms (diarrhea, brain fog, etc), excpet that I was overweight (body was malnourished and stuck in starvation mode)...and I ended up with a moron for a dr who only took 4 biopsy locations through my whole GI tract (you're supposed to do the 15-20 in the small intestine alone). He wouldn't diagnose me...said the diet was too hard! (is this diet really that hard?) I live my life as a Celiac. My son was biopsy and full blood panel diagnosed last year...He was a classic case..failure to thrive, constant vomiting, diarrhea, etc...it was obvious (to me and then later to an experienced health care professional)... If anyone ever needs Celiac information, please don't hesitate to ask. Quote Link to comment Share on other sites More sharing options...
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