Celiac disease and Coeliac Disease Diagnosis

Celiac disease and Coeliac Disease Diagnosis

There are several tests that can be used to assist in diagnosis. The level of symptoms may determine the order of the tests, but all tests lose their usefulness if the patient is already taking a gluten-free diet. Intestinal damage begins to heal within weeks of gluten being removed from the diet, and antibody levels decline over months. For those who have already started on a gluten-free diet, it may be necessary to perform a re-challenge with 10 g of gluten (four slices of bread) per day over 26 weeks before repeating the investigations. Those who experience severe symptoms (e.g. diarrhoea) earlier can be regarded as sufficiently challenged and can be tested earlier.[3]

Combining findings into a prediction rule to guide use of endoscopy reported a sensitivity of 100% (it would identify all the cases) and specificity of 61% (it would be incorrectly positive in 39%). The prediction rule recommends that patients with high risk symptoms or positive serology should undergo endoscopy. The study defined high risk symptoms as weight loss, anaemia (haemoglobin less than 120 g/l in females and less than 130 g/l in males), or diarrhoea (more than three loose stools per day).

Paul Smith
glutenfreehealth.net

Category:

Education

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• celiac
• coeliac-disease
• gluten-free
• gluten-free-health
• gluten-and-health
• celiac-disease
• gluten-free-kids
• coeliac-symptoms
• celiac-symptoms
• soy-products
• fg-roberts
• gf-food

[poshpizza]

this is such a good explanation.....i myself have made the decision to stop eating all wheat as i had 80-90% of the symptoms but no villi damage- doctors would not diagnose it as celiac ! thanks for this video i am going to send people to it when they ask about celiac. 

[BeNgEE08]

Good video Paul this is the process I went through diagnosis. Was feeling abnormally tired suffering a lack of motivation and thought gee whats up. Thankfully my doctor was on the ball and got me blood tests and it pretty much was very a strong indication of Coeliac from there. If you suspect anything people get a blood test, simple, medicare covers it doesn't hurt even. Adding to that bit Coeliac showed up in me 21 while diagnosing me my doctor said he had diagnosed someone as old as 80!