Diagnosing celiac disease after going on a GF diet

Q: Could you clarify for me the different ways to test for celiac disease? If you have been GF for a while, would a biopsy then not indicate celiac disease? If you could educate me on the diagnostic tests for celiac disease AFTER you have been GF for a period it would be greatly appreciated! Answer Generally, testing for celiac …

Are canker sores a symptom of celiac disease?

Q: Are canker sores a symptom of celiac disease? Answer Yes, canker sores/mouth ulcers also referred to as recurrent aphthous stomatitis (RAS) are common in people with celiac disease and can be a symptom of celiac disease. Canker sores are thought to be related to nutritional deficiencies (iron, folate and B12) and diseases involving the immune system such as celiac …

Tests for celiac disease

Q: What are the current standard tests to diagnose celiac disease? Celiac disease (CD) is diagnosed by evaluating symptoms, conducting blood tests and a small intestinal endoscopy (biopsy). People with CD can have many different symptoms or no symptoms at all, up to 200 symptoms are associated with CD, here are some of the most common ones: Gastrointestinal Malabsorption- related …

Gluten allergy

Q:  Is “gluten allergy” the correct term to use in regards to having celiac disease? Thank you. Celiac disease (CD) is not an allergy but an autoimmune disease. People with CD have an autoimmune reaction involving IgA antibodies when gluten is ingested. An allergy is different and involves a different branch of the immune system, so the term gluten allergy …

Non-celiac gluten sensitivity (NCGS) or non-celiac wheat sensitivity (NCWS)

Q: Can you address non celiac gluten sensitivity (NCGS)? How is it diagnosed? What are the symptoms of NCGS?  What are possible complications with NCGS vs celiac disease? What is the treatment? Non-celiac gluten sensitivity, also called non-celiac wheat sensitivity (NCWS) is a much-debated, poorly understood, and intensely researched condition in the celiac scientific community. The term NCWS also includes …

Interpreting a high IgG and negative IgA test result.

Q: If someone [with celiac disease] has a positive (high) IGG result and a negative IGA result what does that mean? In short, not much. To answer this question, let’s assume that the question is referring to the IgG antigliadin antibody (IgG-AGA) and the IgA antigliadin antibody (IgA-AGA) tests.  These two anti-gliadin antibody tests were the first tests developed for …

Ancestry type testing for celiac genes

Q:  My daughter was diagnosed with celiac disease by biopsy over 20 years ago with symptoms that resolved on a gluten-free diet. She recently found out through one of the “ancestry-type” site’s testing that she doesn’t even have the gene for celiac disease. How can this be? She’s now trying a bit of gluten and not experiencing any side effects. …

Silent Celiac Disease

Q: What is silent celiac disease? In 2013 a multidisciplinary task force of 16 physicians from seven countries published an article evaluating the numerous celiac disease (CD) related terms that exist in the literature.  The team determined that “silent CD” is equivalent to “asymptomatic CD.”  Use of the term silent CD is now discouraged.1 So, let’s take a look at …

Following GF diet but feeling unwell

Q: What should I do if I have confirmed celiac disease and follow a strict gluten-free diet but am still unwell? There are several reasons why a person with celiac disease might have symptoms despite following a gluten-free diet. The first one is the most common – either accidental or intentional gluten exposure.1 Gluten exposure accounts for about 7-30%2 of …