I have asked my doctor to test me for coeliac I asked him to do the test for TTG and Total IgA but he only ordered TTG and didn't order Total IgA. I thought both had to be done for coeliac testing and should be ordered together. I'm not sure he understands the tests, I think he's going to wait for the result of the TTG and then decide if I need to get Total IgA tested but I'm not sure if that's the correct thing to do. Please can someone advise??
Serological tests to diagnose Celiac disease are: IgA tTG plus serum Total IgA in order to ensure that the patient generates enough of this antibody to render the celiac disease test accurate. If IgA tTG came positive that will confirm CD If IgA tTG came negative and serum total IgA reduced, IgG tTG will be needed. If IgA tTG came negative with normal Total IgA then anti endomysial IgA will be needed also DGP and IgG tTG is recommended if there is deficiency in Total IgA that might caused by CD and might cause false positive results of IgA tTG or EMA IgA. One last important thing is that the patient must be on gluten diet for 6-8 weeks before performing tests. Also Biopsy and Genetic Testing of HLA DQ2 and DQ8 can be used if needed. Good Luck
@@wrenfan Not if all the symptoms are there and the risk of the testing out ways the benefit to the patient. Genetic testing should be sufficient if symptoms are present. Period. There are risks with sedation and the utter invasive procedure itself to the patient. I say use genetic testing and let the patients medical history and symptom expression dictate the treatment. A genetic diagnosis should be sufficient in my opinion.
With coeliac disease is it normal to have a painful stomach
I have asked my doctor to test me for coeliac I asked him to do the test for TTG and Total IgA but he only ordered TTG and didn't order Total IgA. I thought both had to be done for coeliac testing and should be ordered together. I'm not sure he understands the tests, I think he's going to wait for the result of the TTG and then decide if I need to get Total IgA tested but I'm not sure if that's the correct thing to do. Please can someone advise??
Serological tests to diagnose Celiac disease are:
IgA tTG plus serum Total IgA in order to ensure that the patient generates enough of this antibody to render the celiac disease test accurate.
If IgA tTG came positive that will confirm CD
If IgA tTG came negative and serum total IgA reduced, IgG tTG will be needed.
If IgA tTG came negative with normal Total IgA then anti endomysial IgA will be needed also DGP and IgG tTG is recommended if there is deficiency in Total IgA that might caused by CD and might cause false positive results of IgA tTG or EMA IgA.
One last important thing is that the patient must be on gluten diet for 6-8 weeks before performing tests.
Also Biopsy and Genetic Testing of HLA DQ2 and DQ8 can be used if needed.
Good Luck
I would just die!! I thought the first hypocritic oath is to harm. Why injure people who are trying to heal already?
@@wrenfan Not if all the symptoms are there and the risk of the testing out ways the benefit to the patient. Genetic testing should be sufficient if symptoms are present. Period. There are risks with sedation and the utter invasive procedure itself to the patient. I say use genetic testing and let the patients medical history and symptom expression dictate the treatment. A genetic diagnosis should be sufficient in my opinion.