Gluten Sensitivity: Laboratory findings are not sacred

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Many people have heard that gluten consumption can cause a number of symptoms. At this point, someone immediately starts to study and watches for their symptoms to disappear, while others ask for a lab test themselves.

Gluten Sensitivity: Laboratory findings are not sacredHowever, neither positive nor negative finding gives a true answer to the questions. He also talked about the pitfalls and frequently asked questions about the diagnosis of gluten sensitivity in today's Prima Medica Professional Day dr. Krisztina Sбrdi belgium, gastroenterologist.

The first pitfall: no diet examination

The worst thing we can do is start dieting without being tested. Gluten-free meals require a great deal of attention and, last but not least, a more balanced diet that may need to be maintained for a lifetime, so it is really advisable to start with gluten-free diets. If we were to conduct the examinations, but we had been dieting for half a year, gluten would have to be reintroduced into the diet, at least 6-8 weeks, with 10g of gluten a day to produce meaningful results.

A positive or a negative find? What does that mean?

The first step in the test is to perform the serology test, but it is not certain that the positive or negative test result you receive will produce true results. A doctor at the Allergy Center in Buda reported that the result was negative in 10 percent of cases. In 5 percent, there may be a positive result, for example, with Crohn's disease. From a diagnostic point of view, a lab test alone does not mean anything, it must always be weighed against the patient's clinical symptoms, meaning that no one can be considered celiac because he has a positive finding but no complaints. And with a negative finding, if you have symptoms, you can't say it's not celiac. In either case, the investigation should continue.

The "celebrity iceberg?"

In addition to the clinical symptoms, the result of serology and the diagnosis of lupus, the results of endoscopic examination provide the third important information. This is an examination that many people would like to miss, though it should not be bypassed even if we suspect serologic results, because the patient has symptoms suggestive of extreme celiac disease, says dr. Krisztina Sárrdi.Also, even with positive serology, we did not see a venomous lesion during the endoscopic examination, which indicates a latent celiac disease. Serology may be positive, but the patient lacks the characteristic symptoms, and then the diagnosis of celiac disease is indicated by the pathology of the pups - this is celiac disease. The third case is the "tip of the iceberg, when the symptoms are present, the test is positive and the condition of the pile is clear as well. To make an accurate diagnosis.

What happens if all exams are negative, but I'm sick?

If all examinations are negative and the patient still has complaints, the physician will suggest gluten-free diet and monitor for improvement. If so, non-celiac gluten sensitivity is the diagnosis. In this case, dietary intake is generally preferable, since gluten intake does not cause celiac disease. In this case, after a few months of dieting, it may be possible to try to lower gluten back into the diet first and, if it does not cause any complaints, it can be tolerated later in the body.

Why all these exams if the end is to avoid gluten anyway?

An accurate examination is needed to see if the gluten intake is actually the cause of the complaints or other illnesses - such as milk sugar sensitivity, basal allergy, Crohn's disease, IBS or thyroid. When it is shown that the symptoms can be related to the consumption of gluten, tests can determine how strict a diet is and for how long. Because celiac disease is incurable, diet should be maintained for life. It is important to ensure that the food you eat does not contain traces of gluten, as this is the only way to prevent the occurrence of celiac disease, osteoporosis, infertility and malignancies.Related articles on gluten sensitivity:

What is the difference between celiac disease and non-celiac gluten sensitivity?
Symptoms and treatment of laxative symptoms in children
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