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Celiac Disease—More than Just a Wheat Allergy 
 
by Tamiya King September 20, 2005

Celiac Diagnosis

In order for you to know if you have celiac disease, you’ll have to visit your doctor to conduct a few tests. The doctor will test for autoantibodies in the body, which are proteins that react against the body’s tissues and molecules. A blood test is conducted to detect levels of immunoglobin in the blood, as well as anti-tissue transglutaminase (tTGA) or IgA anti-endomysium antibodies.

Once a blood test indicates that celiac disease is present, a bowel biopsy is usually done. For this procedure, the doctor takes a small piece of the small intestine to check for villi damage. An endoscope, which is a long thin tube goes through the mouth and stomach into the small intestine, is the main instrument used in this test.

If you plan on being tested, it’s important that you continue to eat foods containing gluten before the test, so that the results will be accurate. Celiac is often misdiagnosed, and has been confused with irritable bowel syndrome, Crohn’s disease, and intestinal infections, which is why so many people live with the disease and don’t know it.

Currently, about 1 in every 300 people in the United States has celiac disease. And, the disease is hereditary, so checking your family history for symptoms related to intestinal discomfort and anemia may help you to determine whether you are at risk for the disease, since up to 15 percent of an individual’s first degree relatives will have the disease. In some cases, people do not experience any symptoms, but this does not mean that the intestines are not being damaged. It is now recommended that Americans be tested for celiac disease routinely, since many individuals who have type 1 diabetes also have celiac disease, and up to 10 percent of children with Down Syndrome will be diagnosed with celiac disease.

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