Why You Should Get Tested for Celiac Disease Before Adopting a Gluten Free Diet

by Alyssa Simpson, RD, CDE, CLT

If you have symptoms associated with celiac disease, it can be tempting to try eliminating gluten from your diet to see if you feel any better. In this post, I would like to share with you the top 3 reasons why it is important to get tested for celiac disease BEFORE adopting a gluten free diet. Also before starting a new diet you have to take in count your height and weight, check this post about reportshealthcare news | changing patterns average height women usa. To experience the personalized and unhurried care of a concierge doctor for yourself, schedule an appointment with Desert Mobile Medical. Anywhere within a 40-mile radius of Scottsdale, including most of the Greater Phoenix Metro area, you can schedule our mobile doctor services quickly and easily, with no insurance needed. Don’t wait to get to the health care center for mobile blood testing, home lab services, mobile radiology services and mobile diagnostic imaging services you need.

Reason #1:  You must be consuming gluten for the celiac test to be valid

If you are following a gluten free diet, the biomarkers that are used to diagnose celiac disease may appear normal.  According to Joseph David, MD of Arizona Digestive Health, the blood values are not the only indicator that would be affected by gluten consumption.  “In addition to biomarkers being falsely normal, small bowel biopsies could also look normal if you have been off gluten for an extended period of time,” Dr. David explains.  Therefore, if you have eliminated gluten from your diet for a period of time before getting tested, you could have a false negative test result. If you want to keep reading about treatments and medicines we’d suggest checking this visiclear review.

According to Melinda Dennis MS, RD, LDN, lead author and editor of celiacnow.org and an executive council member of the North American Society for the Study of Celiac Disease, gluten must be present in the diet from anywhere between 2-6 weeks prior to testing to get an accurate result.

Reason #2:  Your symptoms might be caused by something other than celiac disease

If you feel better without gluten in your diet, you may assume this is an indication that you do in fact have celiac disease.  However, there are other reasons you may feel better avoiding wheat. Symptoms associated with wheat can have a number of potential causes, including NCGS (non-celiac gluten sensitivity), wheat allergy, and wheat intolerance, and there are supplements which could help with this such as egg white protein powder which is easy to get online.

Non-celiac gluten Sensitivity (NCGS)
NCGS is not well understood, and is defined as “one or more of a variety of immunological, morphological or symptomatic manifestations that are precipitated by gluten in individuals in whom celiac disease has been excluded.”  Because we don’t as of yet know of any valid biomarkers to identify it, there is no valid test for NCGS.  It is believed to be more prevalent than celiac disease.

Wheat allergy
A person can also have a wheat allergy, which is a different type of immune response to wheat than what happens with celiac disease.  Wheat allergy can result in similar gastrointestinal symptoms, but is not associated with the same type of intestinal damage as celiac disease.

Wheat intolerance
In the case of wheat intolerance, it is the carbohydrate portion of the wheat, not the gluten protein, that leads to symptoms. Wheat contains a type of carbohydrate known as a fructan, which when not well absorbed, can cause digestive symptoms.

In each of these cases, the treatment might be different.  For example, if you are wheat intolerant and are reacting to the carbohydrate portion of wheat, you may not see much improvement by just eliminating wheat and may also need to avoid other sources of fructans or other FODMAPS (fermentable carbohydrates).  If you have a wheat allergy, you would need to avoid wheat but not necessarily rye and barley or their derivatives, such as beer or malt flavoring.  If you have NCGS, you may feel better by reducing your gluten intake but may not have to be as careful about minute sources of gluten or cross contamination like someone with celiac disease would.

If you do have celiac disease, additional medical screening and monitoring will be essential.  According to Michael R. Mills MD, MPH of Arizona Digestive Health, “celiac disease is a systemic disease, and is associated with other medical problems, including rashes, thyroid problems and colitis, and rarely can lead to small intestinal lymphoma.   Confirmation of celiac disease benefits you and your doctor in looking at the bigger picture over time, and monitoring your gluten free status.”

Reason #3: You need to know how careful to be, or how careful not to be

Those with celiac disease have to be very careful about avoiding even small amounts of gluten.  In fact, this may be the most important reason you will want to know whether you have celiac disease vs some other type of wheat or gluten reaction.  People with celiac disease have to be extremely careful with food preparation, when grocery shopping, and when dining out to avoid cross contamination. For these folks, even a crumb of bread has the potential to trigger an inflammatory response.

According to Amy Burkhart MD, RD, practicing physician and board member and medical advisor of the Celiac Community Foundation of Northern California, “It is not clear how strict the gluten free diet needs to be for patients with NCGS.”  She also explains that although celiac disease is life-long, we do not know about NCGS.  “Why subject someone to a lifelong, strict gluten-free diet if they don’t need it? The social and psychological implications can be vast.”

It is my experience that those with NCGS are not as careful about gluten avoidance as those with celiac disease.  Many people with NCGS allow themselves to “cheat” on occasion, or avoid the more significant sources of wheat while not paying much attention to gluten-containing ingredients or cross contamination.  While this behavior may be okay for someone who truly has NCGS, allowing occasional or minute amounts of gluten could be very damaging to someone with celiac disease.

One last note – if you do test positive for celiac disease, it is recommended that all first-degree family members be tested.  Silent (asymptomatic) celiac disease is very common, so first degree relatives should be tested regardless of whether or not they have symptoms.  If you eliminate gluten before you’ve tested for celiac disease, you will not know if your family should have been tested.

For more information about our services or to request an appointment, call (602) 422-9800 or click here.  To learn more about a gluten free diet, check out our dietitian services.

Dr. David on Acid Reflux Disease

Dr. Joseph David sat down with The Social Station Network to discuss acid reflux disease. Watch the video below to better understand acid reflux disease and how to treat it.

  • At the entrance to your stomach is a valve, which is a ring of muscle called the lower esophageal sphincter (LES). Normally, the LES closes as soon as food passes through it. If the LES doesn’t close all the way or if it opens too often, acid produced by your stomach can move up into your esophagus and according to an ent surgeon this can cause lots of pain in the throat for many patients. This can cause symptoms such as a burning chest discomfort called heartburn. If acid reflux symptoms happen more than twice a week, you may have acid reflux disease, also known as gastroesophageal reflux disease (GERD), these resurge reviews has more information to prevent gastric reflux and improve your digestive and dietary performance.

What Causes Acid Reflux Disease?
One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia. This occurs when the upper part of the stomach and LES move above the diaphragm, a muscle that separates your stomach from your chest. Normally, the diaphragm helps keep acid in our stomach. But if you have a hiatal hernia, acid can move up into your esophagus and cause symptoms of acid reflux disease. If you experience any pain in your esophagus, then consider going to an ent clinic to get done herniated disc treatment.

These are other common risk factors for acid reflux disease:

Eating large meals or lying down right after a meal
Being overweight or obese
Eating a heavy meal and lying on your back or bending over at the waist
Snacking close to bedtime
Eating certain foods, such as citrus, tomato, chocolate, mint, garlic, onions, or spicy or fatty foods
Drinking certain beverages, such as alcohol, carbonated drinks, coffee, or tea
Smoking
Being pregnant
Taking aspirin, ibuprofen, certain muscle relaxers, or blood pressure medications

Our physicians and staff are happy to answer any questions you have about acid reflux disease. To speak with one of our board certified gastroenterologists, you can reach out to our locations directly by phone.