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Celiac Testing

Celiac Disease is also known as gluten enteropathy, celiac sprue or nontropical sprue. It is an autoimmune reaction to gluten and gluten-like proteins found in many grains. Exposure causes flattening of the villi of the small intestine, which are normally involved in absorbing nutrients from the food that we eat.  Chronic damage in suceptible individuals eventually leads to malabsorption of nutrients leading to growth abnormalities, iron deficiency anemia, vitamin B12 deficiency, osteoporosis and hormonal imbalance to name a few.

Testing Options: 

  • Biopsy: A biopsy of the small intestine is done to confirm a diagnosis of Celiac disease. It may require a referral from your family physician to a gastroenterologist. The process involves taking a sample of the villi of the small intestine to assess for damage/flattening. 
  • Celiac Panel: Testing for Celiac also involves assessing the blood for high levels of proteins called autoantibodies, produced by the immune system. These include IgG, IgA and Transglutaminase Antibody (tTGA) testing. This is a blood test that is not routinely performed and may require additional out of pocket payment or coverage through extended health care plans only. In some individuals, this test may come back negative even when Celiac Disease is present or strongly suspected based on symptoms and genetic predisposition. It may be recommended that individuals consume gluten containing products for a week or so prior to this testing in order to ensure exposure.  
Many patients test negative for Celiac but still continue to elicit inflammatory reactions when they consume wheat or gluten products. These individuals may be experiencing a type of gluten intolerance or wheat allergy. Both those with Celiac disease and non-celiac gluten sensitivities may have multiple food sensitivities where other proteins such as casein (found in dairy products), albumin (eggs) and soy proteins cause inflammation and immune reactions that damage the tissues of the digestive tract.

There are many resources now available for people diagnosed with Celiac disease or Gluten sensitivities.  Proper lifestyle and dietary changes can restore and heal the surface of the small intestine and prevent many of the conditions associated with this disease. Supplementation may also be necessary to help restore any nutritional imbalances that may have developed. 

 

DR CARRIE WATKINS | NATUROPATHIC DOCTOR IN VICTORIA BC

VICTORIA MASSAGE THERAPY AND HEALTH SOLUTIONS CLINIC 

YARROW BUILDING
645 FORT STREET, SUITE 212
 
250.590.5221 
 
If you are looking to book an appointment in Toronto, please call 416.738.6757 for Dr Rachel Goldgut