Gastroenterologist
Community medical question
Patient question
Medical History and Current Confusion.
​My blood test report came on November 1, 2025, and I started a gluten-free diet (GFD) the same day, as per the doctors instructions.
​I underwent an endoscopy and biopsies on November 21, 2025, while still on the GFD.
​The same blood test from November 1st was repeated on November 21st, and the results were the same (positive).
​The reports for all three biopsies were received on November 28th.
​The Current Situation:
​The doctor has kept me on the gluten-free diet and prescribed medication for H. pylori for fourteen days.
​Based on these reports, the doctor is unable to clearly state whether I have Celiac Disease or not. The main points of confusion are:
​Is the patients current symptoms due to H. pylori or Celiac Disease?
​The biopsy was negative for Celiac Disease, while the blood test was positive twice.
​Could the reason for the negative biopsy be that the patient has been on a gluten-free diet for three weeks before the biopsy?
​We are currently taking the H. pylori medication and are completely confused about the future course of action. Therefore, we need guidance on this matter.
​My blood test report came on November 1, 2025, and I started a gluten-free diet (GFD) the same day, as per the doctors instructions.
​I underwent an endoscopy and biopsies on November 21, 2025, while still on the GFD.
​The same blood test from November 1st was repeated on November 21st, and the results were the same (positive).
​The reports for all three biopsies were received on November 28th.
​The Current Situation:
​The doctor has kept me on the gluten-free diet and prescribed medication for H. pylori for fourteen days.
​Based on these reports, the doctor is unable to clearly state whether I have Celiac Disease or not. The main points of confusion are:
​Is the patients current symptoms due to H. pylori or Celiac Disease?
​The biopsy was negative for Celiac Disease, while the blood test was positive twice.
​Could the reason for the negative biopsy be that the patient has been on a gluten-free diet for three weeks before the biopsy?
​We are currently taking the H. pylori medication and are completely confused about the future course of action. Therefore, we need guidance on this matter.