In the previous part, under the title Celiac Disease - Part 1, we mentioned the symptoms and causes of Celiac Disease.. In this article, we are going to examine the diagnostic methods of this disease... It is difficult to diagnose Celiac Disease due to the close similarity of its symptoms with the symptoms of other diseases... Today, with the help of various tests, various untreated disorders can be easily diagnosed.. ***Blood Test** With the help of a blood test, it is possible to find out the increase in the level of antibodies (proteins) in people with celiac disease.... The increase in the level of antibodies (**tissue transglutaminase IGA**) has been reported in more than 95% of the affected people.... a condition that is rarely found in cases of **non-affected cases or non-affected people or other people.... **Anti-antibody gene)** also has a significant increase.... The diet should not be changed until after the test and People should continue to consume foods containing gluten.... Avoiding gluten causes the level of antibodies to return to normal and the diagnosis process is delayed.... ### **Small Intestine Biopsy** If the blood test is positive, a microscopic examination of a sample collected from the wall of the small intestine is necessary.. A biopsy (specimen) is usually obtained by **endoscopy** from the upper part of the intestine.. The biopsy process is not painful.... In people with celiac disease, the wall of the small intestine has unique features that can be seen under a normal wall microscope.. finger-like projections called **intestinal villi** are called and its function is the absorption of nutrients... In more than 70% of sufferers, it takes about two weeks (from the date of stopping gluten consumption) to achieve this improvement.... A common way to ensure the effectiveness of a gluten-free diet is to monitor blood antibody levels... Reducing antibody levels is the key to the optimal functioning of the diet.... **Celiac disease potential** Although the biopsy of the small intestine is normal, a positive **endomysial antibody test** or **tissue transglutaminase test** (or both) indicates that a person is at risk of developing celiac disease. A gluten-free diet is not usually prescribed for this group of people.. An unhealthy biopsy at the same time as a positive blood test result, if it is not accompanied by clear symptoms, means that celiac disease is in a silent state... The necessity of prescribing a gluten-free diet for this group of sufferers is not well known. appears (including change in the taste of the mouth, change in the nose, loss of appetite, change in the condition of hair, nails and skin and the occurrence of diarrhea)... tests are also necessary... **other tests * Other standard tests include CBC (complete blood count), lipid test (total cholesterol, HDL, LDL, and triglycerides) and thyroid test.. After antibody levels return to normal, it is recommended to repeat the tests once a year.. According to many clinical experts, 12 months after starting a gluten-free diet, the most common way to test for osteoporosis and osteoporosis is also one of the most effective ways to test for osteoporosis.. density... this test It is not painful at all and is similar to radiographs... If you see bone lesions, taking vitamin D and calcium supplements, exercise and possibly taking medicine to stop the process of osteoporosis and stimulate bone growth is recommended... Digestion and liver in Mashhad has a super specialized board. > > Performing endoscopy and colonoscopy in the office without bleeding and pain and with the most advanced equipment available > > To schedule an appointment, you can call 38704066 (051) and 38704067 every day... > > Office address: Mashhad, Kausar Blvd., between Kausar 2 and 4 - Farabi Building - 2nd floor **Gastroenterologist in Mashhad** ==================================== **\*Gastroenterologist in Mashhad\***