Celiac disease is an autoimmune disease caused due to allergy to gluten. It is also referred to as gluten sensitive enteropathy. The disorder usually occurs due to gluten present in cereals and other grains. It affects a lot of organs and therefore, has many associated symptoms.To address this disease is becoming much easier due to the fact that there are many gluten free foods available in the stores or specialty stores that offer substitutes for gluten products that everybody use. Today more and more people are diagnosed with celiac disease and more people need to be educated to this disease.

If you are suffering from this digestive disorder, it means you cannot tolerate or digest gluten. If you do eat food containing gluten, it will trigger your immune system, which, in turn, will attack the lining of the small intestine. This will seriously affect the absorption of proteins, fats, vitamins, minerals, folic acid, iron and calcium. In turn, you will suffer from vitamin and mineral deficiency; and there will not be sufficient vitamins and minerals to nourish the central nervous system, liver, bones and other organs of the body.

However, if the ultrasound is negative or normal and gallbladder disease is still suspected a nuclear test called biliary scintography or more commonly called HIDA scan is ordered. The basis of this test is the fact that a radiolabeled chemical is administered intravenously that is concentrated in the liver where bile is made before being stored in the gallbladder between meals. If the gallbladder is diseased it may fail to be seen on the scan due to blockage or fail to empty as expected when a hormone called cholecystokinin (CCK) is given intravenously.

CCK is present in the body and released with meals to stimulate gallbladder emptying of bile into the intestine for digestion. Typically, the gallbladder will empty a third or more of its volume when CCK is given during a HIDA scan but usually not more than 70-80%. The fraction of volume the gallbladder empties is referred to as the ejection fraction. A low ejection fraction is typical of a diseased gallbladder. Reproduction of the typical pain of gallbladder disease and a low ejection fraction are considered diagnostic of gallbladder disease in the absence of gallstones and results in a recommendation that the gallbladder be removed surgically.

Dyspepsia is a medical term for stomach upset, indigestion or gas-bloat abdominal discomfort. This commonly occurs in celiac disease. Stomach contractions have been shown to be impaired in celiac disease contributing to the bloating sensation. This is confirmed by diagnostic studies revealing poor stomach emptying. Delayed stomach emptying is frequently accompanied by low pressures in the lower esophageal sphincter (LES) of the esophagus or swallowing tube. The LES is supposed to be a barrier to regurgitation of stomach contents up into the esophagus. When stomach juice that is acidic refluxes into the esophagus a burning pain is typically felt in the chest that is described by most people as heartburn.

It is surprising that most of the people who are familiar with the topics on Celiac diseases do not know that wheat allergy and gluten intolerance are entirely different. There are many websites that refer to these terms in totally wrong contexts. There are people who refer to these terms interchangeably. Hence, it is very vital for you to identify the differences between these two specific health conditions.Most of the people would have heard that wheat allergy is very similar to the common diseases such as hay fever or allergies that happen to pets. The allergy is stimulated when basophiles or some specific white blood cells and mast cells react to Immunoglobulin E or IgE for short. Generally, wheat allergy can be treated well with an antihistamine.

Symptoms

World wide it seems Celiac Disease is being under diagnosed. Despite its relative ease in diagnosis, involving blood tests and a gastro-scope biopsy, it is very commonly overlooked. Doctors often mistakenly believe that it is a rare disorder, even though current statistics show it at 1% of the population (this is for the US and UK; there seems to be little other data available elsewhere). This number is assumed to be even higher amongst the many undiagnosed patients. It can also be a hereditary disease and can run in families. It also is more common in people who already have other autoimmune diseases, such as Hypothyroidism, Rheumatoid Arthritis, Addison's Disease and Type 1 Diabetes.

Gluten intolerance, whether through Celiac disease or non-Celiac gluten sensitivity (NCGS), is an autoimmune disease which manifests its symptoms over time. Gluten intolerance is a systemic response to the proteins glutenin and gliadin within gluten. When unusually strong antibodies in your system react to these proteins, they attack the lining of your small intestine.

Over time, the villi along your small intestinal lining wear down and make your intestine less able to digest and absorb nutrients from your food. Despite what many people seem to think, this is not an instantaneous reaction. It can sometimes take years for symptoms to result from gluten intolerance (although most often it only takes months or even just weeks).

About the author:

Source: http://www.sooperarticles.com/health-fitness-articles/diseases-articles/signs-symptoms-celiac-disease-31678.html


diagnostic test for rheumatoid arthritis

19 thoughts on “Diagnostic Test For Rheumatoid Arthritis

  1. part-time secretary

    Is there a blood test to diagnose arthritis?
    Complaint of stiffness & pain in shoulder, back, right hip and right buttocks.

  2. tony c

    what are some symptoms of tendonitis?
    my arms and more spicifically my shoulders ache all the time. i have trouble lifting my arms over shoulder height. also, i stay generally tired. i had an abscess tooth and cleared that up with a strong antibotic, that is what i thought was causing my upper body pain but turned out that i am still in alot of pain. could this be tendonitis or some kind of arthritis.
    in answer to my reponse, i am 42 yrs old and have no real family hist of arthritis. have been told i have osteoarthritis in my knees, but i have always, up till now, had a very strong upper body.

  3. Jammie_♥

    Why are people afraid to take an HIV/AIDs test?
    I have been tested, even since I stopped having sex. But I have friends who wont even talk about AIDs and other STDs.

    1. kellyjon23

      As someone who lives with the stigma of having tested positive for HIV nearly 17 years ago, I would strongly encourage everyone to find out what they’re *really* getting tested for before they get tested because of pressure from others, including socalled health or medical ‘authorities.’

      There plain and perhaps surprising fact is there currently no test that actually detects HIV infection. The diagnostic tests in use today all detect *antibodies*, not the virus itself. We are told that these antibodies are antibodies specific to HIV, but not one of the antibodies detected by HIV tests is actually specific to HIV. All of these antibodies can be found in some people who do not have HIV. In fact, some of the antibodies detected by an HIV test are actually related to other illnesses altogether, such as lupus, leprosy, rheumatoid arthritis, malaria, tb and even the common flu.

      Then there is the “viral load” PCR tests, which are supposed to count the viral particles in an HIV diagnosed persons’ blood. In reality, they do no such thing. In fact, it has been demonstrated that the “viral load” PCR tests are so sensitive that they are often interpreted as ‘detecting’ HIV in people who don’t actually have HIV. This is why viral load PCR tests are never used to diagnose HIV infection. The inventor of the PCR technology used in the “viral load” test, Dr. Kary Mullis, who won the Nobel Prize in 1993 for his invention, strongly disapproves of the use of PCR in HIV “viral load” tests, because he maintains that the PCR technique as it is being used is not specific to HIV.

      As for the treatments that are currently available, none have actually been shown to reduce the incidence of AIDS-defined diseases or to help HIV-diagnosed persons to live longer. In fact, a study published in Lancet last August showed that while AIDS drug cocktail do reduce viral load and increase CD4 counts, they do not improve clinical outcomes [actual illness or symtpoms] and they actually *increase* mortality [death]. In fact, according to the CDC, the #1 killer of AIDS patients since 1999 has been liver failure. Liver failure is not considered to be an AIDS-defining illness, but is a *known* side effect of AIDS drug cocktails. In fact, there are those (and I’m one of them) who believe that AIDS drugs can cause “AIDS” even in the absence of an HIV positive diagnosis.

      And then there remains the question of whether HIV actually is the cause of AIDS. You may be surprised to learn (I know I was) that there are thousands of scientists who claim that it is not. In fact, Dr. Kary Mullis, the inventor of the PCR technique that I mentioned earlier, is one of those who claim that HIV is not the cause of AIDS. I myself am convinced that HIV is not the cause of AIDS. What’s more, HIV hasn’t even been proven to exist.

      Now, I would not force my views on you, because it is your life that you’d take in your hands if it turned out that I am wrong. However, I would strongly encourage you to learn more about HIV, about HIV tests, and about HIV treatments, before making the decision to get tested and/or treated for a virus that may or may not exist. I think that you’ll find the following websites to be extremely helpful sources of alternative or dissenting information about HIV and AIDS:

  4. Flourene A

    My RDW and LYMPH count is high and my MCV and MCH is low what does this mean?
    I have been experiencing slight pain in my lower right abdomen for the past three weeks. Is this the reason why my counts are off? Could this be an infection in progress due to these off blood counts?

    1. TweetyBird

      “My RDW and LYMPH count is high and my MCV and MCH is low what does this mean?” — I’ve said it before and I’ll say it again: The only person who should be interpreting your test results is the health care provider who ordered them. I don’t know your health history, I have no other results of previous tests to compare with or consider as part of a total picture. I did not perform an abdominal exam on you, I don’t know your vital signs, age, gender, etc. Therefore, I cannot tell what this means in terms of you….I can only tell you what results such as your may suggest in general, what conditions they are associated with. Your results may relate to other diagnostics you’ve had but I have no way to know if this is so.

      I also don’t what know what the precise counts are because you haven’t disclosed this information. “High” and “low” can be relative. RDW, MCV and MCH are parts of red blood cell indices, another way to say red blood cell count. “Indices” is the plural form of the word “index.” Indices are an analysis of your red blood cells (RBCs).

      An RDW is the red blood cell distribution width. The RDW is the size (width) differences of your RBCs and is the measurement of the width of the size distribution curve on a histogram. This element of an index is useful in predicting anemias early before symptoms occur. An elevated RDW can indicate iron deficiency, folic acid deficiency or vit. B deficiency anemias. It can also indicate homozygous hemoglobinopathy. There is no decreased RDW. It’s either elevated or not and it’s not related to infection. (Are you beginning to truly understand now why labs should be interpreted by your provider? For example, how many lay-people know there are several types of anemia???)

      An MCV is the mean corpuscular volume and gives information about the size of your RBCs. A decreased level is associated with microcytic and iron deficiency anemias, rheumatoid arthritis and a number of other conditions. It’s not related to infection.

      An MCH is the mean corpuscular hemoglobin and gives information about the weight of your RBCs. A decreased level is associated with microcytic and hypochromic anemia, to name two conditions. It’s not related to infection.

      LYMPH is short for lymphocyte count and is part of a white blood cell differential, a breakdown of white blood cells by cell type. Or call it an itemized list, if you prefer. Elevated lymphocytes (lymphocytosis) occur in chronic and viral infections. A slightly elevated count may not be very significant but severe lymphocytosis is commonly caused by chronic lymphocytic leukemia. There are a few other conditions associated with lymphcytosis but the degree of elevation matters.

      I advise you to be cautious when asking strangers to interpret your labs and other diagnostic tests. For the most part, you’re appealing to people with no medical/nursing background, education, training or experience. No real health care provider will give you an answer that states definitely what’s going on. We can’t. And don’t take the answers you get as gospel truth or, in some cases, even founded in reality. You require clinical correlation. You need a follow up visit with your provider to review your labs.

  5. daftoldwoman

    I have regular blood tests because Im a diabetic. it is also checked for liver, kidney abnormalities etc?
    I got the latest results back today which were showing arthritis. Does anyone know, would this be rheumatoid arthritis as I cant imagine osteo- arthritis showing in a blood test.
    I have got health problems following a stroke 4 years ago.
    Hope somebody knows and thanks in advance.

    1. Dr Frank

      You are correct most arthritides ( types of arthritis) do not produce diagnostic blood tests. However rheumatoid arthritis shows up in SOME patients that have it, if a specific test is done. A positive test can be recorded in a patient with no symptoms, and a negative test can occur in a patient with severe symptoms, so the result must be combines with what is happening to the patient.

    1. ejoninamar81

      If your pediatrician or family doctor suspects that your child has juvenile rheumatoid arthritis, he or she will refer you to a doctor who specializes in arthritis (rheumatologist) to confirm the diagnosis and for treatment.

      The diagnosis of juvenile rheumatoid arthritis usually begins with a medical history and a physical examination. Diagnostic tests may include:

      Blood tests. These may include an erythrocyte sedimentation (sed) rate test. Sedimentation rate is the speed at which your red blood cells settle to the bottom of a tube. An elevated rate can indicate inflammation. Measuring the sed rate may be used to rule out other conditions, to help classify the type of juvenile rheumatoid arthritis and to determine the degree of inflammation.

      Another blood test looks for antibodies in your child’s blood. Whether your child has anti-nuclear antibody (ANA) and rheumatoid factor in his or her blood can help the doctor to determine the type of arthritis. Anti-nuclear antibodies are proteins commonly produced by the immune systems of people with certain autoimmune diseases, including arthritis. Rheumatoid factor is an antibody commonly found in the blood of people with rheumatoid arthritis. In many children with JRA, no significant abnormality will be found in these blood tests.

      Imaging. X-rays may be taken to exclude other conditions, such as fractures, tumors, infection and congenital defects. X-rays may also be used from time to time after the diagnosis to monitor bone development and to detect joint damage.
      Joint fluid removal. The doctor may remove some fluid from your child’s swollen joint. This can relieve pain and can help the doctor to identify the cause of the arthritis.

      hope this helps

  6. ashley a

    how do i fix the pain and what am i doing to cause it?
    When i wake up in the morning my the back or my neck is always really sore. It hurts the worst when I put my chin to my chest. I don’t know what to do. How do i stop it from happening

    1. Dave

      Many things can cause it. The most common are, depending on ur age:

      – Bed is too soft/firm. Maybe change the mattress, make sure ya have a soft pillow, and try sleeping with another pillow between your knees.

      – Excessive strain during the day. You’d probably figure this out, but if your job is labor-intensive (heavy lifting), it can cause back pain.

      – Is it low back pain? Could be caused by an old sports (football/motorbike) injury

      – Tension headache. Medications available at the doctor.

      – Some weird rheumatologic condition, like rheumatoid arthritis, ankylosing spondylitis (it’s prolly not this).

      Soo, I’d start with the mattress + pillow between the knees when you sleep, and see if that helps. If not, after 2 weeks of trying that, go to a family or internal medicine doctor. They’ll give good pain meds and maybe do additional diagnostic testing.

      See ya!

  7. sweta

    thrombocytopenia and prothrombin time test?
    thrombocytopenia is the decreased no. of platelets in the blood, and Prothrombin Time test is done to check the effectivity of the Extrinsic pathway of clotting…any link between these two?

    1. M A Salam

      These tests will detect most coagulation protein problems A relation between thrombocytopenia and time on bypass also was reported.
      The clinical picture, bleeding time, prolonged partial thromboplastin time test, and plasma prothrombin time test lead to the diagnosis.

      Thrombocytopenia : Relationship between platelet count and bleeding time. The bleeding time test assesses thecontribution of platelet number and function, and vessel wall. These results suggest that the severity of thrombocytopenia caused by chronic liver diseases correlates well with results of the glucagon challenge test.

      Prothrombin Time : The inverse relationship between the bleeding time and the hematocrit is particularly Prothrombin Time and Activated Partial Thromboplastin Time.

      If a coagulation disorder is suspected, consult a hematologist first. Routine diagnostic studies include a CBC, platelet count, sedimentation rate, blood smear for red cell morphology, urinalysis, chemistry panel, coagulation profile, rheumatoid arthritis factor, ANA test, serum protein electrophoresis, VDRL test, EKG, chest x-ray, and flat plate of the abdomen. The coagulation profile should include a platelet count, a bleeding time, a coagulation time, a partial thromboplastin time, and a prothrombin time.
      If there is fever, blood cultures should be done. A bone marrow examination and bone marrow culture may be useful. If disseminated intravascular coagulation is suspected, a fibrinogen assay and estimation of fibrin degradation products should be done. Platelet function may be assessed by clot retraction tests. Spleen and liver scans and bone scans may be needed. A CT scan of the abdomen and pelvis may also be necessary. Skin, muscle, and even kidney biopsies are often done to complete the workup.
      It can be seen from the above array of diagnostic tests that a hematologist should be consulted at the outset. Various forms of vasculitis may be confirmed by skin or muscle biopsy.

      Initial laboratory: Complete blood count (CBC), platelet count, peripheral smear, prothrombin time (PT), activated partial thromboplastin time (APTT), and possibly a bleeding time. If the lesions appear vasculitic, consider a sedimentation rate and C-reactive protein determination. Serum creatinine and urinalysis can be ordered to screen for renal involvement. In vasculitis, the laboratory findings are often nonspecific and a skin biopsy for histology is employed

  8. Ang

    How can I write better SOAP notes?
    I’m not too great at writing them and I feel like I need to get my act together before (God-forbid) one day they’re subpoenaed and then I’m screwed.

    Despite the amount of practice that was given in school, I still feel unconfident and incompetent (about writing them). Any advice?

    1. US_DR_JD

      In simple form SOAP notes can be boiled down to:

      Subjective: what the patient tells you

      Objective: what your physical examination and any diagnostic testing reveals.

      Assesment: Your diagnosis based on the S&O

      Plan: what you intend to do to remedy, relieve or treat the diagnosis.

      When writing the subjective, when possible place exact statements in quotes.

      When writing the objective, try to use appropriate terminology which would be universally understood by any health care provider reading the notes. ie malodorous and purlulent is better terminology than the oft used smelly pussy drainage, which I have often seen. Incidentally pussy is a cat and not a type of drainage.

      When writing your assesment use diagnoses which are within your scope of practice. An RN should not put down Rheumatoid Arthritis as it is a medical diagnosis, they should restrict themselves to nursing diagnoses.

      When writing your plan have defined measures and goals.

      Hope this helps

  9. Belyi Ovets

    What is this pain in my arms?
    A few months ago I had what could have been a small fracture in both my arms, ever since then they have ached. I got an xray but there was nothing wrong. When I lift a dumbbell my arm makes a sound similar to the sound of slowly bending a piece of wood, like it is ready to crack. Also my doctor told me I may have rheumatoid arthritis. What is wrong with my arms?
    Edit- The injury was more than 6 months ago and I laid off my arms but the pain still has not gone away.

    1. eggor

      If it dose not happen all the time it could be swollen at times pushing on a joint ..out of line. Some times there could be a hair line fracture the film didn’t pick up, anything not bone needs a mri or ct scan to know for sure. Ask your doctor about them, or another doctor orthopedics specialize in bone related issues, neurology, brain / nervous system. An emg tests nerve and muscle and motor neurons. All diagnostic procedures to know for sure. I do know your body is talking to you listen it never lies. Misleading at times but that is what tests are for. Don’t just push through the pain you could do permanent damage . Diagnosing is the first step to making educate decisions for best possible opportunity for an active long life. Tune ups help. Knowledge is power. Pain is your friend giving you a heads up stop pay attention.
      All the best.

  10. davitkos

    What is the difference between rheumatoid arthritis and severe degenerative osteoarthritis and treatments?
    I had a car run over me two years ago and since then I have gotten severe osteoarthritis in both of my knees, feet, hips, lower back and hands. I have no synovial fluid left in my knees and rubbing bone on bone. When I get up in the morning, I have to shuffle because my feet will not function. I think that is all I can explain at this time. Thanks

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