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Confused on Lab Results-IgA levels elevated possible Celiac

Over the last two years, I've been having serious stomach pains that come and go. Essentially it feels like serious cramps in my stomach and upper digestive track that occurs about an hour or two after eating and last 2 hours usually where I am in serious pain and unable to do anything except for lay in my bed.

I went to a primary doctor to get it check out. They initially did some tests that were all normal and I got a sonogram of my entire abdomen and it didn't show anything suspicious.

Two months later with the same symptoms and no change, I saw another primary doctor who suggested me to see a specialist. They both requested different lab work which is where most of the confusion lies for my question. My health center called me on Friday right before they closed. I missed the call, but I see the results on the online health center so I am trying to figure out what this might mean. Here are the results that I'm confused about...

(Ordered by my primary doctor) Absolute Eos 0.89 (on a scale of 0.1 - 0.5K/mcL) High
(Ordered by my primary doctor) Gliadin Antibody Igg 5 (<20 - <20 UNITS) NOT High
(Ordered by my primary doctor) Gliadin Antibody Iga 20 (<20 - <20 UNITS) High
(Ordered by the specialist) Ttg Iga 4 (<20 - <20 UNITS) NOT High
(Ordered by my specialist) Ttg Igg 4 (<20 - <20 UNITS) NOT High

Two doctors, a specialist and my primary doctor, were testing for Celiac Disease and I've been reading a lot about these tests, but my results aren't showing to be conclusive one way or another. Plus, most of what I am reading states that IgA levels are usually deficient, not elevated with almost no site talking about elevated IgA levels. I'm especially confused as how I have elevated IgA blood serum levels yet I have TtG IgA levels as normal...

If anyone could explain these test results a bit, by giving possible explanations or if you've had similar results, I'd greatly appreciate it to hopefully calm my worries for the weekend until I hear back on Monday.
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Avatar universal
Roro, many who later find out they've got gluten issues have a long period of time before they show all the parameters that will finalize a diagnosis. I believe in some it's been said that there can be a 10 year lead-up period. With the presence of the IgA-gliadin antibodies that are at 20, you may want to consider doing a gluten gene test that will tell you if you're carrying celiac genes, gluten-sensitive genes, a combination or none. If that test shows something indicating gluten issues, I'd seriously consider giving up all gluten products. You can do the gene test through enterolab easily and quickly.

My husband has gluten issues and he doesn't care whether it's gluten-sensitivity or celiac, it makes him miserable and he went GF many years ago. Only a couple of years ago, he did the gene test and found out where he stands on the gluten spectrum. But it really didn't matter. He knows if he's exposed to it, he's miserable and it takes days out of his life.

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Avatar universal
if you have DERMATITIS herpetiforme, it is very suspect of gluten insensitivity or celiacs. a genetic test can confirm if you have the gene for sensitivity or celiacs, however only your doctor can tell you the results.
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Avatar universal
There are two IGA related issues:
One is the IGA - TTG to check for antibodies
The other is the Total IGA which is a different measurement and should not be used in isolation to evaluate for possible IGA deficiency. The IGA deficiency is best measured by percentages of the 3 main immunoglobins, IGA, IGG and IGM. Check out this online to understand how to check the percentages and see if yours is within the norm.

If you are referring the the first test - and it's elevated - it's a positive for coeliac of IGA deficiency type.
If you are referring to the second test - it would not be elevated and positive for IGA deficiency.
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