Does this test have other names?
What is this test?
This test looks for certain antibodies in your blood that may mean you have celiac disease, an autoimmune disease.
If you have celiac disease, your immune system responds abnormally to a protein called gluten. Gluten is found in wheat, barley, and rye products. Your body makes antibodies to the gluten called endomysial antibodies (EMA). These autoantibodies cause intestinal swelling and, if undetected, can damage the lining of your small intestine. They can also keep your body from fully absorbing nutrients from food. Chronic swelling and increasing damage to the small intestine leads to malnutrition, among other problems.
Why do I need this test?
You may need this test if your healthcare provider suspects that you have celiac disease. Signs and symptoms of celiac disease include:
Repeated belly pain and bloating
Pale, foul smelling or fatty stool
Excessive intestinal gas
Mood disorders, including depression
Itchy skin rash
Bone and joint pain
In children, signs and symptoms may also include:
Light colored, fatty stools
Irritability or change in mood
Problems with dental enamel in permanent teeth
What other tests might I have along with this test?
Your healthcare provider may also order other blood tests to look for:
Anti-tissue transglutaminase, or tTG, antibodies
Anti-deaminated gliadin peptides
Blood cell counts
Your healthcare provider may also test you for an immunoglobulin A (IgA) deficiency. If you have this deficiency, it will make it harder to get a clear result on your endomysialantibody test. Instead, the lab will use a different class of tests.
Your healthcare provider may also order genetic testing. Genetic testing can't diagnose celiac disease, but it can determine that you don't have it.
If any of the tests show that you may have celiac disease, your healthcare provider will most likely order a biopsy of your intestine to get a more complete picture of your condition.
In children younger than 2 years, the healthcare provider may also order a test to look for anti-gliadin antibodies.
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
Normal results are negative, meaning that no EMA antibodies were found in your blood.
If your levels of IgA EMA and tTG antibodies are higher, it may mean that you have celiac disease. If you also have typical symptoms and respond to a gluten-free diet, you will likely be diagnosed with celiac disease.
How is this test done?
The test is done with a blood sample. A needle is used to draw blood from a vein in your arm or hand.
Does this test pose any risks?
Having a blood test with a needle carries some risks. These include bleeding, infection, bruising, and feeling lightheaded. When the needle pricks your arm or hand, you may feel a slight sting or pain. Afterward, the site may be sore.
What might affect my test results?
Not eating gluten will affect your results.
How do I get ready for this test?
You must be on a diet that contains gluten for at least four weeks before this test. See your healthcare provider for specific diet instructions. Be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
September 20, 2017
Celiac Disease Diagnosis: Simple Rules Are Better Than Complicated Algorithms. Catassi, C, Fasano, A. The American Journal of Medicine. 2010;123(8):691-3., Diagnosis of celiac disease in adults. UpToDate
Haldeman-Englert, Chad, MD,Taylor, Wanda L, RN, Ph.D.