QUOTE("psawyer")
A trigger is required, such as a major infection, surgery, pregnancy, or the like. Unless triggered, there is no celiac.
Not true. Sometimes it is triggered after being fine initially, and sometimes it is there no matter what. Otherwise, how do you explain the fact that some babies seem to have celiac disease right from birth? Plus, I've always had it, and so do some of my siblings. Some of us have had trauma that could have triggered celiac disease, others never had anything you could call major trauma before being sick.
So, while your statement is true for many, it isn't always true.
That said, I do agree about covsooze's dad. He could possibly have an AgG deficiency, maybe the doctor didn't do the whole panel, and maybe he just tested false negative. Sometimes the lab tests rarely for celiac disease and they don't know what they're doing. He sure sounds like he has celiac disease.
covsooze, couldn't you convince him to try the gluten free diet? Is it possible for either you or your sister to have him come and visit, lets say for a week, to eat with you? That way he wouldn't feel that it is inconvenient for him, and you could see first hand if it makes a difference. Would he be willing to give that a try? Maybe if he feels a lot better gluten free, he would be willing to do an endoscopy. Or decide he just wants to stay gluten free without it. You never know what he will do once he sees the difference a gluten free diet makes. Assuming it would make a difference, of course.
Maybe you could get him to read about all the terrible things people with celiac disease might die off, if they are undiagnosed, and let him know that you love him, and that you're afraid he might die of cancer if he doesn't stop eating gluten.