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Biopsy Positve In Routine Egd


angelas78

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angelas78 Newbie

I am new to this forum, I am 35 years old with a life history of reflux (have barrets esoph now), ulcers, constipation and diarrhea that alternates (never normal bowel habits), bloating, gi bleeding, diverticilitis (just found in scopes done this month). Along with checking for chrons and ulcertive colitis (my mother has both) my gi did biopsies to check for celiac. 

He made the remark that he didnt think I had it but would do a biopsy to rule it out (he is very ocd with his patients in covering every possible thing). Well a week and a half later my biopsy results came in the mail and it was positive for celiac along with a order for the bloodwork to go with the positive biopsy.

They are waiting for the next step of treatment for me until the blood work is done (going tomm to get it drawn). 

 

I am wondering if the biopsy is positive does that mean I have celiac? I do have a family member that has celiac (cousin). With that being said, out of my fathers family that cousin and myself are probably the only ones who have been  checked.

 

I am also worried about my oldest son, he has been having a lot of gi symptoms for 5 months now. (we are making him an appointment with a gi specialist).

 

Thank you for any advice you all can give me.


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1desperateladysaved Proficient

I have hope that you are coming to a deep root of your problem.  I am happy for that!.  I think many hear consider a positive biopsy conclusive.  They usually verify blood results with biopsy and hope one or the other will be positive if gluten is the problem.

 

I would try to get your son tested as soon as possible.

 

Welcome, and GET WELL  ***

 

Diana

shadowicewolf Proficient

I would assume so.

 

Stay on the gluten until after the bloodwork is over and then try the diet.

Takala Enthusiast

That is great that your gastro doc was thorough and checked for celiac while he was in there.  If this is it, you have a chance to make yourself well by adhering to a gluten free diet, after testing is completed. :)    You have symptoms of celiac, and the positive biopsy is usually the "gold standard" to get the official celiac diagnosis.  So you are "trending" that way.  Getting your first degree relatives, such as your son tested, is an excellent idea.   And there are plenty of people here who can help you with any sort of diet fine - tuning and advice on how to cope with a gluten free diet that may have to avoid a few other ingredients (we are all different. ) 

ravenwoodglass Mentor

Welcome. You should go gluten free as soon as you have had the blood drawn. You have a great doctor and although it likely doesn't feel like you are lucky you now have the answer for your problems. Do get your son checked and encourage all first degree relatives to be screened. Your ped can order the blood work for your son but do be aware that there can be false negatives on blood work especially with children. After he has finished all testing for celiac do try him on the diet for at least a couple months. Ask any questions you need to. It can seem hard at first but you will feel much better soon.

Cara in Boston Enthusiast

You should consider this good news.  You have celiac and you can start on the road to recovery very soon (as soon as they take your blood.)  You will be amazed at how much better you feel.  I didn't even realize some of my symptoms were symptoms - I just thought I was getting old and tired.  You are lucky your doctor is so sharp.  Everyone in your family should be tested - even if they have no symptoms at all.  

 

Good luck -

 

Cara

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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