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Microscopic Colitis?

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I've been having some digestive issues lately so I decided to see a gastro doc. A little background info though: I was diagnosed with celiac through a blood test about three or four years ago, and she never did a biopsy to confirm the diagnoses.My symptoms have improved significantly with the gluten free diet so I do really think that it is celiac disease. but the symptoms haven't completely disappeared. Sometimes it is my fault because I accidentally contaminate myself (I live in a gluten eating household although they try their best to keep things safe) but sometimes I have done everything I can think of to make sure it's safe and I'm still having issues. Within the past couple of weeks I have been experiencing extreme nausea sometimes followed by vomiting, my stomach is really tender to the touch on the left side, my stools have often been yellow and thin with mucus or undigested bits of food (TMI I know I'm sorry!) and it often takes me 5-6 bowel movements to feel like I'm "empty" and sometimes it's just mucus that comes out when I try. This is different from when I get glutened because their isn't a whole lot of stomach pain (some but not the intense stabbing pain of glutening) The doc seems to think it could be Microscopic Colitis which is apparently another autoimmune disease that goes hand in hand with celiac. Does anybody else here have this? Were you having similar symptoms? 

He also mentioned a condition that effects about 3% of people with celiac. It quickly can cause a kind of cancer in the colon I think he said, but I can't remember the name of the condition to save my life, but he did say that if it turns to cancer that nobody survives. He says it's most likely not that but it could be. If anyone has any idea what I'm talking about I'd appreciate the name of it, I had so much information to take in from him at once the name has slipped my mind.

In august I had an endoscopy (done by a different doctor) that found inflammation in my stomach and a small mild ulcer in my stomach (probably caused from use of ibeprofen plus stress), they prescribed sucralate (which my new gastro doctor said wasn't a very good med to give for ulcers.) My new gastro doctor gave me dexilant (an acid blocker) to take for two weeks and see if that improves the symptoms. If it doesn't after those two weeks were going to do an endoscopy to get a biopsy of the duodenum and a colonoscopy to get a biopsy of the colon to check for microscopic colitis. I'm hoping this medication resolves it. I was under the impression that a endoscopy after you go gluten free is useless, but he told me that it is rare for someone with celiac disease (assuming they haven't been gluten free for a long long time) to have a completely healed intestinal tract and that he should still be able to see villi damage.  

This has been such a frustrating process, and I am getting so sick of not feeling good whether its diarrhea or extreme nausea it never seems to stop. I just want some for sure answers. I am hoping that someone here has had similar issues or if there's anyone here with microscopic colitis, and how they manage it all the information I found online said there was no real treatment... I'm sorry this is long and probably rambles quite a bit, but hopefully someone out there has had the same issues!


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Sorry I can't help you much.  You are at the bottom of new posts on my screen so




if you aren't familiar with what that means, I have put your post back up to the top for ((hopefully)) that right person will take notice and answer. :)


Usually a gluten free diet is helpful for colitis


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The only thing I know about microscopic  colitis is that when I had my  colonoscopy my GI doc did a biopsy to check for it. He said it is sometimes a "complication" of celiacs . My biopsy was negative so I have done no further research

Have you considered the possibility of other  food intolerances ? or diverticulitis ?

I hope you find some answers soon .


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Did you ever get an answer? I have a colonoscopy tomorrow because after being diagnosed with a biopsy with celiac  and most of my symptoms rapidly got worse and my weight dropped dramatically in the first 10 days and I haven't improved or maintained any weight gain since Jan 3. They are looking for microscopic colitis first and foremost but I'm very concerned about crohn's or ulcertive colitis or i guess less concerned but still thinking about cancer.


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    • I understand. Poor thing, made doubly rough because 13 is a really hard age even in the best of times. OK, at 13 she should show the damage in the biopsies. I didn't know if she was 2 or 3 yrs. old & in those cases sometimes they just plain haven't lived long enough to be damaged where the biopsies pick it up - it can be so patchy then.  Gosh, I'm really feeling for her & you both and I so want to say take her off gluten the moment the endoscopy is over but I'm afraid to say that b/c I've seen some pretty weird things go on that you would never expect. Docs can be so uninformed! Please let us know how things turn out & send your daughter some hugs from me and tell her I believe her. Please let her know that most of us had been told by doctors they think it's all in our heads, didn't believe us, blew us off so we know exactly how she feels. Remind her her pedi believes her & he's been more helpful than the GI has.  Press the GI for 6-8 biopsies but a bare minimum of 6.  {{{{{{{{{{{{{{{{{{{{{{HUGS}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
    • I have seen articles linking celiac to Barretts and esophagitis.  I've actually been subtly hinting to my boyfriend to get tested for celiac as well because he has some strange Autoimmune arthritis as well as Barrett's  and some white spots on brain MRI Not MS). One of the articles I read on Celiac and Barrett's actually suggested that most of the patient did not have actual acid reflux symptoms. Not sure if you ever did antibody testing for celiac, but sounds like you certainly want to avoid gluten. 
    • Ahh good point! She is 13 and has been miserable for over two years. It started with chronic hives. We have been to a dermatologist, and a allergist and they brushed it off to her seasonal allergies and now she has joint pain,bloating,constipation,fatigue,headaches just all around miserable. I just want answers quick. she is getting depressed and says she hates her life cause she doesn't think anyone believes her. It's heart breaking . I hope we get answer soon. Thanks for the advice I will keep her on gluten. She is just miserable and I figured the sooner she is off gluten the sooner she will feel better. 
    • Welllllllll, in this particular case it would be best to keep her on gluten until the results come back. The reason I say this is b/c this GI seems whacky. There's a chance you may need to go to a different GI & have the endoscopy redone. I was going to say get a new GI but since the endoscopy is on Monday then I would go forth with it rather than waiting the time it would take to get a new GI & schedule an endoscopy. This GI seems set that it's not celiac & when they get that in their brain it's usually pretty darn hard for them to admit they were wrong. My concern is that she won't take enough biopsies from the right places b/c she's either dumb about how many & where or letting her personal (already formed) opinion influence what she will do. The problem is that you can't be there in the OR with them standing on the GI's shoulders making her do the right thing. Not knowing your daughters age, the other concern is that there may not be "enough" damage just yet, it may be patchy, etc..... that with the mindset this doc has, she will poo poo the dx.  Let me say that it would be a travesty & wholly awful IF you had to put your daughter through another endoscopy but we know how very important it is for her to have an official, dyed in the wool dx. So I'm just trying to think down the line & prevent problems before they come up. I mean, this doc may not even take any biopsies. That sounds insane I realize, but really, it happens more often than you would think. I can't tell you the number of times we've had people come on here after having an endoscopy for celiac where the doc didn't take any biopsies b/c the doc is so stupid as to think they can see the damage & doesn't realize there MUST be biopsies! If you take her off gluten & heaven forbid, you have to end up putting her back on it to get further testing then chances are she's going to get much, much sicker when she's put back on gluten. That most often happens with us and I'm talking about radically sick. See, I'm basing all my thinking on the fact that despite ALL the positive celiac blood work, this dimwit doc doesn't think it's celiac & instead it's all related to the constipation. That is just so far out there, it's NUTS! She's flying in the face of hard evidence! Every test you listed was positive. I can't even begin to understand how this GI comes to her insane conclusion. THAT'S why I am so concerned. 
    • Thanks for your reply. That's what my husband and I thought too. She has a ton of symptoms that's fit celiac. Also I was going to start her gluten free diet after her biopsy on Monday cause the dr said the results take two weeks. Is there a reason I should keep her eating gluten until we get the results? Thanks for your help.
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