Went To New Gastro
Posted 16 May 2004 - 05:49 AM
Posted 16 May 2004 - 03:36 PM
To answer your question, yes being gluten-free for a month will affect your blood test, they will not be accurate.
I hope you feel better soon!
Posted 17 May 2004 - 03:21 AM
Posted 17 May 2004 - 08:52 AM
I would also go to your old Gastro and get a copy of your biopsy results and any other tests he ran and take with you to the new Gastro doc, so that he can see what he been done.
I wish you luck and do hope you feel better soon! Take care
Posted 17 May 2004 - 10:04 AM
PS -- If you try this and it does the trick it does NOT mean you don't have celiac disease. I would say that with positive biopsy you have celiac disease.
Posted 17 May 2004 - 10:13 AM
Posted 17 May 2004 - 11:36 AM
"Identifying the cause of small bowel bacterial overgrowth, and even diagnosing it as the cause of the patientís symptoms, is often challenging. Aspirating fluid from the bowel during an upper gastrointestinal endoscopy was once considered the gold standard for diagnosis; however, this method is often not helpful because it may be impossible to aspirate from the area where the overgrowth is occurring and because methods of culturing the fluid are often affected by errors in obtaining and processing the fluid. Glucose breath hydrogen testing is sometimes beneficial in identifying overgrowth. Glucose is used as a substrate for this breath test because it is rapidly metabolized by bacteria in the small bowel (before it can be absorbed) and results in excess hydrogen which is easily detected in the patientís breath . Other diagnostic tests include quantitative and qualitative evaluation of urine for indicans and detection of an elevated level of serum d-lactic acid, both of which indicate bacterial metabolism [5-6]. At times, d-lactic acidosis can be so severe as to cause seizures and metabolic acidosis with coma. Elevated serum folate levels may also be present with bacterial overgrowth. The presence of a dilated bowel segment on upper GI x-ray may identify the location of overgrowth in advanced cases."
In others words (where have we heard this before?), it can be hard to diagnose and is often overlooked.
Dr. Cynthia Rudert, an Atlanta physician who is one of the top celiac doctors in the country, doesn't even bother to try to diagnose it. She gives all of her celiac patients probiotics. In fact, she says virtually every patient who comes to her already diagnosed has having permanent or refractory sprue is either still eating gluten somehow or has overgrowth.
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