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Help With Report


CeeLare91

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CeeLare91 Newbie

Hi everyone , had the tests! Endoscopy and Colonoscopy - don't understand the results report which is.. they were looking for crohns celiac and IBS... any ideas? or 4 week wait for biopsy results haha

Colonoscopy

Rectum Normal. Procedure: Biopsy

Sigmoid Colon Normal

Descending Colon Normal

Splenic Flexure Normal

Trasnverse Colon Normal. Procedure Biopsy

Hepatic Flexure Normal

Ascending Colon Normal. Procedure Biopsy

Caecum Normal

Terminal Ileum Not Visualized. Procedure Biopsy

Then Endo results are

Cricopharyngius Normal

Oesophagus Normal

Cardio to esophagus junction Normal

Stomach Normal Procedure Biopsy

Pylorus Normal

Duodenum first-part - Duodenitis

Duodenum second part Normal Procedure Biopsy


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cyclinglady Grand Master

Well, did they order a celiac blood panel? These are the list of tests:

-tTG IgA and tTG IgG

-DGP IgA and DGP IgG

-EMA IgA

-total serum IgA and IgG (control test)

-AGA IGA and AGA IgG - older and less reliable tests largely replace by the DGP tests

You had the endoscopy, but most times a visual shows no celiac damage. Multiple biopsies are taken because the small intestinal wall is vast in size (size of a tennis court). The colonoscopy is not typically ordered for celiac disease but some doctors biopsy the small intestine from the colon side.

-endoscopic biopsy - make sure at least 6 samples are taken

(Source: NVSMOM -- )

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Noobette Apprentice

The report states that everything appears normal on inspection, except you appeared to have duodenitis, which is inflammation of the uppermost section of the small intestine. Duodenitis is a very common finding and could be due to a variety of causes. You had biopsies taken of multiple areas, so when those results come back you will have an additional report which might show other abnormalities not visible to the naked eye.

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    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
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