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Kaishalewis1

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Kaishalewis1 Newbie

Hi my doctor referred me for endoscope because im anemic it came back saying there was inflammation in my stomach from my pain meds my question is do they automatically take a biopsy and test for celiac diease if gp didnt request it? They didnt say if they had taken a sample at time x


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trents Grand Master
(edited)
36 minutes ago, Kaishalewis1 said:

Hi my doctor referred me for endoscope because im anemic it came back saying there was inflammation in my stomach from my pain meds my question is do they automatically take a biopsy and test for celiac diease if gp didnt request it? They didnt say if they had taken a sample at time x

No, they don't.

Normally, the first step in checking for celiac disease is to take a blood sample and have it checked for antibodies that are associated with celiac disease. There is still a lot of ignorance in the medical community as a whole concerning celiac disease. Simply put, it just isn't yet on the radar of many physicians. I would go to your PCP and request a celiac panel. Anemia is certainly one of the hallmark symptoms of celiac disease. Please here this: Don't attempt a gluten free diet until all testing for celiac disease is complete. Otherwise, you will render the tests invalid. You should be eating normal amounts of gluten pre testing.

https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/

Edited by trents
Kaishalewis1 Newbie
28 minutes ago, trents said:

No, they don't.

Normally, the first step in checking for celiac disease is to take a blood sample and have it checked for antibodies that are associated with celiac disease. There is still a lot of ignorance in the medical community as a whole concerning celiac disease. Simply put, it just isn't yet on the radar of many physicians. I would go to your PCP and request a celiac panel. Anemia is certainly one of the hallmark symptoms of celiac disease. Please here this: Don't attempt a gluten free diet until all testing for celiac disease is complete. Otherwise, you will render the tests invalid. You should be eating normal amounts of gluten pre testing.

https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/

Thanks for the reply xx

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      Thanks for the reply. 
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      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.
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