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What Is Usual For Endoscopy Report?


ryebaby0

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ryebaby0 Enthusiast

My 10 y.o. son had an endoscopy Dec. 30; they called us (the peds GI is 2 hours away) to say that it confirmed the dx and we should schedule a follow-up visit. I got a copy of the report and since then have wondered if this is standard operating procedure? Shouldn't someone have explained the whole results? His "follow-up" is scheduled for JUNE. The lab report makes me wonder if he is too sick to recover on his own just by being gluten-free-- "acute cryptitis and abscess", to the best we've been able to determine, aren't good things at all. He's been gluten-free for 3 weeks and has yet to "turn the corner" so to speak.


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Guest jhmom

I don't know what the standard procedure is but I know when I had mine done, I called the doctors office and spoke with his nurse within a few days. She could not tell me too much and scheduled an apt to see the doctor, but I only had to wait a couple of days, not months!!!!

I would call his doctor and demand an apt next week, let them know he does not seem to be improving on the gluten-free diet. I know for me I have been gluten-free for 4 months and still have some lingering symptoms. Sometimes it takes longer than 3 weeks to see an improvement. I sure hope he feels better soon! :)

"acute cryptitis and abscess",
I am not sure what this means, maybe some of the more experienced Celiac's can answer this one. ;)

Don't worry, just keep doing what you are doing and I am sure he will begin to feel better soon!

gf4life Enthusiast

ryebaby0,

I would push for an earlier appointment date as well. There are some tests they can do on your son to look for specific deficiencies, like iron, B vitamins, calcium, and more. Then he could take specific supplements for these until he started healing more.

Also, if he is still on dairy products this could delay his healing, since the first part of the villi to be damaged is the tip and that is where lactase is produced. If the damage is bad it will be a while before he could digest dairy properly and it will cause his healing to be delayed. So you should probably have him totally dairy free for a few weeks and then slowly add a bit of lactose free products until he is healed (which can take up to a year or two, but many show drastic relief of symptoms within a few months).

I hope this helps a bit, and I am glad that you know what is wrong with your son. It can be frustrating to have a child with an illness and not know what is wrong. Now it is within your power to help him achieve health! :) This is good, but it can be a very stressful time with so much to learn. Try not to be too hard on yourself if mistakes happen. They happen to all of us, even to people who have been gluten free for years! It would be good if you can get your son involved in the shopping and meal preparation. This will help him tremendously, since he will be a teenager in a few years and will need to know how to shop and prepare his own foods.

A great book to read, if you haven't already is Danna Korn's book, "Wheat Free, Worry Free". She also has a book about raising Celiac Children called, "Kid's with Celiac Disease". You might also want to see if there is a local chapter of a ROCK (Raising Our Celiac Kids) support group. getting together with other families of celiacs can really help a lot.

I hope you can get your son in earlier than June, but the fact is that many doctors don't know much about the gluten free diet. They give the diagnosis (and you are luck to have that, many never get that far!) and then the docotr sends you on your way, and you are on your own with this new way of eating and living! It might help to consult a nutritionalist or a dietician, but even some of them are not trained in a gluten free diet. If you live in or near a large city, you will probably have more resources available to you.

Well, I'm sorry for rambling on so much. I hope I helped a bit.

God bless,

Mariann

DLayman Apprentice

I would add to the book reccomendations Breaking the vicious cycle by elaine Gotshall you can read a few chapters and getmore info at www.breakingtheviciouscycle.info and www.pecanbread.com

this might be a way to go for you if simple gluten-free doesn't cut it

hillary-h Rookie

Hi,

My daughter is 5 years old both blood tests are posative for celiac disease, she gets her biopsy in two weeks. Ronni has been much better this month except her stool is almost white and it floats usually she has diarrhea and vomiting. When I told the doctor this I could see the concern in her face. Does anyone know what this means. I have been a wreck ever since they told me she might have celiac.

Thanks,

Hillary

seeking-wholeness Explorer

Hillary,

It's difficult to come to terms with the prospect of having to deal with celiac disease, especially in your child! Take it one day at a time, and give yourself a chance to grieve and adjust. Your world just turned upside down, and it probably feels like nothing will ever be normal again. With time, you will be able adapt to your new lifestyle, and your daughter will regain her health, I'm sure.

On that subject, what color is your daughter's urine? Is it darker than usual? Pale stools plus dark (tea-colored) urine suggest hepatitis. The term hepatitis simply means liver inflammation; it is usually caused by a virus, but it could be related to undiagnosed celiac disease. You might want to ask your daughter's doctor about this.

Also, is your daughter already on a gluten-free diet? If so, this may skew the biopsy results, producing a false negative! This may be something else to bring up with the doctor, if appropriate.

I wish you and your daughter the best as you seek the reason for her troubles!

JsBaby-G Newbie

Ryebaby0,

That is unusal that you should have to wait that long for a follow up. I would push to see a doctor to discuss the results. I went to school for hospital administration and I looked in my medical dictionary and this is what I came up with.

Acute Cryptitis

Inflammation of a follicle or glandular tubule, particularly in the rectum in which the onset symptoms occur rapidly.

I wouldn't worry too much about that. Those are just fancy words for inflammation (probably of the intestinal tract, which we already know is true of Celiac Disease)

Abscess

A localised collection of pus caused by the formation of pus being buried in tissues, organs or confined spaces. Usually due to an infective process.

Either way I would try to get a doctors translation. I want to make it very clear that I am not a medical professional and am not making any kind of diagnosis.I just wanted to try to shed light on the medical terms for you!

Hope that helps!


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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
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      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
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    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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