Upper Endoscopy

[nutbutters]

Hi,

I was diagnosed my a doctor in New York (top in his field!) by way of an intestinal permeability test, but I was told that I need a positive biopsy to confirm his diagnosis. So, I went to a gastroenterologist yesterday, and I was scheduled for an upper endoscopy since I do exhibit all of the typical celiac symptoms. Initially, it was scheduled for two weeks from now, but since I am already on a strict Gluten-free Casein-free diet, I was instructed to eat as much of the damaging proof as possible in order for the biopsy to be valid! They also rescheduled it to a month and a half from now. How long ahead of time should I start eating gluten, and how much should I eat? My doctor said ASAP and as much as possible but today alone has been painful for me. I have never been more grateful to be gluten-free. I previously thought gluten-free wasn't my problem but just consuming gluten again has proved to be painful....

Thanks!!!

[Lisa]

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The intestinal permeability test is non specific for Celiac. Which is probably the reason your doctor wanted to confirm his thoughts with a biopsy.

A gluten free diet will, in fact, jeopardize your accuracy in testing with an endoscopy exam. A good six weeks should be sufficient time to reek havoc in your small intestines. Although, no testing methods are currently available that are 100% conclusive.

You don't have to pursue further testing if you just can't do it. A positive dietary response is a diagnosis enough. You already know you either have Celiac, a gluten intolerance/sensitivity or a gluten allergy.