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Normal To Find Polyps When Having Gastroscopy Done?

Magician

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Magician Rookie
Magician
Posted

OK, so here I am. After 10 years of non-stop gas and intermittent diarrhea/constipation, I was always told I had IBS and it was nothing to worry about. Last year by fluke I entered a health food store and a pamphlet screaming 'IBS' jumped out at me. I brought home a copy and poured over it; then asked my doctor for a referral to a Gastro doc.

The new doctor told me she believes I have been misdiagnosed. Testing began with the small bowel test and drinking of barium. What horrid stuff that is!

Last week I finally had the gastroscopy done. She saw a number of polyps and took samples of all of them.

What do the stomach polyps mean? She said she felt sure they were benign but I am wondering if it is normal to find polyps and could they be indicative of Celiac Disease?

Thank you for your replies.

Magic

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jerseyangel Proficient
jerseyangel
Posted

Hi Magic,

Welcome :)

I had an endo done just this past fall and the doctor found stomach polyps--she said that they are very common (not for Celiac Disease, but in general) and most likely benign. Because this was the first time polyps were found, she had them biopsied and they were fine. Sounds like your doctor was on the same wavelength as mine.

On a related note, I also had to have an upper abdominal ultrasound done and they found gallbladder polyps, too. These were also found to be benign.

Jestgar Rising Star
Jestgar
Posted

I googled this and it turns out they're extremely common in people who use PPIs (like Nexium).

They also tend to be more common as you get older.

Magician Rookie
Magician
Posted
  • Author

I am so tired of always having gas, gas, gas and then runs or constipation. I do not use PPIs unless the ocassional Tums is considered to be a PPI? I get frequent indigestion and many times will just drink Coke to make myself burp to relieve the indigestion.

I have many mineral difficiencies including zinc, B12, iron, etc. Yet I eat like a flipping horse. I am always hungry and always feel tired. Weight just falls off me.

The nurse confirmed the polyps are all stomach polyps and have been sent for biopsy.

Thank you for your replies, Magic

ang1e0251 Contributor
ang1e0251
Posted

To diagnose celiac, you must have a blood celiac panel run then your GI would take biopsies from the small intestine. Your testing thus far is for other conditions, as far as you have described.

The symptoms in your last post could definately be celiac disease. Why don't you ask for a full celiac panel from your next dr visit? Can't hurt...

cruelshoes Enthusiast
cruelshoes
Posted

My then 6 YO son was found to have many polyps in his stomach when we did his biopsy for celiac. The Pediatric GI referred to them as Pseudopolyps, and said that they are caused in the seomach from the constant irritation of ingestion of gluten. She said they should go away when we removed gluten from his diet. She did biopsy them, and they were found to be benign.

HTH.

Magician Rookie
Magician
Posted
  • Author
To diagnose celiac, you must have a blood celiac panel run then your GI would take biopsies from the small intestine. Your testing thus far is for other conditions, as far as you have described.

The symptoms in your last post could definately be celiac disease. Why don't you ask for a full celiac panel from your next dr visit? Can't hurt...

Thank you. I will ask. I've already had many blood tests and a physical examination.

She said she would keep testing until she finds the diagnosis. That is strangely comforting.

She did say if she cannot find a diagnosis her only option would be to diagnose me with Malnutrition.

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jerseyangel Proficient
jerseyangel
Posted

Magician--

Celiac won't show up on the usual blood tests. Ask your doctor if she's run/ will run the Celiac Panel--

Anti-Gliadin (AGA) IgA

Anti-Gliadin (AGA) IgG

Anti-Endomysial (EMA) IgA

Anti-Tissue Transglutaminase (tTG) IgA

Total Serum IgA

It consists of these tests, and all 5 should be run.

Magician Rookie
Magician
Posted
  • Author

The blood work you mention was requested on June 27, 2008. For these blood tests I was told to eat as much as I could to see how my body reacted. Gluten challenge, perhaps?

I will receive thede results in a few weeks, too, when I see the Gastroentrologist for my biopsy results.

Stool tests were also done to rule out parasites. None were found, thank goodness.

Magic

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    • rei.b
      High DGP-A with normal IGA

      By rei.b · Posted

      Okay well the info about TTG-A actually makes a lot of sense and I wish the PA had explained that to me. But yes, I would assume I would have intestinal damage from eating a lot of gluten for 32 years while having all these symptoms. As far as avoiding gluten foods - I was definitely not doing that. Bread, pasta, quesadillas (with flour tortillas) and crackers are my 4 favorite foods and I ate at least one of those things multiple times a day e.g. breakfast with eggs and toast, a cheese quesadilla for lunch, and pasta for dinner, and crackers and cheese as a before bed snack. I'm not even kidding.  I'm not really big on sugar, so I don't really do sweets. I don't have any of those conditions.  I am not sure if I have the genes or not. When the geneticist did my genetic testing for EDS this year, I didn't think to ask for him to request the celiac genes so they didn't test for them, unfortunately.  I guess another expectation I had is  that if gluten was the issue, the gluten-free diet would make me feel better, and I'm 3 months in and that hasn't been the case. I am being very careful and reading every label because I didn't want to screw this up and have to do gluten-free for longer than necessary if I end up not having celiac. I'm literally checking everything, even tea and anything else prepacked like caramel dip. Honestly its making me anxious 😅
    • knitty kitty
      High DGP-A with normal IGA

      By knitty kitty · Posted

      So you're saying that you think you should have severe intestinal damage since you've had the symptoms so long?   DGP IgG antibodies are produced in response to a partial gluten molecule.  This is different than what tissue transglutaminase antibodies are  produced in response to.   TTg IgA antibodies are produced in the intestines in response to gluten.  The tTg IgA antibodies attack our own cells because a structural component in our cell membranes resembles a part of gluten.  There's a correlation between the level of intestinal damage with the level of tTg antibodies produced.  You are not producing a high number of tTg IgA antibodies, so your level of tissue damage in your intestines is not very bad.  Be thankful.   There may be reasons why you are not producing a high quantity of tTg IgA antibodies.  Consuming ten grams or more of gluten a day for two weeks to two months before blood tests are done is required to get sufficient antibody production and damage to the intestines.  Some undiagnosed people tend to subconsciously avoid lots of gluten.  Cookies and cakes do not contain as much gluten as artisan breads and thick chewy pizza crust.  Anemia, diabetes and thiamine deficiency can affect IgA antibody production as well.   Do you carry genes for Celiac?  They frequently go along with EDS.
    • rei.b
      High DGP-A with normal IGA

      By rei.b · Posted

      I was tested for celiac at the same time, so I wasn't taking naltrexone yet. I say that, because I don't. The endoscopy showed some mild inflammation but was inconclusive as to celiac disease. They took several biopsies and that's all that was shown. I was not given a Marsh score.
    • knitty kitty
      High DGP-A with normal IGA

      By knitty kitty · Posted

      Food and environmental allergies involve IgE antibodies.  IgE antibodies provoke histamine release from mast cells.   Celiac disease is not always visible to the naked eye during endoscopy.  Much of the damage is microscopic and patchy or out of reach of the scope.  Did they take any biopsies of your small intestine for a pathologist to examine?  Were you given a Marsh score? Why do you say you "don't have intestinal damage to correlate with lifelong undiagnosed celiac disease"?   Just curious.  
    • rei.b
      High DGP-A with normal IGA

      By rei.b · Posted

      I was tested for food allergies and environmental allergies about 7 months before I started taking Naltrexone, so I don't think that is the cause for me, but that's interesting!  The main thing with the celiac thing that is throwing me off is these symptoms are lifelong, but I don't have intestinal damage to correlate with lifelong undiagnosed celiac disease.
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