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I Need Some Help.....please


DVjorge

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DVjorge Apprentice

Hi everybody,

My upper endoscopy showed a flat stomach lining. I am not sure if the visual endoscopy allows the dr. to see if you have villi atrophy. Anyway, the dr. who ran my endoscopy told me he found flat stomach walls. He took biopsia samples but the result came back marking gastritis and h. pylori. My GI dr. wants to test me for blood antibody to see if Celiac is present. I have gastrointestinal problems like bloating, flatulence, etc. What sorprise me is I eat a lot of bread, cookies, and products with gluten, and I don't feel any worsenig of my symtoms. Insted, I eat uncooked vegetables and beans and my digestion is really heavy. Do you think this could be Celiac in spite of no feeling problems eating bread, etc?

Thanks for any advice,

George.


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ravenwoodglass Mentor

Did he take any biopsies of the small intestine? When he said the lining was flat was he just talking about the stomach or was he talking about the small intestine? I am pretty sure that would be indicitive of celiac. No matter what the results of the blood test are you should give the diet a try when all the tests are over.

Foxfire62 Newbie
Hi everybody,

My upper endoscopy showed a flat stomach lining. I am not sure if the visual endoscopy allows the dr. to see if you have villi atrophy. Anyway, the dr. who ran my endoscopy told me he found flat stomach walls. He took biopsia samples but the result came back marking gastritis and h. pylori. My GI dr. wants to test me for blood antibody to see if Celiac is present. I have gastrointestinal problems like bloating, flatulence, etc. What sorprise me is I eat a lot of bread, cookies, and products with gluten, and I don't feel any worsenig of my symtoms. Insted, I eat uncooked vegetables and beans and my digestion is really heavy. Do you think this could be Celiac in spite of no feeling problems eating bread, etc?

Thanks for any advice,

George.

The villi can be seen in the small intestines. If he did not biopsy the small intestines, then you cannot be given a 100% diagnosis of celiac disease. A tTg/IgA test (the blood test he is referring to) can give you some clues, but the only sure-fire way to diagnos celiac disease is by having the duodenum biopsied to check for blunting of the villi. Be sure to continue to eat gluten to ensure accurate test results. It sounds like your symptoms are not too severe, and gluten can be tolerated sufficiently enough, although uncomfortably.

If you're eating veggies/beans raw, if you are a celiac, you will probably have a more difficult time digesting them. Plus, I believe eating raw veggies/beans will give you more flatulance anyway. Have you tried cooking them instead to see if that relieves your problem?

With your diagnosis, were you given any antibiotics to clear up your stomach problem?

Also, do not rule out intorances, such as lactose or some of the more famous allergens.

Good luck!

GFinDC Veteran

Yes, you can have celiac and not have GI symptoms. They call it silent celiac. Silent doesn't mean that your body isn't being damaged by celiac, just that you don't notice obvious GI symptoms.

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      The EMA test is an old and less sensitive test for anti-tTG2 antibodies. It relies on a technician using a microscope to check for fluorescence of a labelled substrate (typically monkey oesophagus or human umbilicus), giving a simple positive/negative result. It is similar to running a standard anti-tTG2 test but with a high cut-off, making it more specific but less sensitive. Transient rises in tTG2 can be caused by e.g. viral infections and inflammation. Very high levels of anti-tTG2 (>x10 standard range) are almost certainly coeliac disease but moderately raised levels can have several causes apart from coeliac disease. Other food allergies can cause villi blunting but that is much rarer than coeliac disease or other non-coeliac causes. Not All That Flattens Villi Is Celiac Disease: A Review of Enteropathies
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