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Biopsy Results Today


adab8ca

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adab8ca Enthusiast

So the report said "total villous atrophy" and I saw pictures of what it looked like (mine-no folds but with veiny looking patches) and what it should look like (smooth with folds and like the inside of your cheek). Dr. couldn't believe that I only had symptoms in the last 6 months and never heard of neurological presentions like my neuropathy. Didn't seem to wonder about other symptoms that I may have (since only GI symptoms were poor appetite and weight loss), which is too bad because I bet there are other patients out there that have the crazy symptoms that I had (incl. depression, anxiety etc). I guess by the time they get to see him, someone has ferreted out the problem.

He then said "ok, you have to see a dietician, see ya" basically and that was it. ALmost brusque!

The visit was very short. Thanksfully my GP is wonderful, so I will work with her and take it from here.


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notme Experienced

yeah, my doc kinda freaked me a little - for me (us) it is a giant life change. for the doctors i suppose it is business as usual. while i was still trying to wrap my head around the whole thing, she was on to the next patient. not bad, just brief. if that was your experience, too, i guess that is normal. lol maybe we have the same dr :D

granting you PERMISSION TO HEAL AND BE WELL ;) i don't know about you, but i have 4 kids, 1 husband, 3 grandkids and all the accessories that go with them - i always put myself last. but i am letting them help mama get better now. :)

MrsJWells Newbie

yeah, my doc kinda freaked me a little - for me (us) it is a giant life change. for the doctors i suppose it is business as usual. while i was still trying to wrap my head around the whole thing, she was on to the next patient. not bad, just brief. if that was your experience, too, i guess that is normal. lol maybe we have the same dr biggrin.gif

granting you PERMISSION TO HEAL AND BE WELL wink.gif i don't know about you, but i have 4 kids, 1 husband, 3 grandkids and all the accessories that go with them - i always put myself last. but i am letting them help mama get better now. smile.gif

Hugs! Sometimes I think the requirement to be a doctor is to be able to remove all emotion from the situation. :( Sad actually!

Notme...you said something so important. We so often put everybody elses needs before our own. I have 6 kids, 3 grandkids and all the accessories that go with them and I too have put myself last on that list. NOW...I have moved myself up the priority list and am letting them help me too. I sometimes wonder if we would have just put ourselfs ON the list maybe we would have figured some of this stuff out long ago. We all need to grant ourselves permission to heal and be well! I like that! Notme..you are one wise gluten-free cookie! :)

ravenwoodglass Mentor

I am glad you got the answer. Now you can start healing. I hope you are feeling better soon.

Emilushka Contributor

It makes me so sad to hear about doctors who behave that way. I'm a medical student and the way docs act these days makes me sad sometimes. A lot of that is due to pressure from insurance companies to see as many patients as possible so they can afford their support staffs (most offices have to have one person dedicated to only handling Medicare claims, for example). But whatever the reason, it just plain sucks. I am sad to see medicine in this state and I take your stories personally because I want to do better for my patients.

adab8ca Enthusiast

It makes me so sad to hear about doctors who behave that way. I'm a medical student and the way docs act these days makes me sad sometimes. A lot of that is due to pressure from insurance companies to see as many patients as possible so they can afford their support staffs (most offices have to have one person dedicated to only handling Medicare claims, for example). But whatever the reason, it just plain sucks. I am sad to see medicine in this state and I take your stories personally because I want to do better for my patients.

Well, I am in Canada and I expect although the reasoning is different, there are HUGE waiting lists for these things, so they have to move people on as fast as possible....There is huge pressure from the gov't (and of course, the general population) to reduce wait times..MRI's can take months to get. I got my endoscopy in just under 3 months and that was considered FAST.

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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