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Update From Post Below Got Biopsy Reports From 2004


jenny2

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jenny2 Rookie

thanks for telling me to get my reports from 2004. my doc has since died but i found my records from the hospital. i didnt know in 2004 that biopsy was done. it says: biopsy of duodenum showing changes of chronic duodenitis with mild villous atrophy and intrapithelial lymphocytes that suggests celiac disease. i was never given a copy of this record, my doc told me that possible Celiac but my blood tests was negative then.


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ravenwoodglass Mentor

Positive biopsy trumps negative blood test. Did you get copies of the blood test? The reason I ask is some doctors will call a low positive a negative. If you aren't gluten free yet you could get the blood work and maybe the biopsy redone. Or you could just hand a copy of the biopsy results to your new doctor for your record and consider yourself diagnosed.

MissKris2 Newbie

Wow, it's a shame you didn't get a copy of that report back then.

Roda Rising Star

Wow, it's a shame you didn't get a copy of that report back then.

I was thinking the same thing. You were diagnosed with celiac in 2004! Did your doctor recommend you go gluten free then? If not, and you haven't, then it is a shame that they didn't inform you. You have suffered needlessly for 7 years. Are you planning to redo testing while you are still consuming gluten or are you going to take your previous results and go gluten free? Either way you have an answer now. Hope you start to feel better soon.

Takala Enthusiast

You said earlier this month that you were getting another set of blood tests for celiac.... what were those test results ? What tests were done besides genetic ?

You should have a blood test for celiac antibodies, if you feel you "need" more tests to confirm, this is ridiculous. No doctor should be looking at symptoms AND a positive biopsy as your have described above, and saying that it was only "possible" celiac.

jenny2 Rookie

my gastro doc did basic blood tests and the celiac genetic test on me. he did a colonscopy earlier this week and i have a small bowell follow thru next wed. i have faxed my new gastro the results of the 2004 biopsy so that he can read the report. i would like to have another endoscopy done to confirm celiac or possible more blood work. i think he is also checking for crohns disease. i would like to go gluten free but i am not sure if that would mess up the results of these tests they are running so i still eating gluten. basically i am a mess, i hope this dont go on very much longer, i have lost so much weight 25 lbs in 1 and half months and can not gain any weight at this time.

Twinklestars Contributor

Oh hun, what a rollercoaster! It's such a shame you weren't told of your diagnosis in 2004! Yes, you need to stay on gluten if you want further testing, but I'm hoping your new doctor just looks at the results and says celiac straight away. The sooner you can be gluten-free the better. You have suffered needlessly for so long. That is just so wrong.


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ravenwoodglass Mentor

my gastro doc did basic blood tests and the celiac genetic test on me. he did a colonscopy earlier this week and i have a small bowell follow thru next wed. i have faxed my new gastro the results of the 2004 biopsy so that he can read the report. i would like to have another endoscopy done to confirm celiac or possible more blood work. i think he is also checking for crohns disease. i would like to go gluten free but i am not sure if that would mess up the results of these tests they are running so i still eating gluten. basically i am a mess, i hope this dont go on very much longer, i have lost so much weight 25 lbs in 1 and half months and can not gain any weight at this time.

Your doctor can easily give you the endo when he does the lower scope. Some doctors won't do that because then they only have one 'surgery' charge. If they do them on different days then it is 2 charges for the room, the anesthesiologist, the doctor, the lab etc....

You doctor works for you. Call the office and tell them that you want the endo done at the same time or you want that done first. Since they have the results of the last scope that shouldn't be an issue. IMHO if it is then you need a new GI.

jenny2 Rookie

thankyou everyone for all the information that you have gave me, due to the suggestion that i should go get my medical reports and the fact that i faxed them to my new doc they are scheduling me for endoscope next friday. i am so relieved. finally i may get some answers..

Bubba's Mom Enthusiast

I'm absolutely shocked that you weren't given a DX in 2004 and told to be 100% gluten free! I feel really bad for you. If you're losing weight it's a pretty good sign that your villous atrophy has gotten worse.

I just can't understand why Dr.s are SO against giving a celiac DX?

jenny2 Rookie

i was told that i could go gluten free in 2004 but my blood work was negative and they wasnt forsure if i had celiac disease or not. my doc was retiring at that time and he acted like he was not to worried about the fact that i may have celiac disease. i should have went to a different gastro at that time but i live in small area and no gastro docs and i didnt want to drive a hour to see someone at that time. dumb of me. i am driving a hour now anyway.. sometimes i just dont think that doctors take celiac disease seriously enough and that really upsets me.

jenny2 Rookie

i had a endoscope today and the doctor told me that everything looked ok. this is very weird since the endoscope and biopsy in 2004 was postive for celiac. i dont understand this really, i have been eating gluten for 7 years and test was fine? does that mean i am not celiac or do i need to wait on biopsy results for the final answer to find out if i am celiac or not??

mushroom Proficient

i had a endoscope today and the doctor told me that everything looked ok. this is very weird since the endoscope and biopsy in 2004 was postive for celiac. i dont understand this really, i have been eating gluten for 7 years and test was fine? does that mean i am not celiac or do i need to wait on biopsy results for the final answer to find out if i am celiac or not??

The reason they look at the biopsy samples under the microscope is because the damage is often microscopic and cannot not be seen by simple visual examination. I would wait for the results from the pathologist.

Roda Rising Star

Yeah, I was told my small bowel looked pretty good visually, with a little inflammation. Biopsy was POSITIVE!

jenny2 Rookie

i will just have to wait on the biopsy results to find out for sure. this is so weird and i dont understand why if the biopsy results in 2004 were positive and i have continued to eat gluten for 7 years how there can be no damage seen? if the biopsy results are negative, i guess then i am gonna assume i dont have celiac.

ravenwoodglass Mentor

i will just have to wait on the biopsy results to find out for sure. this is so weird and i dont understand why if the biopsy results in 2004 were positive and i have continued to eat gluten for 7 years how there can be no damage seen? if the biopsy results are negative, i guess then i am gonna assume i dont have celiac.

If your not already now is the time to start the diet strictly. You don't have to wait for the test results. If your having gluten issues having those resolve are the best proof of whether you need the diet or not as the tests can have a lot of false negatives.

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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