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William Dickey, PhD, MD

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Everything posted by William Dickey, PhD, MD

  1. William Dickey, PhD, MD
    More information about "Recognizing Celiac Disease Down the Endoscope"
    Celiac.com 05/27/2022 - Among the many symptoms associated with celiac disease, some of the commonest fall into the broad category of “dyspepsia”. These are symptoms more usually attributed to acid reflux from the stomach into the eso...
  2. William Dickey, PhD, MD
    More information about "So Why Do Celiacs Still Need Biopsy?"
    Celiac.com 01/11/2006 - For many years, biopsy of the small bowel demonstrating villous atrophy has been fundamental to the diagnosis of celiac disease. Older celiacs will remember, fondly or otherwise, the Crosby suction biopsy device...
  3. William Dickey, PhD, MD
    Kaiti And is who is presumably your older sister in the photo also free?
  4. William Dickey, PhD, MD
    Not everyone on gluten-free has healed after a year, so a biopsy might show abnormality- maybe not villous atrophy, but an excess of inflammatory cells (lymphocytes). The possibility of other bowel disease causing diarrhea, such as a colon problem, needs considered, though alternating constipation with diarrhea in the absence of bleeding from the back passage...
  5. William Dickey, PhD, MD
    There are abnormalities due to celiac disease that clued-in docs can actually see down the endoscope- scalloped folds in the duodenum, loss of folds, "mosaic" or cobblestone pattern. If they are obvious enough, the doc can diagnose celiac disease then and there, though will still take biopsies for confirmation. Some nice photos at: Open Original Shared...
  6. William Dickey, PhD, MD
    ok, its sounds like your gut symptoms may be gluten related but what about your anemia? Is it iron, folate or B12 deficient, or a mix of two or more? I'd have thought if the anemia was due to celiac disease you'd have some abnormality on your duodenal biopsies. Have you been checked for inflammatory bowel disease- similar symptoms, may (sometimes) respond...
  7. William Dickey, PhD, MD
  8. William Dickey, PhD, MD
    In vitamin B12 and folic acid deficiency, the average size of the red cells (mean cell volume, MCV) increases; in iron deficiency, the MCV goes down. All or any of these deficiencies can occur in celiac. To complicate matters further, if there is combined iron/B12 or iron/folic acid deficiency, there are populations of large and small cells which cancel each...
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