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Biopsy only?

Hatbox121

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Hatbox121 Apprentice
Hatbox121
Posted

I had a repeat colonoscopy last week. I'm 36. My first one was due to rectal bleeding that wouldn't stop. They found a fissure, but also a bunch of polyps so I get to be an overachiever and have colonoscopies early. Anyway when I woke up the DR said he found more polyps and sent those off. No surprise. He also found a few other odd things but nothing major. Then he said he found flat mucosa in my ileum and so he biopsied it to check for celiac. That was that. Wondering if that is enough for a diagnosis? If it comes back positive anyway. I think I'm doing all this backwards and upside down. Would the ileum show celiac? Everything I've read is biopsies via EGD. I had an EGD last year and they found ulcers. He said it looked "all chewed up" but never mentioned any celiac. I have a lot of GI symptoms, but not clearly celiac. Also have a history of bowel rupture(small intestines) as a kid. I'm lost. Should I ask for the blood work? Or just wait and see? Is the ileum even a place for biopsy in regard to celiac? 

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tessa25 Rising Star
tessa25
Posted

I don't know anything about the ileum. But it's so easy to get a blood test for the full celiac panel, so why not do that now? The full celiac panel includes:

TTG IGA

TTG IGG

DGP IGA

DGP IGG

IGA

EMA

 

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Hatbox121 Apprentice
Hatbox121
  • Author
Posted

Thanks! I'll give my GI a call Monday. I already need to ask about something else anyway. Thinking my gut may be why my RBC count is always low. 

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cyclinglady Grand Master
cyclinglady
Posted

Yes, you can have celiac disease at the end of the small intestine within reach of the scope from a colonoscopy.  I would ask for a celiac blood panel definitely because villi damage get can occur from several things other than celiac disease.  

 

 

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Victoria1234 Experienced
Victoria1234
Posted

I'd want to read further about your chewed up looking insides. Can you ask for the notes? Any biopsies taken?

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Hatbox121 Apprentice
Hatbox121
  • Author
Posted

It's ulcers. Well "excavated lesions. H. Pylori negative according to biopsy. Can't recall exact point off top of my head, will have to look at patient portal.

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Hatbox121 Apprentice
Hatbox121
  • Author
Posted

My current list- of GI stuff anyway 

Sigmoid diverticulosis 

Benign neoplasm of ascending colon    
Benign neoplasm of descending colon    
Benign neoplasm of sigmoid colon    
Other hemorrhoids    
Gastric ulcer, unsp as acute or chronic, w/o hemor or perf    
Diarrhea, intermittent    
Ehlers-Danlos syndrome    
GERD    
Lower abdominal pain    
Nausea with vomiting, unspecified    
Periumbilical Abdominal Pain    
Personal History of Colonic Adenoma    

Weight Loss

 

Btw ulcers were in Antrum biopsies taken for h.pylori(which was neg). It says "a few" on my notes. All chewed up were his words last I saw him. 

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