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Got Biopsy Results, Now Utterly Confused


Killarney

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Killarney Apprentice

So, my blood test was positive for antibodies.

I just got my biopsy results today by mail (doctor's office didn't even call!) and it says:

"Mild inflammation in stomach. Duodenum does not show Celiac Disease."

So, now what?

I have a theory and I'm wondering if this could be the case. Before I went gluten-free, I ate basically all gluten, all the time. All I ate was bread, pasta, and pizza. Seriously. Pizza, pasta, or a sandwich for lunch and dinner every day and muffins or pancakes for breakfast every morning. Could I have had antibodies because I was getting too much exposure to gluten rather than having Celiac's Disease?

Maybe I should--rather than staying gluten-free--change to a limited gluten diet? Like once a day eat something containing it and then go for another blood test in a few months and see what it says?


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lovegrov Collaborator

If your blood tests were positive AND if you were having symptoms (I don't remember about this), you almost without question have celiac disease.

Problems with the biopsy: Did they take enough samples? Did they just miss the damaged spots? Did the person reading the sample have the necessary expertise? Did you stop eating gluten before the biopsy and if so for how long? And finally, some doctors will not diagnose celiac without the villi being completely flattened. Is this your doctor?

I really don't think the gluten overdose theory flies. In fact I think it's not ever eating a certain thing like rice or corn that can make you more sensitive to it.

Of course it's up to you. I don't react to small gluten mistakes and in fact could probably indulge every now and then without obvious distress. But then I think about how sick I was. I also had the flattened villi so there was no question.

richard

Mom22 Apprentice

You can also have your biopsy slides reread by another doctor too. Our daughter's biopsy results were inconclusive and they wanted to rebiopsy her again 3 months later. She is only 4, so we didn't want to do that. We had her slides reread by Dr. Alessio Fasano and he confirmed she had celiac disease. It was a very easy process to have the slides sent to him and reread and I believe it cost $250 to do so and many health insurance companies will pay for the second opinion too! Something to consider.

Mom 2 2

3boyzmom Newbie

You developed antibodies to gliadin - HOW that happened, I don't know. Was it triggered by genetics? Stress? A virus? Don't know - what you do know is that your body has identified gliadin (gluten in wheat, barley, rye) as an invader and has developed anti bodies to fight it. Whether you've got flattened villi or not - the result is the same - gluten-free diet for life.

As Richard said, there are problems with biopsies. How many samples were taken? etc... Misreading of the samples is another problem as Mom 2 2 encountered.

Go gluten-free and help your body! :)

It's not such a bad thing... it's a better way of eating than you were eating before! :)

faith Newbie

Hi, I guess I have some questions after reading all this. I just got out of the hospital I was in for 10 days. I've been gluten-free since Jan.04, anyways I started getting really sick vomiting, diareaha, my DH got the worst its ever been my soars got so bad and massive my face and neck swelled 3 times its regular size, when I got to the E.R. everyone was just staring at me, I'm getting kind of used to that from the DH. They admitted me right away My skin hurt so bad it hurt for them to touch it, I did go off of my Dapsone last month, just to see if I still needed it or could controll just with my diet, well I found out I still need it. Anyways the Dr. swore I've been cheating, well if I was I wouldn't call it cheating, I'm very careful, it would of been a mistake in not knowing something had gluten in it. I don't like it when I'm accused of cheating if I haven't, because its hard work to stay on this diet. Anyways they did an endoscopy, everything was fine, no inflamation and my villi were still up, so the Dr. said I must not have been cheating, but the biopsy came back positive for celiac. So my? is if I've been gluten-free and everything looked fine how come my biopsy still came back positive for celiac? Just to let you all know the conclusion of my stay, I'm very much allgeric even to touch a rag that someone wiped a counter off with like bread crumbs, flour, ect. I need to wear gloves now, also they put me on a lactose-free, sugar-free, and soy-free diet, they feel I'm also allergic to that stuff from playing around with my diet in the hospital so any info on these diets would be much appreciated I just think soy lecethin is in alot of foods, so help!

Faith :(

tarnalberry Community Regular

it does indeed sound like you're not only gluten-intolerant, but also allergic. if you haven't had a regular allergy test, it looks like it's time for one of those as well.

gf4life Enthusiast

I agree with Tiffany that you should have some allergy testing done.

I am allergic to soy, but I can have soy bean oil and soy lecithin without any ill effects. I wouldn't recommend you try this without your doctors approval, since you seem to have severe reactions, but for most people allergic to soy, the oils are well tolerated. Which I am very thankful for, since it would virtually eliminated almost all processed gluten-free foods!

I hope you are feeling better soon.

God bless,

Mariann


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faith Newbie

Thanks for info, yea I was thinking the exact thing everything I like in gluten-free foods has the soy leciten, so I wondered how do people eat??? So I will definately try the soybean oil, and the soy lecetin and see how I react to it. Thanks again, and God Bless all of you also ; Faith :rolleyes:

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