Top
40
Doctor insights on: Celiac And Sma Stenosis

Share
1

1
What are symptoms of celiacs disease and am I more likely to have it because my grandfather does?

What are symptoms of celiacs disease and am I more likely to have it because my grandfather does?

Variable Sx; slight: Celiac can have variable sx, incl gas, bloat, diarrhea, wt loss, rarely gain, constipation, joint aches and pains (often from vitamin d def), fatigue (often from iron def), osteoporosis, swallowing probl, rarely liver probl. Can get screened with blood testing, and/or genetic testing. Assoc with other autoimmune diseases such as ibd, psoriasis, rheum arth, lupus, type 1 diabetes, thyroid disease. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


2

2
Abd pain with eating. All GI tests normal. Diagnosed with MALS via aortagram. Back blood flow in SMA and celiac stenosis. Might surgery help?

Abd pain with eating. All GI tests normal. Diagnosed with MALS via aortagram. Back blood flow in SMA and celiac stenosis. Might surgery help?

MALS is: Characterized by abdominal pain attributed to compression of the celiac artery and possibly the celiac ganglia by the median arcuate ligament. The abdominal pain may be related to meals, may be accompanied by weight loss, and may be associated with an abdominal bruit. Treatment is generally surgical. Ref: https://en. Wikipedia. Org/wiki/Median_arcuate_ligament_syndrome ...Read more

3

3
Can stenosis return after celiac artery compression surgery? Pain nausea steatorrea back. Sma plaque also. Could ischemia be from SMA alone?

Can stenosis return after celiac artery compression surgery? Pain nausea steatorrea back. Sma plaque also. Could ischemia be from SMA alone?

Complicated Question: Celiac artery compression syndrome (cacs) is the condition usually associated with the surgery you've described. Stenosis does not generally return after surgery for cacs. Chronic mesenteric ischemia can be from SMA stenosis in isolation, however, this would not include steatorrhea. With back pain, nausea, and steatorrhea I would consider pancreatitis or some other issue with the pancreas. ...Read more

4

4
33yf severe abd pain x6mon. Ct scans prominent soft tissue celiac region and distended duodenum sugestive of SMA syndrome. Type of dr should be seen?

33yf severe abd pain x6mon. Ct scans prominent soft tissue celiac region and distended duodenum sugestive of SMA syndrome. Type of dr should be seen?

Surgeon: After a thorough eval by your primary care doc, a general or vascular surgeon would be the type of doctor that would deal with this (if conservative therapy fails). Sma syndrome is rare and can be extremely serious so prompt attention is warranted. ...Read more

5

5
Confused Doppler u/s of SMA: Based on the velocities pre and postprandial there is evidence of significant stenosis greater than 70% at the level of the SMA proximally. But CT shows SMA axis is patent??? How is that possible? Next step?

Confused Doppler u/s of SMA: Based on the velocities pre and postprandial there is evidence of significant stenosis greater than 70% at the level of the SMA proximally. But CT shows SMA axis is patent??? How is that possible? Next step?

Evaluating SMA: CT scan great overall study and can reveal bowel wall thickening and causes of ischemia. Infectious or autoimmune colitis (Ulcerative colitis) can mimic mesenteric ischemia. Pre and postprandial doppler ultrasound are effective in evaluating mesenteric flow after a meal but studies show it is not good at detecting venous causes of obstruction. MRI and angiography likely next steps. Good luck. ...Read more

6

6
Can a person put off surgery and not worry much about it if he/she were diagnosed with Celiac Artery Stenosis/90% Occlusion w/ little/no symptoms?

Can a person put off surgery and not worry much about it if he/she were diagnosed with Celiac Artery Stenosis/90% Occlusion w/ little/no symptoms?

Why: Unfortunately, I can't see the point. You are looking at the main source of blood flow to digestive/absorptive organs. There is likely unusual outside blood flow or there would have more symptoms. If the flow does get blocked & the organs die from lack of adequate blood flow, the patient is likely to die a horrible death. You need your intestines like you need a heart. ...Read more

7

7
I had celiac artery compression syndrome surgery after the surgery a few weeks later had CT done still showed high grade stenosis of 80 percent?

I had celiac artery compression syndrome surgery after the surgery a few weeks later had CT done still showed high grade stenosis of 80 percent?

Specific Study?: Was the study done in inspiration and expiration? Are your symptoms better? Poor blood flow to the GI system is incredibly painful and difficult to live with. If you feel better after surgery, it may just be some inflammation and/or an imaging artifact. If the pain persists, you need further testing with a dye study to look at the artery. Consult an interventional radiologist and your surgeon. ...Read more

8

8
My CTA shows that I have 50% celiac artery stenosis, what can cause this? History of open surgical AAA repair & endo repair of juxtarenal AAA

My CTA shows that I have 50% celiac artery stenosis, what can cause this? History of open surgical AAA repair & endo repair of juxtarenal AAA

Artery Disease, aka: atherosclerosis, which by autopsy data going back ~8 decades in US, is present in 50% of population by age 7, yet within walls of arteries, arteries enlarge & openings remain same; thus no symptoms for decades until plaque ruptures induce clots which suddenly narrow opening or the enlargement becomes excessive resulting in aneurysms. Optimize NMR lipoprofile, HbA1c 5.0% & BP; study my answers. ...Read more

9

9
Had another ct scan for comparing adenoma size, it did enlarge. Also came back this, high-grade stenosis proximal celiac artery, what does that mean?

Had another ct scan for comparing adenoma size, it did enlarge. Also came back this, high-grade stenosis proximal celiac artery, what does that mean?

Risk of intestinal: Injury. Celiac artery provides blood to the stomach and intestine. Stenosis means narrowing of the blood vessel. Please follow your doctor's advice for further evaluation and treatment. ...Read more

12

12
Hook shaped celiac artery w/stenosis but patent d/t ligament. Yrs of abd pain&nausea after meals. No weight loss. GI tests normal. Surgery or live with it

Hook shaped celiac artery w/stenosis but patent d/t ligament. Yrs of abd pain&nausea after meals. No weight loss. GI tests normal. Surgery or live with it

Causes of colitis: Inflammation (infection, ischemic, ibd) of large intestine = colitis. Specifically, ischemic colitis occurs when there is decreased blood flow to the gut, due either to vasospasm (seldom recurrent) or stenosis/occlusion (frequently recurrent). Don't ignore the possibility of recurrence here--since transmural ischemia or mesenteric ischemia can be serious & often starts with "intestinal angina. ...Read more

13

13
CT showed hook shaped celiac artery w/stenosis but patent. Aorta US showed mild decrease in blood flow but patent. Abd pain & nausea after meals.

CT showed hook shaped celiac artery w/stenosis but patent. Aorta US showed mild decrease in blood flow but patent. Abd pain & nausea after meals.

Causes of colitis: Inflammation (infection, ischemic, ibd) of large intestine = colitis. Specifically, ischemic colitis occurs when there is decreased blood flow to the gut, due either to vasospasm (seldom recurrent) or stenosis/occlusion (frequently recurrent). Don't ignore the possibility of recurrence here--since transmural ischemia or mesenteric ischemia can be serious & often starts with "intestinal angina." ...Read more

16

16
I let my celiacs go untreated for quite some time now. I'm ready to tx it bc of bad sx. Aprox how long will it take for the s. Intestines to heal?

I let my celiacs go untreated for quite some time now. I'm ready to tx it bc of bad sx. Aprox how long will it take for the s. Intestines to heal?

Weeks to months?: The clinical presentation of celiac disease varies from patient to patient with either typical intestinal symptoms (see earlier healthtap answers on this topic) or a host of atypical extraintestinal manifestations. Important complications include: malnutrition, osteoporosis, infertility, GI cancers. Up to 30% have persistent/recurrent symptoms, incomplete response, or refractory disease. ...Read more

17

17
How to tell if I have celiacs disease?

How to tell if I have celiacs disease?

Get tested: Your primary doc can order the blood screening tests that can identify the population at most risk for celiac disease. If this comes back positive s/he can refer you on to have confirmatory testing done through a gastroenterologist. If positive, you can reduce some of the gluten in your diet but should remain on some until the intestinal biopsy is done. ...Read more

18

18
What is celiac disease?

What is celiac disease?

Celiac Disease: Celiac disease (gluten-sensitive enteropathy) has three of the following features: villous atrophy; malabsorption, weight loss, or other signs of nutrient or vitamin deficiency; and resolution of the mucosal lesions and symptoms after withdrawal of gluten-containing foods (usually within a few weeks to months). Diarrhea, weight loss, and antibodies against gliadin ...Read more

19

19
What is celiac disease.?

What is celiac disease.?

Celiac disease: Celiac disease is atrophy of the intestinal villi caused by an immune response to gluten and gliadin. ...Read more

21

21
What sort of disease is celiac disease?

What sort of disease is celiac disease?

Celiac Disease: Celiac disease is an auto-immune IgA antibody problem where your own antibodies are attacking the enzymes that break down the products of gluten. It is not a food allergy! that is why mayo clinic labs check IgA levels before even running the other tissue specific tests. ...Read more

22

22
What signs are there for celiac disease?

What signs are there for celiac disease?

Abdominal discomfort: Individuals with celiac disease can have a variety of different symptoms and may even be asymptomatic. Often it is associated with gastrointestinal distress including pale stools that are associated with non-specific diarrhea, cramping, and bloating. The diagnosis can only be made by a physician. If symptoms improve with a gluten free diet, the chances of having celiac disease are greater. ...Read more

23

23
Is there any way to overcome celiacs disease?

Is there any way to overcome celiacs disease?

Define "overcome": There is no "cure" yet for celiac. You learn to read labels & stay away from gluten.Some may need to stay away from non-gluten foods (specialized testing) when simple gluten exclusion is not helping. Some food additives (red#40 & others) can also trigger symptoms. You can live a good life but must always be on guard. Accidental exposures will occasionally set you back but you get better with time. ...Read more

24

24
I think I have celiac disease. What proves it?

I think I have celiac disease. What proves it?

Upper GI scope.: Which is called egd. A biopsy of the small bowel mucosa is confirmatory. ...Read more

26

26
I was wondering are celiacs allergic to whey?

No: Celiac disease is an immunologic reaction to gluten which is a component of grains (wheat, barley, rye etc). Whey is a componnet of milk and and not related to gluten. ...Read more

27

27
Why would celiacs disease cause Raynaud's phenomenon?

Why would celiacs disease cause Raynaud's phenomenon?

Uncertain, but: It is known that celiac dz is associated w autoimmune diseases (antibodies against one's own tissues, eg diabetes-I).A letter in the Scandinavian Journal of Rheum in 2010 reported evidence of scleroderma-like activity in celiac disease. Raynaud's is found in cases of scleroderma, an auto-immune disease that causes scarring that can impede blood flow to fingers.

2010, Vol. 39, No. 5, Pages 438-43 ...Read more

28

28
Are there nationality differences in regards to celiac disease?

Are there nationality differences in regards to celiac disease?

Yes: Because celiac disease is hereditary, the disease occurs more often in certain ethnic/racial groups because more people in those groups carry the hla-dq2 and hla-dq8 genes that "cause" celiac disease. The genes are more common in persons from northern and western europe, but are uncommon in western pacific rim populations (china, japan). ...Read more

29

29
Constipation, celiac disease?

Constipation, celiac disease?

Constipation celiac: Celiac disease may have no GI symptoms, and may present with fatigue and anemia, bur classical symptoms are pale loose and greasy stools and weight loss, abdominal pain and cramps and distension, ulcers in the mouth. It can lead to lactose intolerance and may give symptoms of irritable bowel syndrome like constipation alternating with diarrhea, but it is not that common presentation. ...Read more

30

30
Does celiac disease lead to cancer?

Does celiac disease lead to cancer?

Intestinal lymphoma: Some studies have suggested that there is an increase in intestinal lymphomas in celiac patients who are not maintaining a gluten-free diet. ...Read more

31

31
Is celiac disease associated cancer?

Is celiac disease associated cancer?

Yes: Celiac disease, especially if one has symptoms or small intestine inflammation/damage, does increase one's risk of small intestine cancer (adenocarcinoma, lymphoma). The increased risk may go to normal if one stays on a completely gluten free diet and stops having intestinal symptoms for many years. Celiac disease is not a risk factor for stomach cancer, according to the american cancer society. ...Read more

32

32
How can you test for celiac disease?

How can you test for celiac disease?

Antibody blood test: The definitive test is intestinal endoscopy with duodenal biopsy but screening for celiac disease aka gluten enteropathy is by a blood test for antibodies associated with the disease - ttg-a & ttg-g. Serum IgA is also obtained. If the patient has not been on gluten for a while antibody levels often fall into the normal range. ...Read more

33

33
Can celiac disease cause vasculitis?

Can celiac disease cause vasculitis?

Almost never: Vasculitis complicating celiac disease has been described but is extremely rare, and is not the most likely cause of any symptoms you might be experiencing. ...Read more

35

35
Can gluten cause dizziness in celiacs?

Can gluten cause dizziness in celiacs?

Maybe unrelated...: Celiac disease (cd) is an immune-mediated enteropathy that inflames & destroys the lining of the small intestine--triggered in genetically-determined persons by dietary exposure to gluten (protein in wheat, barley, rye). Lots of immunologic & inflammatory symptoms can result. However, dizziness in a 56 year old lady can be serious, unrelated to cd, & deserves cardiovascular & neurologic work-up. ...Read more

36

36
Is celiac disease related to allergies?

Is celiac disease related to allergies?

Not really: Celiac disease is caused by antibodies, mainly of a class that is called iga, that destroy the lining of the small intestine (gut). Those antibodies are to several proteins in wheat and other cereals. Allergies are caused by antibodies of IgE class and they act in a different way. Celiac disease may be associated with a rash with blisters, called dermatitis herpetiformis (looks like herpes). ...Read more

37

37
Can celiac disease cause random nausea?

Can celiac disease cause random nausea?

Lots of things do: Your nausea may have little to do with the gut. Biliary ; pancreatic disease may be present. Gas/bloat syndrome? Consider "central" causes like: motion sickness, vertigo, migraine headache, brain problems (some very serious). Also, rule out infection (? Urinary tract), food poisoning, medication side effects, pregnancy, ; even stress. Yes, celiac disease may contribute, but best get checked. ...Read more

38

38
Could celiac disease cause infertility?

Could celiac disease cause infertility?

Yes: If you are concerned about celiac disease causing infertility, discuss testing with your physician. Patients with celiac disease and infertility are usually able to conceive once beginning gluten free diet. ...Read more

39

39
Is autism associated with celiac disease?

No: Autism is a complex neurobiological inherited disorder that is worsened by environmental toxins. Celiac disease is a digestive disorder that prevents absorption of gluten from the diet. There is no scientific evidence the two are related. Years ago, there was a flurry of thinking that malabsorption of gluten could lead to or worsen autism. This has been disproven. ...Read more

40

40
Can celiac disease cause sun sensitivity?

Can celiac disease cause sun sensitivity?

Not directly, but...: People who manage their diet to avoid gluten may risk becoming deficient in a variety of necessary nutrients. It's possible to learn how to have a varied, full range of foods, but it takes time and interest. Sun-sensitivity is a symptom of pellagra (a Niacin (vitamin b3) deficiency). It can be quite serious so eat tuna, salmon, or ground beef if you can, or snack on peanuts daily. ...Read more

Dr. Walter Husar
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more


Dr. John Chiu
632 Doctors shared insights

Celiac Disease (Definition)

An immune reaction to eating gluten, a protein found in ...Read more