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Doctor insights on: Celiac And Sma Stenosis

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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


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Pain after eating is back months after median arcuate ligament/celiac artery compression surgery. Initially resolved but now back. Celiac artery and SMA both show stenosis returned months after. How is that possible? Need a stent?

Pain after eating is back months after median arcuate ligament/celiac artery compression surgery. Initially resolved but now back. Celiac artery and SMA both show stenosis returned months after. How is that possible? Need a stent?

Be checked ASAP...: Recurrent stenosis is likely after surgery. But, going to see your surgeon is still the best thing to do since no one online knows more about you than her/him. How to verify such and how to ease your sickness will be based on a comprehensive evaluation as noted in <a href="https://ebettercare. Com/feel-become-sick/" rel="nofollow" target="_blank">https://ebettercare. Com/feel-become-sick/</a>. The y ...Read more

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Is celiac disease contagious?

Is celiac disease contagious?

No: Celiac disease is not contagious, but it is familial and hereditary. It is a type of immune system disorder in which a person reacts strongly to the protein "gluten", found in grains such as wheat, barley, malted barley, rye, etc... ...Read more

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Can celiac disease cause anxiety?

Can celiac disease cause anxiety?

Yes: It is interestingly associated with anxiety. Anxiety plus chronic fatigue, diarrhea, weight loss are alerting signs. ...Read more

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Can celiac disease cause lymphoma?

Can celiac disease cause lymphoma?

Celiac disease: Yes non Hodgkin's lymphoma is a rare complication of celiac disease ...Read more

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Is there a cure for celiac disease?

Is there a cure for celiac disease?

NO: Celiac disease is a disease where the presence of gluten - a product of wheat causes inflammation in the gut. Although there is no cure for celiac disease eating gluten free foods, which in this day and age are readily found in most supermarkets, aleviates the symptoms. ...Read more

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Can celiac disease cause osteopenia?

Can celiac disease cause osteopenia?

Eventually: Since CD can eventually lead to poor intestinal absorption of the various building blocks of bone, it can eventually lead to osteopenia along with many other problems. ...Read more

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Is celiac disease and iritis related?

Usually not: Only a handful of case reports. Here is the reference: http://www. Ncbi. Nlm. Nih. Gov/pubmed/22408231. ...Read more

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Does celiac disease run in the family?

Does celiac disease run in the family?

Celiac genetics: Yes, celiac disease is inherited. Many people carry the genes for it, but not everyone who has the genes will have the symptoms. Other factors also go into determining who gets sick, and we don't really know much about those. ...Read more

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What is celiac disease? Is it curable?

What is celiac disease? Is it curable?

Celiac disease: Celiac is an autoimmune condition in which your body makes antibodies against the small intestine; it causes malabsorption of food and often chronic diarrhea, anemia, or occasionally abnormal liver function. The treatment is simply to avoid gluten in foods, but this is not a simple diet to follow. ...Read more

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Will celiac disease cause inflammation?

Celiac disease: Inflammation is a non-specific descriptive term. Celiac disease (if not controlled via strict gluten free diet) will increase inflammatory cells along the intestinal lining. If you have biopsy-confirmed celiac disease, stay gluten-free in your diet. Unless you have other chronic gi-related conditions, a strict gluten free diet will prevent gut inflammation in celiac disease. ...Read more

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Can celiac disease cause bad body odor?

Can celiac disease cause bad body odor?

Celiac disease: Celiac disease can cause a whole host of problems, and is one of the great mimics. It can cause headaches, weight loss, anemia, infertility, abdominal pain. And some patients do complain of a change in their body odor. I would ask your doctor to check your blood tests for the typical antibodies associated with celiac disease, and if you carry the diagnosis, explore possible gluten contamination ...Read more

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How does celiac disease affect the skin?

How does celiac disease affect the skin?

DH: Board Question? Dermatitis Herpetiformis. This appears as a group of itchy blisters, usually on the outside of arms and legs, that can look like herpes. Rarely it can be confused by eczema. Far more people have eczema, though. DH is diagnosed by direct immunofluorescence done via biopsy by a dermatologist. Other conditions can associate with DH as well. ...Read more

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What can I do to prevent celiac disease?

What can I do to prevent celiac disease?

Depends: If you do not have celiac disease genes, you will never become celiac. If you do, then avoid gluten and possibly casein. ...Read more

Dr. Mark Pack
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
635 Doctors shared insights

Celiac Disease (Definition)

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