Doctor insights on:
Gluten Sensitive Enteropathy
Wheat barley rye contains gluten, a protein molecule that in susceptible people can cause reactions and long term illness. There is celiac, the most well known and severe gluten disease. There is gluten sensitivity, affecting more people, but usually milder. There is wheat allergy, less common than the others. The treatment, for now, is to avoid all gluten in ...Read more
Because it causes: Celiac disease is autoimmune disorder of small intestines that occurs in genetically predisposed individuals of all ages.It is caused by a reaction to gluten a protein found in wheat, barley and rye. That's why it is called gluten intolerance.Once the source of gluten, that is diet free from wheat, rye and barley is introduced the symptoms get better. ...Read more
Unclear question: I do not understand your question. But microscopic colitis is a specific condition that is most commonly related to medications, though some conditions predispose you to developing it (Celiac may be one). Milk sensitivity? - if you mean lactose intolerance then this is common and separate from Celiac. Everyone that drinks enough milk will have symptoms. ...Read moreSee 1 more doctor answer
Celiac is an allergy: Celiac disease is gluten allergy, a strong allergic reaction to gluten (a protein in grains such as wheat, barley, malted barley, rye, spelt, etc...). Gluten intolerance is not an allergic reaction, but an intolerance of gluten that leads to tummy symptoms such as gassiness, bloating, loose stools, etc... Gluten intolerance does not cause damage to the intestinal lining like celiac disease does. ...Read moreSee 1 more doctor answer
GI Tract: Bloating, excessive gas, abdominal pain, diarrhea, weight loss, fatigue are the primary ones. Your history indicates a history of celiac, but just in case you are not sure, there is a celiac antibody panel if you have not been diagnosed. Gold standard for diagnosis is biopsy. Best of Luck! ...Read more
Can you explain the differences between celiac disease, gluten intolerance, and wheat or gluten allergy?
Yes: Yes, but may not show symptoms for years. While milk fed, will not seee any symptoms until those foods are introduced. ...Read more
Unknown: There is a genetic subgroup of the population that was a higher tendency but it can happen to anyone. Why the immune system decides to react to gluten as if it were a germ is unclear.Why the antibodies it forms decides to attack the intestine or other tissues in some is also unclear, but similar to what occurs in rheumatic fever. ...Read moreSee 1 more doctor answer
No: Why do you ask? Since the gluten-free diet is hugely effective in managing celiac disease and dermatitis herpetiformis, folks have gotten the idea that it should be good for everyone. So far, evidence of this is "anecdotal" and it looks to me like a placebo. If you make this attempt, it will be much harder for you to be a good guest and folks will consider you a faddist. Be discerning. ...Read moreSee 1 more doctor answer
Yes to both: Gluten is composed of proteins that can trigger antibodies and lead to a variety if symptoms.Gluten antibody tests confirm some sensitivity. Gluten intolerance is less well defined. Gluten related intestinal malabsorbtion must be confirmed by biopsy. Some authors suggest that gluten sensitivity may aggravate add or depression or lead to headaches. Further research is needed. ...Read more
Immune mediated enteropathy.Gluten free. Ongoing bowel issues. Not coeliac.any other possible food causes? Corn possible irritant? GF food ubiquitous
???????: There are many possibilities with gut sensitivities.A variety of food additives (#40 red or others) can trigger Irritable bowel symptoms. One GS patient I follow has test positive cross reactions to milk, casein,egg, corn chocolate and others but can handle small amounts. There are labs that test for IgG, IgA and IgE food reactions that might be available to you. ...Read more
Interesting disorder: Eosinophilic enteropathy (& perhaps a related condition, eosinophilic esophagitis) is an autoimmune condition in which eosinophils (1 of the types of white blood cells, normally used to fend off parasitic infections) start attacking the gastrointestinal tract instead. It is sort of like an allergy (which cause eosinophil release) affecting the small intestines ("enteropathy"). Symptoms r variable. ...Read moreSee 1 more doctor answer
Varies with location: Uncommon disorder. Xs eosinophils (type of wbc) in parts of gut, esophagus, stomach, small bowel, colon. Symptoms can vary with layer of gut involved: pain, nausea, cramps, diarrhea, swallowing issues, anemia. Diagnosis needs endoscopy and biopsy. Rx varies; can include diet changes, meds. ...Read more
I will tell you: The symptoms of eosinophilic gastroenteritis vary depending on where the eosinophils build up in the gastrointestinal system and which “layers” of the intestinal wall are involved. Symptoms often include pain, skin rash, acid reflux, anemia (http://www.Nlm.Nih.Gov/medlineplus/anemia.Html) , diarrhea, stomach cramps, bleeding, nausea. ...Read more
What would be likely first line treatment for severe presumed non-coeliac enteropathy in an adult? Budesonide ?
The cause: One needs to know what the cause is followed up by avoidance and treatment measures. Do you know the diagnosis on your enteropathy ? ...Read more
What is autoimmune enteropathy? My protein levels has improved to 5.4 from 4.9 and albumin is 3.4 from 2.8. Could CVID cause this? I have high eosinop
Yes it could: Autoimmune enteropathy is a rare disorder characterized by sever and protracted diarrhea,weight loss from malabsorption and immune -mediated damage to the intestinal tract. Subjects with autoimmune enteropathy may be affected by other autoimmune disorders. CVID common variablble immune deficiency is a disorder that impairs the immune system People with CVID are highly susceptible to infections ...Read more
Protein-Losing Enteropathy in the intestine. Protein levels slowly improving. What is best treatment options for me? Is lymphoma a cause or concern?
Enteropathy: Protein loss from the gastrointestinal tract is usually due to the massive overexcretion of mucous from areas of overgrowth of normal lining. The classic is Menetriere's Disease which is an overgrowth of the normal lining in the stomach. Lymphoma can cause protein loss from the gi tract. If you have not seen a GI MD do so. ...Read more
What is the pathogenesis of villous atrophy induced by bacterial overgrowth ? How does it cause the atrophy? sprue-like enteropathy uknown aetiology
I know: that you have been waiting for an answer and the problem is that there is none. You ask what the pathogensis of sprue like enteropathy of UNKNOWN etiology is.....the answer is its UNKNOWN...Bacterial overgrowth can be treated ..AND THAT'S WHAT IS IMPORTANT HERE!!!!! Your bowel symptoms helped with the use of certain ANTIBIOTICS! I hope this helps and that you have a healthier New Year! Dr Z ...Read more
My GI doc thinks intestinal inflammation is causing my protein-enteropathy. How do I cure this problem? I am 6'1 224. My protein total is 4.9/albu-2.9
"Leaky gut"?: Often, patients complain of altered stool pattern (diarrhea) abdominal pain, bloating, gassiness, fullness, distension, nausea, cramps. Similar symptoms may present with IBS versus leaky gut (which by comparison is a disease process caused by many etiologies). We can be of more help if we know what tests have been accomplished & with what results. Has inflammatory bowel disease been ruled out? ...Read more
I have Wastebasket dX of an immune mediated enteropathy. Aza & budesonide. Any potentially useful adjuvants? Nutritional strategies/supplements ?
In 400 characters!: Consider: IBD (Crohn's/Ulcerative colitis), microscopic colitis (collagenous, lymphocytic), IBS, dysmotilities, diverticular diseases, infiltrative processes, polyps, autoimmune, parasites, viral & bacterial infections, drug-induced diseases, ischemic gut, hernias (internal & external), trauma, rupture/perforation, leaky gut, surgical issues/repair, dysbiosis, cancer, appendicitis, lots more. ...Read more
Many tests.: Doctors have at their disposal many tests to diagnose small intestinal diseases. Which test they choose depends on what they think may be wrong. Some of the available tests include small bowel series, small bowel pill can, CT scan, upper endoscopy,and many others. See your doctor to figure out the best approach in your situation. Good luck. ...Read more
Tough question: It depends what is available. Video capsules have been used. From an imaging perspective some form of enteroclysis is best. Probably ct or mr enteroclysis is the best test, but these procedures are not widely available. Even traditional enteroclysis is not widely available. Routine imaging is usually done with ct and conventional small bowel follow through. ...Read more
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