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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Celiac Blood Panel. Have Chronic Constipation, Headache, Fatigue. What Tests Can Be Done?

My celiac blood panel was high as of Oct 2012, had an endoscopy it showed no damage to villi, been on gluten free diet for 2 months, been suffering from chronic constipation was hard stools now it is mostly pasty stools and intermittant diahrrea, I had a severe attack 2 weeks ago with extreme stomach cramps, diahrrea and pain and intermittant periods of feeling like I had to have a BM but nothing would happen,I went to ER they did a CT scan and bloodwork, that tests showed inflammation in colon and possible ulcers and blood in my urine, went to Gastro Dr and he set me up for a colonoscopy to see what is going on - my CBC was normal but I continue to suffer with EXTREME fatigue and headaches through all this, they did not ask for a stool sample and I am concerned about the possiblity of a serious illness or disorder being missed just because my CBC is normal. What other tests could be done to make sure I am not dealing with the beginning of some kind of cancer etc? I have now been very sick for almost 16 months. Any advice would be appreciated, I have been to an Endo (I have low thyroid possible Hashimotos) and also had testing for Adrenal fatigue which was not conclusive but test results were borderline....
Mon, 4 Feb 2013
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Gastroenterologist 's  Response
Hello, billdeb33,
You mention that you were diagnosed with Celiac disease two months ago.
Eventhough the biopsy did not show advanced villous atrophy , your
diagnosis does not change. It is very important that you follow a very
strict gluten free diet . Constipation can be taken care of with the use of
osmotic laxative preparations such as Polyethylene Glycol solutions
and making sure you have adequate fiber intake. Make sure you read
the label on evry product you buy to look for wheat, Rye or Barley and
avoid that. If your blood count was normal , that means you are not
anemic which is good. I am glad that you are going to have a complete
colonoscopy. I would recommend biopsies of the colon lining even if it
looks normal. There are certain types of colitis that only shows on biopsy.
One such is "Microscopic colitis ".
I am sure that the gastroenterologist will do the very best to help you.
I wish you well.
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High Celiac Blood Panel. Have Chronic Constipation, Headache, Fatigue. What Tests Can Be Done?

Hello, billdeb33, You mention that you were diagnosed with Celiac disease two months ago. Eventhough the biopsy did not show advanced villous atrophy , your diagnosis does not change. It is very important that you follow a very strict gluten free diet . Constipation can be taken care of with the use of osmotic laxative preparations such as Polyethylene Glycol solutions and making sure you have adequate fiber intake. Make sure you read the label on evry product you buy to look for wheat, Rye or Barley and avoid that. If your blood count was normal , that means you are not anemic which is good. I am glad that you are going to have a complete colonoscopy. I would recommend biopsies of the colon lining even if it looks normal. There are certain types of colitis that only shows on biopsy. One such is Microscopic colitis . I am sure that the gastroenterologist will do the very best to help you. I wish you well.