Celiac Disease – A Missed Diagnosis

Celiac Disease – A Missed Diagnosis

I wanted to share an interesting article on celiac disease that was presented recently in the Well Blog section of the NY Times. I felt it raised a few very important points regarding celiac sprue, namely:

1.  The disease tends to run in families and first degree relatives of patients with celiac disease should be tested for the condition even without symptoms as they have an exceedingly high risk of having the condition

2.  Not all endoscopies are Equal:  Adequate number of biopsies are paramount on endoscopy otherwise the disease will be missed. 2 biopsies are simply not enough. We must obtain 6-8 biopsies as the condition may be present in a patchy distribution

3.  Atypical symptoms such as constipation can be present. We must still consider the disease.  Class symptoms such as abdominal pain, anemia, or diarrhea may be absent. Infact some patients have no symptoms at all

Please review, I think you will find it an interesting read.

Patient Education

What is Barretts Esophagus?

What is Barretts Esophagus?

Barretts Esophagus is a change in the lining of the esophagus or food pipe thought to be caused from chronic acid refluxing into the esophagus from the stomach (GERD or acid reflux).  The change in cellular structure is also known as Intestinal Metaplasia of the..

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Top 10 Reasons to Join a Celiac Support Group

Top 10 Reasons to Join a Celiac Support Group

Recently, I ran into Bernice Hettesheimer at Jersey Shore University Medical Center’s Endoscopy section.  For those of you who don’t know her, Bernice is a retired endoscopy nurse who now runs the Jersey Shore Celiac Support Group. She writes about the Top 10 Reasons to..

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Irritable Bowel Syndrome (IBS) and Celiac Disease

We see many patients in the office that present with a label of IBS.  Many of these patients have chronic troubling gastrointestinal symptoms such as diarrhea, constipation and / or abdominal pain.  I am often surprised at how many of these patients have been given..

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