What can a 13 year old expect from an abdominal evaluation?!


Question: What can a 13 year old expect from an abdominal evaluation?
I think that I have celiac disease, so I had my mom call the doctor after a year of stomach problems. The doctor said that she would first do an abdominal evaluation. Im so scared. What will happen? Please be honest, no jokes. Thanks in advance!

Answers:

Kayla,
Either or all of the folowing. For certain, blood testing will be done. Blood testing. Full blood count -FBC /Complete blood count –CBC,(Different words for the same examination). Serological testing identifies patients who need further testing for CD. Biopsy confirmation. Patients with positive serological tests should be offered referral to local gastroenterologist for endoscopic or enteroscopic distal duodenal or jejunal biopsy to confirm diagnosis. Small bowel barium studies are occasionally needed to exclude other causes of malabsorption and diarrhoea, and diagnose rare complications such as obstruction or lymphoma. THis is done by swallowing a radio-opaque liquid that shows up on X-Ray. Histopathology, which is a histological examination of the mucosa. Differential diagnosis - IBS, lactose or other food intolerances, colitis (including inflammatory bowel disease), other causes of malabsorption. For obvious reasons these are not all procedures that are done at one visit – normally. If one test is completed and indicates a certain result, then another test may be done to exclude what the first test indicated, etc, usually at a later date. Blood tests are what they seem – blood is taken from your arm for lab testing. Biopsy confirmation is usually done on the gastric mucosa, which is the lining of the intestines. There are pain receptors in the intestines but they do not act like, for example, when you feel pain on your skin. They signal when the intestine swells but if you have a biopsy, all you will feel is a type of plucking feeling, nothing very unpleasant. The same goes for a histological exam when some of the mucous lining is taken from the intestine. During a endoscopic distal duodenal or jejunal biopsy, a long tube is passed down through your mouth to the other side of your stomach and into the duodenum, which is the first section of the small intestine and the jejunum, which is the middle section of the small intestine, A small surgical tool takes a small piece of the lining for lab examination. The patient is either anaesthetised or, if preferred, may have a anaesthetising spray to the throat to prevent the ‘gagging’ reflex. An enteroscopic examination is done by passing the tube through the anus to examine the bowel.


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It is extremely important to obtain an accurate diagnosis before trying to find a cure. Many diseases and conditions share common symptoms.


The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

Hope this helps
matador 89



Ask the doctor or your Mom.




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