COLITIS EXPERT FORUM
Pathology of stomach and duodenum

Pathology of stomach and duodenum

My stomach had several "petechae" according to the endoscopic exam.  Pathology report concluded "nonspecific inactive gastritis" (feels pretty active to me!) with no sign of H. Pylori.  
Pathology report of duodenum showed "chronic mild inflammation."  No sign of celiac disease.  Colon is normal.

I'm getting a capsule endoscopy next week. Last year when I had that, it showed several diverticulae of the jejunum.  
My symptoms are chronic (almost all the time) generalized abdominal pain (sometimes intensely localized to the rlq), chronic diarrhea, some weight loss due to loss of appetite (I've been a bit underweight for a couple of years), occasional nausea and vomiting.

Could it be eosinophilic?  Is that generally part of what they test for when they do a biopsy?  Could it be Crohns?  It isn't NSAIDS...I hardly ever take aspirin, ibuprofin or the like (I have studied nursing and pharmocology at university, I know that since I've had stomach and duodenal ulcers in the past, those drugs are dangerous to me).  All I know is it makes me miserable, and I am not able to work.  I've been hospitalized half a dozen times (often for more than a week) in the past 5 years for diarrhea, dehydration, and pain.
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362414_tn?1314512864
Hi,
Histopathology is the gold standard for the diagnosis of eosinophilic gastroenteritis.There will be increased density of eosinophils and few other features are also  taken in to consideration.The diagnosis may be missed despite
endoscopy and biopsies because of patchy disease distribution and also because
of sparing of the mucosa in some forms of eosinophilic gastroenteritis.

IBD may also have similar presentation. Biopsy/p-ANCA /ASCA might be helpful in diagnosing IBD.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.

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