Malabsorption question y/n?

Hi, I have a severe case of misdiagnosed malabsorption and i've been to a gastro recently who dismissed it after doing a endoscopy and telling me i can't possibly have it because i'm not seriously skinny. I told him i'm fortunate because i know the very very few foods that my body seems to absorb and i stick to them thats why i look somewhat normal. IE: i eat over a KG of white beans/day because they work and help me maintain my weight. I tell doctors this but they don't seem to listen.

so my question is,

1.for someone who has malabosrption, does that mean that they automatically have malabsorption to 100% of the food on this planet?

2. is everyone who has malabsorption anorexic looking, meaning if you look pretty average a doctor won't even take you seriously for that reason?

3. would an endoscopy show signs of malabsorption? (my g.I says he didn't see anything too bad, i can't have it)?

thank you very much

[patient915]

The answer to your first question is no.  You don't have to have malabsorption to all food (as in celiac disease or lactose intolerance which are both cases of malabsorption).  The answer to your second question is not necessarily.  If someone starts out larger before they get the malabsorption then no but basically all malabsorption involves weight loss.  A severe case of malabsorption would most likely include consistent weight loss (meaning you keep on losing weight).  An endoscopy may show signs of malabsorption but it won't always.

[MJo66]

Thanks so much patient, that is exactly what i was thinking. I have been to 2 GI's in the last few months and both believe the opposite. And when I tell people these GI's are awful, of coarse I'm the ignorant looking one.

I specifically tell them in a somewhat aggresive (aggressive) way , "listen, I don't look skinny because kidney beans are one of the very very few foods that seem to work so i stick to them..I eat a large amount of beans a day...over 2200 calories".this goes completely ignored. I mean, obviously if i stick to this method I will look normal. Why do they not grasp this concept?

I told the latest GI lady that i read on the internet, that ppl suffering from malab. can look normal of even chubby because they have an increased appetite..her response "dont believe everything you read on the internet"

I also tell them that i used to be prett chubby and i'm slowly losing weight, i just happen to be at a stage where it doesnt look like it affected me yet...once again, goes ignored.

Then the GI says "i did an endoscopy, I didn't find anything nasty" then he has the nerve to ask me "why are you so fixated on food?" my god i was so furious at that point..how do i answer that? i can't function without food

so am i not correct when I say that these doctors are brutal? i actually have a fat test that came in with abnormal results which i will get a chance to show the Gi this week..but why do they approach patients this way? then of coarse ppl think i'm the looney because if a doctor says i'm fine then i'm fine

I have an app.. this thursday, I may have to go on a 200 hour fast just so they can listen to me for a change.

[MJo66]

am just going to bump this in case someone can provide additional input..thanks again