Flattened villi?

[Brendabrad]

I had a biopsy for celiac and it came back ok although I have flattened villi. Does anyone know what the biopsy is and what can be shown from it?

Incidentally, the cause from the flattened villi is most probably Bile Salt Absorption which I have been diagnosed since with. But I have gone gluten free again and am so much better

[Penel]

This is a good explanation of a biopsy and what may be found.

celiac.org/celiac-disease/d...

Have you been given any medication or advice on what to eat?

[Brendabrad in reply to Penel]

No because they say it isn't celiac

[Brendabrad in reply to Brendabrad]

So they haven't given any advice as to what to eat

[Penel]

If your villi are flattened then I guess your body will not have been absorbing all the nutrients you need. If eating gluten free is helping, that's a good thing.

[Brendabrad]

Seems to be working

[tassie]

The villi get flattened when the gut lining is damaged and this is often due to coeliac disorder

[Brendabrad]

Hi Tassie, although the report of the endoscopy said flattened villi, when the biopsy results came back they said not coelic. I really dont understand that. Thank you both for replying x

[Poshpenny]

I think I would be going back asking them what marsh stage it was and if they are flattened, why isn't it coeliac, and what is it then? Maybe your GP could ask these questions for you?

[Jacks]

Coeliac disease is only one cause of villous atrophy. There are quite a few. A colleague had all the symptoms I had and it was eventually discovered he had giardiasis - a nasty parasite that can flatten villi.

Here's some other causes:

cureceliacdisease.org/archi...

[Ramonalisa1]

the flattened villi will seriously cause problems with your nutrient uptake. read my post on celiac b12 and more to help you build your gut flora back to normal. I wish you well.

regards Ramona

[Jacks]

You can have flattened villi from many things, it isn't just CD. Is your gastroenterologist checking the "other end" for crohns, colitis especially if you have been diagnosed with bile acid malabsorption AND flattened villi?

There are (and I understand, successful) steroid treatments. Ask your gastroenterologist for more info on what they are going to do.

PS Any success with a GF diet may just be coincidental.