Re: Re: Macrocytic anemia? / malabsorption

[Guest guest]

Looking for some further input...... I was told many years ago that I had

malabsorption problems (only dx with CLL this past March). I have many food

sensitivities/intolerances, and have had problems with gluten for many years.

I'm now thinking that I may have celiac disease - due to my symptoms and the

fact that I was dx with pretty significant osteoporosis at age 50, which I've

been told can be a symptom of celiac disease. Is celiac disease common in CLL

patients, or is the underlying cause of the malabsorption and food sensitivities

more likely to be the CLL itself? My oncologist, who seems to be very

knowledgeable and whom I like very much didn't seem to be very versed in the

subject of celiac disease.

Thanks for any light anyone might be able to shed on this for me. The CT scan

that I had in the Spring showed no enlarged lymph nodes in the abdomen.

Joan S.

On Oct 25, 2010, at 10:01 PM, julesmagid wrote:

> Quoting August 23, 2009 post from dr.furman:

>

> " There are several possible means by which lymphomas might affect

> absorption in the small bowel. The most common is just by causing

> inflammation and fluid to accumulate, which interferes with nutrients

traveling from the gut to the blood. The treatment for the malabsorption would

be to treat the lymphoma.

>

> The blood work may or may not be normal, depending upon severity, etc. "

>

>

[Guest guest]

CLL is associated with an increase risk of autoimmune problems, but

these are restricted to blood elements (AIHA, ITP, etc). Celiac

disease is very similar to an autoimmune disease where the immune

cells react against gluten in the food, but is not increased in CLL

patients. The best screening test for Celiac disease is to test for

a tissue transglutaminase antibody.

Rick Furman

At 11:19 PM 10/25/2010, you wrote:

>Looking for some further input...... I was told many years ago that

>I had malabsorption problems (only dx with CLL this past March). I

>have many food sensitivities/intolerances, and have had problems

>with gluten for many years. I'm now thinking that I may have celiac

>disease - due to my symptoms and the fact that I was dx with pretty

>significant osteoporosis at age 50, which I've been told can be a

>symptom of celiac disease. Is celiac disease common in CLL

>patients, or is the underlying cause of the malabsorption and food

>sensitivities more likely to be the CLL itself? My oncologist, who

>seems to be very knowledgeable and whom I like very much didn't seem

>to be very versed in the subject of celiac disease.

>Thanks for any light anyone might be able to shed on this for

>me. The CT scan that I had in the Spring showed no enlarged lymph

>nodes in the abdomen.

>

>Joan S.

>On Oct 25, 2010, at 10:01 PM, julesmagid wrote:

>

> > Quoting August 23, 2009 post from dr.furman:

> >

> > " There are several possible means by which lymphomas might affect

> > absorption in the small bowel. The most common is just by causing

> > inflammation and fluid to accumulate, which interferes with

> nutrients traveling from the gut to the blood. The treatment for

> the malabsorption would be to treat the lymphoma.

> >

> > The blood work may or may not be normal, depending upon severity, etc. "

> >

> >

>

>

>

>

[Guest guest]

Thank you. Is the test you're talking about the blood test or the biopsy?

On Oct 26, 2010, at 8:06 AM, R. Furman wrote:

> CLL is associated with an increase risk of autoimmune problems, but

> these are restricted to blood elements (AIHA, ITP, etc). Celiac

> disease is very similar to an autoimmune disease where the immune

> cells react against gluten in the food, but is not increased in CLL

> patients. The best screening test for Celiac disease is to test for

> a tissue transglutaminase antibody.

>

> Rick Furman

>

> At 11:19 PM 10/25/2010, you wrote:

> >Looking for some further input...... I was told many years ago that

> >I had malabsorption problems (only dx with CLL this past March). I

> >have many food sensitivities/intolerances, and have had problems

> >with gluten for many years. I'm now thinking that I may have celiac

> >disease - due to my symptoms and the fact that I was dx with pretty

> >significant osteoporosis at age 50, which I've been told can be a

> >symptom of celiac disease. Is celiac disease common in CLL

> >patients, or is the underlying cause of the malabsorption and food

> >sensitivities more likely to be the CLL itself? My oncologist, who

> >seems to be very knowledgeable and whom I like very much didn't seem

> >to be very versed in the subject of celiac disease.

> >Thanks for any light anyone might be able to shed on this for

> >me. The CT scan that I had in the Spring showed no enlarged lymph

> >nodes in the abdomen.

> >

> >Joan S.

> >On Oct 25, 2010, at 10:01 PM, julesmagid wrote:

> >

> > > Quoting August 23, 2009 post from dr.furman:

> > >

> > > " There are several possible means by which lymphomas might affect

> > > absorption in the small bowel. The most common is just by causing

> > > inflammation and fluid to accumulate, which interferes with

> > nutrients traveling from the gut to the blood. The treatment for

> > the malabsorption would be to treat the lymphoma.

> > >

> > > The blood work may or may not be normal, depending upon severity, etc. "

> > >

> > >

> >

> >

> >

> >