Medical Questions > Conditions and Diseases > Digestive and Bowel Disorders Forum

Autoimmune gastritis or just bacterial infection

2 months ago I went to a doctor because of red and painful tongue.
I went through many tests, here are the results:
- Blood test showed vit. B12 deficiency. My result is 51 pmol/l (while normal values are between 141-489). Iron, folic acid and everything else is fine.
- Microbiological test of saliva found Klebsiella pneumoniae and Condida. I have prescripted Zinnat 500mg treatment that i haven’t started yet.
- Second, more specific blood test showed: Intrinsic Factor Antibodies >200 RE/ml (normal values 0-20), and AAb to parietal Cells 1:80 (normal values 1:<10)
My gastroenterologist haven’t seen the last results yet (with Intrinsic factor antibodies), but it said that positive result wlll mean that I have autoimmune gastritis. My next appointment is after 7 days and I want to be well prepared.

He mentioned that if the blood test prove autoimmune gastritis it will be treated with corticosteroids.
I need to know what’s your opinion on that case. Is there a chance that i don’t have autoimmune disease and those antibodies are just immune reaction to previous bacterial infection (with H pylori for example).
All my symptoms started after I ate spoiled chicken wings. I had a diarrhea immediately after that. After a week I started to feel weakness and tiredness + red tongue.
I mentioned that to my gastroenterologist but he didn’t took that fact into consideration. I think that this is very important, because there is a chance that this is just bacterial infection (not immune disease).
Should I go with corticosteroids if this is the most appropriate treatment, or I should check somehow for bacterial infection.
Before that spoiled food I’ve never had stomach problems in my entire live.
Did you find this post helpful?
|
Must Read
Feeling constipated? Do you know how constipation is medically defined? Get the basics on this common gastrointestinal complaint here....
Are you experiencing severe or chronic constipation? Learn about causes of constipation here....
Constipation is defined differently by different people. Learn to identify signs and symptoms of constipation and know when to ask for medical help....