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Stomach and intestinal complaints Calprotectin increased Zonulin and secretory IgA

Hello,
I have been experiencing stomach and intestinal problems for over a year, such as bloating, abdominal pain, pain when pressed, loose stools, and occasional diarrhea. A gastroscopy and colonoscopy with samples from the stomach and duodenum were unremarkable except for a resolving infectious gastritis. Calprotectin levels in December 2020 and June 2021 were normal, as well as a test for hidden blood in December 2020. Helicobacter, bacteria, and fungi were all negative. However, Zonulin levels and secretory IgA levels were extremely elevated. Taking probiotics has slightly improved my symptoms, but now Calprotectin is slightly elevated. Should I be concerned? How can it show an increase if everything was fine in June and all previous values were normal? How would you categorize my symptoms?

Dr. David Meyer

Dear inquirer,

The values are unspecific and can fit any type of inflammatory bowel disease.
Get tested for food intolerances.
Also, retest for chronic shedders in stool.
If everything turns out negative and mineral levels drop, I recommend discussing a biopsy of the intestinal wall with your gastroenterologist.

Treat diarrhea symptomatically with medication from the pharmacy and your general practitioner.

Most likely, your symptoms will improve soon.

Best regards,
Dr. D. Meyer
Specialist in Internal Medicine

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Dr. David Meyer

Dr. David Meyer

Berlin

Berufserfahrung in der Urologie und Inneren Medizin (isb. Kardiologie und Nephrologie) an akademischen Lehrkrankenhäusern

Erfahrung in epidemiologischen Fragestellungen. Zur Zeit tätig in der klinischen Forschung.

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