Scot Michael Lewey, D.O., FACG, FASGE, FACP, FACOI, FAAP, FACOP, CPE
Board Certified Gastroenterologist (Digestive Diseases Specialist)
Clinical Professor of Medicine
Specializing in Food Allergies and Intolerance, Celiac and Gluten Sensitivity, Colitis and Leaky Gut
Food Allergies versus Food Intolerance Introduction
Foods, additives and chemicals in the diet are capable of triggering non-allergic immune reactions. Allergy to foods causes a specific type of immune response, the "allergic response", that is evaluated by skin tests and IgE RAST antibody testing. These tests will be negative if the food reaction is not allergic.
Chemical mediators released by the immune system are capable of producing a variety of body reactions and symptoms that can be triggered by foods or other ingested food additives or chemicals. Mediator release (MRT) testing measures the release of chemical mediators from white blood cells and platelets in response to specific foods, additives or chemicals. Such chemical reactions presumably indicate sensitivity to these foods or additives
Celiac Disease Diagnosis and Biopsy Introduction
The diagnosis of celiac disease is confirmed by a characteristic abnormal appearance of the small intestine under the microscope. Flattening of the normal finger like projections called villi accompanied by signs of inflammation is taken to indicate damage or injury from the storage protein gluten in wheat and similar proteins in barley and rye. The small intestine biopsy became the gold standard for the establishing the diagnosis of Celiac disease or gluten sensitive enteropathy though before 1960 gluten withdrawal followed by improvement and subsequent worsening upon rechallenge was the diagnostic criteria.
Blood tests are available to screen for bowel inflammation diseases known as inflammatory bowel disease (IBD), e.g. Ulcerative colitis and Crohn's disease. Prometheus Laboratories has recently introduced an updated blood test panel for IBD, IBD sgi. This panel includes not only blood antibody tests that screen for UC and Crohn's disease but adds genetic testing for Crohn's disease and markers for active intestinal inflammation. An example of the new test is below. See the page on this site that reviews these tests and IBD in more detail.
About Dr. Scot Lewey, the Food Doc
Dr. Lewey graduated from osteopathic medical school where he embraced the tradition of treating the whole person. He went on to complete his post-doctoral residency and fellowship training culminating in board certifications in the specialties of internal medicine, pediatrics, and the subspecialty of gastroenterology. For almost three decades Dr. Lewey has practiced medicine, educated medical students and patients and conducted clinical research.
Dr. Lewey is an adjunct clinical faculty of the Rocky Vista University-College of Osteopathic Medicine where he holds the position of Clinical Professor of Medicine. His honors include being elected to Fellow Status of several professional societies including Fellow, American College of Gastroenterologists (FACG) and Fellow, and the American Society of Gastrointestinal Endoscopy (FASGE). He was selected by the Consumers Research Council of America as one of America's Top Gastroenterologists for 2010-2013 http://www.consumersresearchcncl.org/Healthcare/Gastroenterologists/gastroenterologists.html, for his expertise Celiac and Digestive Diseases. His interest in these areas after his personal and family experiences with allergies, celiac disease, gluten and dairy sensitivity. Dr. Lewey has wrote several chapters in Cereal Killers-Celiac Disease and Gluten from A to Z. Purchase a copy here at amazon.com.
Dr. Lewey was voted "Gluten Free Doctor of the Year" in 2012 and was again a nominee for 2013.
Dr. Lewey has received honors of Leading Physicians of the World and Colorado Springs Style Magazine, Top Doctors recognitions.
An educational website providing useful information and resources for "Healthy Gut, Healthy Life". Learn about links between food, microbes, digestive tract and health by clicking on links above for helpful information including endoscopic pictures, biopsy slides, examples of digestive test results, all with explanations.
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