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These lymphocytes then activate other lymphocytes to generate cytokines, such as interferon-γ, interleukin-4, and tumor necrosis factor α (TNF- α), which damage the villi, resulting in enteritis

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Most turn out to be minor — but they genuinely can’t be told apart reliably by feel, and a few do need treatment, so the honest answer is that only an in-person exam (sometimes with an X-ray or ultrasound) can confirm what yours is