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Gluten Challenge For 7Yo Dd
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Hi! Newbie here :)

 

Where to begin...labwork for 7 yo dd came back last Friday & tested positive for celiac. Hooray! She's had gut issues since birth so we were so thankful to have a reason. Unfortunately, we started pulling her off gluten a month ago (because we didn't know any better, and she was missing too much school) while doing a food diary with her to figure out why her previously dx'd IBS was so out of control (and why her "stomach flu" wasn't going away even when all she was eating was saltine crackers & chicken broth!).

 

So when the GI called & said she had celiac, she said we needed to put dd back on gluten & so we could have a positive biopsy. Ugh. Not thrilled, but it's my own damn fault. But she never said how much I had to give dd...I keep reading anywhere from 2-6 slice of bread a day. But I'm assuming that's for an adult. Dd is 50 lbs, and doesn't eat that much. 

 

How much gluteny food do I need to give her? Her tTG IGA ab was 42 (normal <7) if that means anything. Dd is smart too, and has already accused me of giving her gluten! Which I'm totally guilty of doing, since there's no way she'll eat it now that she knows it's what made her sick. I even offered to let her eat cinnamon rolls every night & she told me "no way!" :)

 

TIA for any & all help :)

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Hi! Newbie here :)

 

Where to begin...labwork for 7 yo dd came back last Friday & tested positive for celiac. Hooray! She's had gut issues since birth so we were so thankful to have a reason. Unfortunately, we started pulling her off gluten a month ago (because we didn't know any better, and she was missing too much school) while doing a food diary with her to figure out why her previously dx'd IBS was so out of control (and why her "stomach flu" wasn't going away even when all she was eating was saltine crackers & chicken broth!).

 

So when the GI called & said she had celiac, she said we needed to put dd back on gluten & so we could have a positive biopsy. Ugh. Not thrilled, but it's my own damn fault. But she never said how much I had to give dd...I keep reading anywhere from 2-6 slice of bread a day. But I'm assuming that's for an adult. Dd is 50 lbs, and doesn't eat that much. 

 

How much gluteny food do I need to give her? Her tTG IGA ab was 42 (normal <7) if that means anything. Dd is smart too, and has already accused me of giving her gluten! Which I'm totally guilty of doing, since there's no way she'll eat it now that she knows it's what made her sick. I even offered to let her eat cinnamon rolls every night & she told me "no way!" :)

 

TIA for any & all help :)

I was wandering when this would come up.....How do you explain to a rational, intelligent, but concrete, child that you have to "poison" them to help them....sigh.  Talk to the doc and see if they won't give you the dx on the lab work and dietary response...good luck.

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    • Today was the big day when I went to the GI and this is the first time I have felt heard and taken care of.  I told him about the two celiac blood tests  (in my first post) normal, he said that often happens, even with people who do have celiac and he needed to see the report and pictures from my endoscope.    I had filled out the appropriate Kaiser paperwork for Sutter to send all my medical records, but they ended up sending a disc with records to me, which Sutter said they could not use.  We also talked about gluten sensitivity v. celiac, and he said a lot of people are sensitive to gluten even if they don't have celiac. He said that my symptoms sound like classic IBS, which can be caused by any number of things.  He asked if I would try the FODMAP diet, which limits certain foods and requires no gluten. He said my symptoms sound like classic IBS, which he said can be caused by any number of things, including gluten sensitivity.  He has asked if I would try the FODMAP diet, which has restricted foods as well as no gluten because most gluten products have wheat in them.  So, since I am planning on going gluten free anyway, and I don't want another endoscope or blood tests if absolutely necessary, I am going to try the FODMAP diet and see what happens. I filled a consent form at the GI office today to have all my records sent to him so he can view the endoscope pathology report and photos.  I have an appointment with a Registered Dietician on September 30, and follow up appointment the GI in 4 months. 
    • gluten-free andee, according to an article on celiac.com  that talks about this subject see this link http://www.celiac.com/articles/24406/1/Celiac-Diease-and-Other-Autoimmune-Diseases-Equals-Low-Inflammatory-Diet/Page1.html Quoting the author "In the author's personal experience, a gluten-free diet has many limitations. The reactivity between alpha gliadin and corn, millet, oats, rice and dairy has been denounced as invalid by gastroenterologists and celiac disease researchers. While at a medical school in Missouri, biopsies did not show improvement in villous atropy until all alpha gliadin sources and corn, millet, rice and oats were removed from the diet."  Note this research is two years old but hilites the problem with non-gluten rice protein that you are having. It is the alpha gliadin sources that it causing the cross reactivity you are experiencing when you eat rice protein's. She says quoting "Celiac disease has gotten the most attention in antibody research, but the current data on cross-reactivity of antibodies is allowing a better understanding of gluten sensitivity. Antigen reactivity to alpha-gliadin can trigger immune attacks on many individuals beyond those with positive DQ 2, DQ 8 and TTG test results. She goes on to say "A low inflammatory diet customized to each person through testing for cross-reactivity or elimination diet protocols is needed to restore a state of health and well-being."  which sounds exactly like what you are doing. If you are still having problems after elminating rice a 30 day elimination of all the alpha gliadin proteins might be in order.  Corn is a common reactivity problem I hear with a gluten allergy from my friends as well as the obvious lactose problems that can be common among celiacs.  But rarely do you hear Rice allergy's brought up in context of a gluten allergy. I am glad you are making progress on finding your triggers. Read the whole article for yourself to see if there are nuggets of truth I did not highlight in my response. I hope this is helpful. Good luck on your journey to health. Posterboy,
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