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Stool Test Shows Elevated Eosinophils, Could It Be Celiac?
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Hi, I am new to all this but need some advice on how I should proceed with testing. 

 

I have a 12 month old son, that is by all standards, a healthy normal boy. He is on tract developmentally, growth chart-wise, etc. He doesn't seem to be in pain before, during, or after eating. The only problem I have noticed is ever since starting solids (at 7 months) he has a lot of undigested food in his stool. I get mixed reviews on if this is a concern or not, but my gut feeling is its not right. I could easily tell you what he had as his last meal by his poop. Its that obvious. He has no other symptoms of pain, rashes, hives, etc. 

 

I am still breastfeeding him and I currently consume gluten, but have never gave it to him until recently. At his first birthday party a few weeks ago he got ahold of some gluten. Long story short, it was a poor decision on my part. He ended up breaking out in a Keratosis Pilaris type of rash all over his trunk area. The only thing I can figure is its from the gluten he ate. Two weeks later, its still not gone. 

 

Before all this, I went to a holistic MD/ND doctor and requested a Genova Dianogtics CDSA stool test. i wanted to see what was going on in his gut. After the party I got his results back. One of the biggest concerns is his had elevated eosinophils in his stool (his level was 11.2 and the max should be 7). The Dr was very concerned about this. Basically his body is fighting something off as if its an infection, but we don't know what. Also his pH level was really acidic (4.2 when it should be between a 6-7).

 

The doctor's first line of attack is its a parasite. I find this highly unlikely but I am retesting the parasite part of the Genova stool test to confirm. If its not that, then he suspects a food related allergy, such as celiac, crohn's disase, etc. 

 

In conclusion, I am trying to figure out what would be the best testing for him to figure out whats causing the undigested food. I have researched Cyrex, Genova, and Entero lab. He has never had any food allergy testing done (blood or skin prick). 

 

Here are my questions:

 

-would the blood test be accurate on him? Since he has only had one gluten exposure (other than he gets it everyday through me breastfeeding). 

 

-would jumping to a celiac test be necessary at this point? or should I stick with general allergy testing? 

 

-As anyone had elevated eosinophils in stool? I know this can be related to EGID and celiac but he honestly has no symptoms of either disease. 

 

Thank you for an insight you can give me, my doctors appt is tomorrow afternoon. 

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Celiac can be "silent" and not be diagnosed until blood panel and endoscopy with biopsy is done. Your child is showing symptoms of something going on and is possibly Celiac. (an endoscopy with biopsy can also test for EGID, H. Ployri infection, parasites and other possible conditions.)

 

Your child needs to keep eating a "normal" diet.  If you eliminate the "trigger" for Celiac or EGID it will not cause the damage and will not be diagnosed.

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My youngest's primary source of gluten was via breastmilk and she tested off.the.charts. in her celiac lab.

 

I'd get the blood test sooner rather than later.  It's easy enough to do and will give you a ballpark of where he stands.

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    • Thanks, I'll check that out. I may have to apply for my own Medicare card in order to get any kind of coeliac-testing done beyond the screen (see above post.)  No, nobody has even mentioned it. I'm unsure if my doctor knows that I do not need to use my hands to vomit, or if she knows about the involuntary vomiting.  I have a part time job at McDonald's and make around $150 per week, which is how I afford to smoke. Mostly, I spend my money on (generally gluten-containing) binge food and cigarettes. I did attempt to start saving money, but then my shifts were cut at work - which meant I had more time to study, but no money, which was kind of pointless. It's complicated. Here in Australia, cigarettes are $25 per pack. These aren't fancy cigarettes either, just your run-of-the-mill Marlboro 20s. Thanks for caring. I am trying to stop I've had the vomiting thing all my life, way before I started smoking. And no, I'm not sure. I know he had an endoscopy and the flattened villi, but I'm not sure if he got a blood test - I assume he would have done, don;t know if it was the full panel. Supposedly he has this FODMAP thing, which I'll admit that I know next to nothing about. Interestingly, people who have to follow low-FODMAP or no-FODMAP diets can't eat gluten either, so there's that. 
    • Would a coeliac screen be the same as a test for antibodies, then? I have no idea why it was even included in my list of tests. It could be my brother, or my symptoms, or both - regardless, I can't say I know too much about the testing.  It's possible that my brother has coeliac disease, I really do worry about it sometimes. He was told to follow a strict low-FODMAP diet by his doctor, and eventually my parents stopped caring. Occasionally they will remind him not to eat things like pasta, greasy foods, etc. because of his condition, but by and large they don't care. He basically just eats whatever he wants. I'm not sure if it affects him or not. However, he isn't shorter than other family members - my dad is 183cm, and my brother is 178cm at the age of 14. Our mother is 173cm.  I do think I have bad digestion, yes. I get gassy and very bloated often, as well as constipated phases (and then following that, diarrhea phases.)  I have tried to ask my mum to call the doctor to get the tests done, but I'm hesitant to mention anything to do with gluten as I know they won't believe me, solely because a good friend of mine has celiac disease. I know they'll think I'm doing it for attention, or to be trendy, when in actual fact I'm just tired of being sick and having no explanation for it other than diet. I'm positive it's not dairy, as I was vegan for a couple of months at one stage. When I went back to eating animal products, I had no issues whatsoever. 
    • He had the IgG ELISA done as well as other blood panels, fecal and saliva tests. He is on an elimination diet right now where foods that score above 0.2 are eliminated for 2-6 months depending on the score, then added back slowly after the detox period.  I am aware that there is a lot of controversy over the IgG, and I'm not here to go into that issue, but I can say with certainty that eliminating the additional foods he reacted to has seen a huge reduction in the symptoms that persisted after cutting gluten and dairy. We will be attempting to add rice back in around October, and see how he does but until then I still need a solution for a baking mix.  I tried to wing it a bit with pumpkin bread today and my attempt was okay but not great. The loaf sank a bit and was overly chewy.  So, to my original question....recipes?
    • Ask the doctor's office!  But usually you can eat right after if you feel like it.  But ask them!  Some of them will try to give you crackers, so you may want to bring some gluten-free applesauce or Rice Chex
    • I'm wondering if he doesn't have an oat problem. He was only dx'd several months ago and really shouldn't use oats for a year after dx. Just thinking out loud. I too am wondering how the rice was picked out of all those other flours to be determined to be affecting him.
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