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Pediatrician Won't Test For Celiac
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I am a newly diagnosed Celiac. My gastro advised that we get my 3 boys tested, regardless of symptoms. Well... their ped will not test them unless they present with symptoms! I find this incredibly frustrating because I love our pediatrician. He has been my boys' only Dr and he's been very, very good. But everything I have read says that all 1st degree (and sometimes even 2nd degree) relatives should be checked for this.

I have a well-child appointment scheduled for October, so I can try to convince him again then. Maybe I can get him to reconsider. My other options would be going to a pediatric gastro (which will be a huge hassle with 3 very young children) OR paying otu of pocket for one of those any labs places to do it... which would probably be even more expensive.

Any thoughts or suggestions of what I can say to help convince out ped to test my boys now? I don't want to lie to him and say they have symptoms when they don't.

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What about calling your gastro & telling him the ped refuses to test your boys as he (the gastro) advised. Ask the gastro if he will test the boys. it's only a blood test --- no biggie for a blood draw --- it's not like only peds can draw blood from kids.

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The GI is right in that your boys should be screened.

I'd call your GI's office and let him know that the ped won't test. Your GI can request the test for your boys or his office can call your pediatrician and let him know that the request has come through your GI.

When my daughter was diagnosed, her pedGI requested the testing for my son and recommended that my husband and I have our PCP request our screening test . . . he told us to let him know if we ran into any trouble but we didn't.

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I apparently type at the pace of a snail as squirmingitch's post wasn't there when I started posting . . . and my post is FIVE minutes later. My old typing teacher would not be happy ;)

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You can just see a GP for a blood test can't you?

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I agree with telling your gastro that the ped won't test.

Then ask for a referral to a ped that will. Let your ped know that you will be going to another ped until you find one that will test your children since this is an inherited disease. You can tell him you are happy with his work except for this situation which is serious to you and your children.

Or see if your gastro will do it.

Or your GP.

Took me two years to find one that would agree to test my son. The excuse was that he didn't have classic symptoms and wasn't emaciated. Wrong.

He tested positive.

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My boys ped wouldn't test my boys either. They both were seeing a pediatric allergist/immunologist at the time and I got him to send me the order for the blood test. There was no problem at all. Both tested negative on blood work after I was diagnosed. I had oldest retested yearly and he was always negative. He has been gluten free for now a year and is doing wonderful. Two years after my diagnosis I had the youngest son retested and he was positive.

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AS A LAST RESORT (and we had to do this ) I lied to my Dr about tummy pains to get myself and husband tested because he wouldn't budge. We waited a few weeks after my DD was confirmed and the household had been gluten-free to mention it again to the DR. saying we noticed changes when gluten-free in house to nonGf outside of house.

We preferred to keep this doc and have had NO other problems with him but this.

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Your GI wont be able to order the tests for your kids. Only a Dr. seeing the patient can order testing. You can have your Dr. send a letter to your Ped about the fact that it's genetic and they the kids need to be tested. If your Ped still won't I would seek out a new Ped or get a referral from your Ped for a pediatric GI who would most likely do the testing.

Good luck! The medical community has so much to learn about Celiac :(

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Your GI wont be able to order the tests for your kids. Only a Dr. seeing the patient can order testing. You can have your Dr. send a letter to your Ped about the fact that it's genetic and they the kids need to be tested. If your Ped still won't I would seek out a new Ped or get a referral from your Ped for a pediatric GI who would most likely do the testing.

Good luck! The medical community has so much to learn about Celiac :(

But I would make sure your GI tells the ped exactly which tests to order. Since the ped has refused to test them then it stands to reason that he won't know what the full celiac panel consists of.

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What an arrogant jerk. So tired of doctors who forget why they have a job. Definitely get a letter from the GI with the specific tests and demand he run them. If not, take your business elsewhere.

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I agree with getting the GI to send over the order. They do it all the time. And request like someone else said that he asks for the WHOLE panel. (EMA included) Some labs won't do EMA unless Ttg is positive so not sure how that really works.

I asked my ped. to test her since she has Hashimotos and dad is type 1 diabetic. She did it with no problem. She told me that it would be negative since she didn't have any symptoms but if she wanted me to, she'd do it. (I mean, WE are paying for it) She called me and said "I can't believe this but she is positive....waaaayyyyyy positive." I would get it done to prevent any other auto-immune diseases. The GI is hoping that by going gluten free, we can prevent my dd from getting type 1 diabetes like her dad did at 19. There are studies in lab rats that show it does help but then there is another one with humans that says it doesn't. Who knows but we are hoping for the best! (And taking vitamin D to help that along!)

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Gosh do I understand!!! It took me 18 months to get my kids tested...went through three doctors...

Our girls' GI will (and did) write orders for any of their first and second degree relatives.

You are not alone! Thinking of you! Keep up all your hard work!

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I'm not familiar with the medical system over there, but here, a GP can order a test without any hassles.

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I am a newly diagnosed Celiac. My gastro advised that we get my 3 boys tested, regardless of symptoms. Well... their ped will not test them unless they present with symptoms! I find this incredibly frustrating because I love our pediatrician. He has been my boys' only Dr and he's been very, very good. But everything I have read says that all 1st degree (and sometimes even 2nd degree) relatives should be checked for this.

I have a well-child appointment scheduled for October, so I can try to convince him again then. Maybe I can get him to reconsider. My other options would be going to a pediatric gastro (which will be a huge hassle with 3 very young children) OR paying otu of pocket for one of those any labs places to do it... which would probably be even more expensive.

Any thoughts or suggestions of what I can say to help convince out ped to test my boys now? I don't want to lie to him and say they have symptoms when they don't.

maybe he needs to understand that by not testing he is commiting malpractice?

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I agree with frieze...in fact my husband and I are both outraged at how poorly doctors behave...I used the word "criminal" to describe this case.

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I would more likely term it ignorance and/or willful negligence. :)

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agreed, mushroom! :) I was feeling very angry :angry:

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We did the exact same thing. My ped was fine with it because she said some people have it and dont even realize it. She said that 1st degree relatives need to get tested because of the risk of lymphoma , melanoma, and other cancers. My son had no symptoms either .... Sue enough his blood test was positive and according to biopsy results the GI believes he has had it for three years or so. I would find a different pediatrician. If you have insurance and they will pay for it, there is no reason why they couldn't do it.

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    • I figured I would update those who were wondering.  I have gotten the appt. so far moved up to August 30. I am waiting to have gene testing done via swab for all 3 of my kiddos tomorrow. My daughters celiac antibodies came up negative but her IgA is low which the ped said could cause false negative antibodies for celiac so she will need to see a GI dr. also. The pediatrician is going to call the GI to try to get them in sooner. I am keeping them all on a gluten diet until the GI dr. decides what to do. I am on the cancellation list already for my son, however I am not going to be persistent with my phone calls to them until I have the results of the gene test. I really want that result in my hand before going to the GI dr if I can. Maybe if he is positive, along with his bloodwork and my history they can forgo the endoscopy. But he will eat gluten till then.  My husband and I have been very honest and upfront with him as to what is going on and the possibility of the endoscopy and what that entails and although scared in general he seems ok after assuring him that since I have it he has me to help him every step of the way.  Going through his current diet with him I realized that he is truly on such a low gluten diet that I am actually surprised his bloodwork shows antibodies at all!  So I told him to make a list of allllll the gluten he could possibly think of eating and he needs to pound it until the GI visit or endoscopy. Funny thing is everything he keeps thinking of to want to eat...is already gluten free!  The other night we were at a friends and he asked if he could be done with his hotdog. I made him finish just the bread 😂 Thanks for your help and advise and I will keep y'all posted on both kids!  My oldest is a ok as far as all his antibodies. Just actually had a follow up for other immune issues and all his levels are now normal!
    • I like your plan Cara, I may have to include it in my sons.    Poor little guy is still very very sick. I think he is resisting and cheating, despite having the support of two other siblings and a 100% gluten-free home. 
    • Despite it being a nightmare, I did wait for my kids to get biopsies. At one point I had one severely ill child gluten-free and two more waiting having to eat it. It was worth the wait though and I think long term a biopsy may be worthwhile, especially for school. I have already had issues with schools and camps so having a firm diagnosis has been helpful. 
    • Knowing that the reaction to gluten in celiacs is an uncalled for immune system reaction, I was thinking of how a cure would be possible. Maybe a medicine that somehow turns off the immune system. The only thing that i've heard do that... HIV.  obviously that's way worse than celiac. Just some food for thought.
    • Well, you can probably get an apple or something.  You might be able to get someone to boil you some eggs.  But be careful of things like nuts that should be naturally gluten free.  They have almost always been soaked in a flavor solution that usually containes caramel coloring, "soy" (wheat) sauce and other aditives.  If I am really hungry and must eat in a Chinese restaurant, I order plain white rice and steamed vegetables.  But even so, you must monitor it carefully.  The rice sometimes has other substances added to give it a better texture, and very often the vegetables have in fact had "just a little bit" of soy sauce added.  To be fair, celiac disease is hardly ever found in East Asians, so understandably people are not tuned it to it.  Also, culturally, with the exception of fruits, it is generally thought that the flavor of foods needs to be enhanced, so it is had to find anything natural even in the "western" gorceries. Even in the western restaurants, be careful.  Fish and meat and often vegetables are usually pre-marinated. I will not even attempt to address the issue of cross-comtamination, since that is a whole higher order of things. I do know what I am talking about; I have celiac and have worked here for nearly 7 years.  
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