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At The End Of My Rope.


D-borealis

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D-borealis Rookie

I have a 2.5 year old daughter who has been "high needs" since birth. Early on we discovered she was allergic to dairy and eliminated that from her and my diet (breastfeed, still breastfeeding) Except for a few phases in her life, she usually seems unhappy more often than not. This currently manifests itself in whining, tantrums, extreme clinginess among other things. She also has always been underweight, has severe tooth decay, intermittent mysterious rashes, and sleeps TERRIBLY (at most 2 hours at a time at night, all night) she also constantly wants to nurse. Lately all of this has gotten even worse, and I am starting to get burned out from being her mother. I often feel like I have nothing more to give her, and nothing makes her feel better, or happier. I finally brought her to a recommended naturopathic doctor and he suggested going gluten free for 4 weeks. Does this seem like a reasonable effort to you folks who have gluten intolerant children?

Since our visit to the doctor we have been Gluten-free for 1 week. It seemed like two of those days were slightly better: improved mood and sleeping. However, today I felt so discouraged as it seemed any progress I had been seeing went out the window: An entire day of whining and haven't been able to put her down without a total meltdown. So frustrated. Any help? This is my last ditch effort.

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notme Experienced

poor baby :(  and poor mama!!  (((((((hugs))))))) man, it's rough when our babies are sick (and you're 'it' - they just want mommy....)

 

at 2-3, they're at a clingy age anyway - if you noticed a difference feeding her gluten-free, DO continue to.  when you start this diet alot of times, it's two steps forward, one step back - she may just be having a bad day (she's a people, we all have those) or maybe she got some gluten somewhere and is reacting from it?  

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greenbeanie Enthusiast

So sorry you are going through this. Has she been tested for celiac? If she hasn't been tested yet and you plan to, she'll need to be eating gluten until all testing is complete. It may be really hard to put her back on gluten for testing if she ends up responding well to the gluten-free diet, so if you think an official diagnosis might matter for school (in the future), etc., you might want to consider it now.

My daughter was just diagnosed with celiac at age 4, and her behavior was just like you describe - constantly fussy since birth, extremely clingy and whiny despite very consistent parenting and a wonderfully supportive daycare, etc. We could just never make her happy, no matter what we did. She had digestive issues since birth too, but the behavioral and neurological/sensory problems were really our main challenge early on. She started having daily tantrums before age 1, and by the time she was 3 she was routinely having 10-12 horrible tantrums almost every day. Her sleep was also so bad that she was sent to a neurologist at one point because they were concerned that all the thrashing around and crying every 45 minutes in her sleep might be seizures. We were completely exhausted, and everyone keep looking at us like we, as parents, were somehow causing this. Her tantrums were never for ordinary things like wanting toys or treats - they were triggered by the tiniest itch, sudden noises (even if they weren't loud), bright lights, and things like that. She was diagnosed with sensory integration disorder at 3 1/2, and it was kind of helpful to have a name for it, but it took until recently to get to the root of the problem. She was just diagnosed with celiac a few weeks ago, and she's suddenly turned into a sweet, loving, usually-calm child! The transformation really was amazing. And the sensory problems are almost gone already.

Whether or not you decide to pursue celiac testing, I'd urge you to give a strict gluten-free diet a good long try for at least several months (once testing is complete, if you go that route). Having gluten withdrawal symptoms for a few weeks seems to be normal, so a lack of immediate changes doesn't necessarily mean it's not helping. My daughter's first five days were pretty rough, but after that we saw a clear and fairly steady improvement. We did discover that she is sensitive to the barley enzymes used in the supposedly gluten-free Rice Dream that she was drinking every day, so we had to cut that out too. She also reacts to many brands of processed gluten-free foods, so we've had to stick to almost all fresh or homemade foods for now. Being constantly vigilant about cross-contamination in everything is tiring, to be honest, but it's so worth it to have a happy child!

I hope things improve for you soon, whether gluten is causing your daughter's problems or it's something else. As parents, we really do know our children best, and it's especially hard if doctors and others keep brushing aside extreme fussiness and clinginess as a behavioral problem when there really is an underlying reason that the child's in pain all the time.

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notme Experienced

if they are planning on testing her for celiac, she will need to be eating gluten, greeniebeanie is right.  i thought your doc wanted to see if she responded positively on a gluten-free diet.  if she did respond well, it sure might help her mood.  (i think my 4 y.o. grandson is at least intolerant but his parents don't see the connection - ugh - frustrating.  some days, he just cries over everything)  sorry if i misunderstood :)  

 

greeniebeanie - i'm glad you're having a happier child, you sure have been through it - and you are a good detective!  

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nvsmom Community Regular

I would consider testing too. the tests are:

DGP IgA and DGP IgG (best test for kids)

tTG IgA and tTG IgG

total serum IgA

AGA IgA and AGA IgG (test for gliadin sensitivity)

EMA IgA (detects advanced villi damage - rarely positive in kids

 

The first three test would probably be the best for celiac disease testing in kids. She must be eating gluten for accurate testing.

 This report discuses the disease and the tests (on pages 11-12): Open Original Shared Link

 

If all tests are negative, she may have non-celiac gluten sensitivity (NCGS) which has all the same nasty symptoms as celiac disease minus the villi damage. It's present in 6-30% of the population, most stats report closer to 10%, which is much more common than celiac (<1%).

 

If you decide to keep her gluten-free, keep in mind that she might have hit withdrawal. I can't remember that stat, but I think it's about one third of people experience withdrawal from gluten. It hits a few days after being gluten-free and can last a few weeks. It often involves fatigue, major moodiness, headaches, and some return of GI issues. It usually last somewhere between 1-3 weeks.

 

Best wishes.

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nvsmom Community Regular

Oh, I forgot to add that some kids seem to have issues with breast milk if the parent is eating gluten. You might want to get tested too (it's genetic) and then go gluten-free as well.

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weluvgators Explorer

((Big Hugs!!)

My super silly siren girl was exhausting!! She still can be, in a different sense, but those young years were very hard for all of us, especially her. I would get her in for the blood tests ASAP. Do some reading and decide if you are interested in pursuing a biopsy or not. The best chance of "positive" blood work is eating gluten, so give consideration to how you think testing fits into your family's health management philosophy. We chose not to pursue the biopsy, but our daughter was less than a year and could not eat any gluten directly. Working with your healthcare providers will be necessary to ensure accommodation for her as she gets older if she does have celiac, gluten intolerance, and/or food allergies....or any other medical condition for that matter.

Have you gone gluten free? This is absolutely necessary for a proper gluten free trial if you are still breastfeeding. I went through withdrawal, as did my daughter, when we went gluten free. It was a very, very, very difficult time. In some ways we were lucky, as any gluten slip was obviously worse. And it was so much obviously worse that I had constant support and encouragement from my husband.

We had to take our house gluten free to see continued improvement. We eventually recognized that "gluten free" processed foods were keeping us unwell. Moving to a whole foods diet that was prepared in our strictly gluten free home is what we had to do to get better. We have also had to work hard to find healthcare providers to help improve our health and help us navigate complications from not being properly accommodated.

I found it very helpful to have a babysitter help me during these times. Are you the primary carer for your daughter 24/7? if so, you should consider ways to help support yourself better. We had a neighbor teenage girl that would come over and help, and it was a blessing. You need breaks from the constant demands that a sick child has. Our daughter had constant, chronic bellyache that was severe. She was also depressed (so sad, so sad, I don't know why but I am just so sad!!! Wail, wail, wah, wah....on and on and on when she could *finally* articulate it at age 3!). Oddly enough, she started talking very, very early, but communicating the complexity of her pain takes time to develop. We got a body chart to help us improve the communications and better understand where she was feeing pain.

The symptoms that you described are like reading our own story. We did not have the underweight, but we went gluten free much earlier. But we did have high fever and vomitting with accidental exposures. I was not very diligent initially because of the funny logic in my head, but that only prolonged the suffering and probably contributed to more damage. Getting super sensitive diligent and giving it time under those super sensitive protocols is when we finally made substantial progress in getting well.

Please keep in mind that your daughter may be suffering from chronic pain. Trying to keep that in perspective usually helps me maintain the needed compassion. But don't underestimate how exhausting her care taking is, and you must be well supported. Best wishes for getting this sorted as quickly as you can. I know of other celiac mothers that can relate to your struggles, so please take comfort in knowing that you are not alone.

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weluvgators Explorer

I had to make a list of things that help me cope and try to do some of them every day. It also helps to have a list of things that help my daughter cope. The best ones are when the same thing is on both lists! Here are some of our coping tools:

-making herbal teas, we like peppermint, chamomile and licorice root

-going outside for walks and swings

-taking baths with Epsom salts

-foot and belly massage (we use Shea butter or other pure oil)

-my daughter uses heat packs on her belly

-head and neck rubs

-diffusing essential oils

If you can get her in the kitchen to help with food prep, she may enjoy it....and perhaps it can be a distraction. My super silly girl has always been quite proficient at getting herself snacks from the kitchen. We facilitate that by making sure the refrigerator has stuff she can reach easily, including fruits, veggies and leftovers in easy to open containers on lower shelf. You can precut fruits and veggies to make it easier for her to grab as well.

I used a lot of "baby" carriers as well. There are some fantastic ones out there, and I carried my children for many years. You may find it helpful to get one if you don't already have one (one that accommodates a toddler/young child). I liked my wraps, Ergo and Mei Tei carriers. I found www.thebabywearer.com to be helpful in discovering more about wearing my children. Wearing my children was invaluable for our family. Getting my child on my back and out for a walk was very helpful in those times when putting her down was not an option.

I hope you find relief soon.

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D-borealis Rookie

wow! thank you so much for the support and advice. It is such a relief to know that other people have been there. I have some progress to update on, and more questions, but will put them in a new  message. thanks again!

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GottaSki Mentor

Welcome Mom and Baby Girl!!!

 

Here is the good news....may of us have reached the end of our ropes -- some several times -- but we are willing to pass our ropes to others to give you a bit more line.

 

Hang in there -- it does get better :)

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LFitts Apprentice

I have a 2.5 year old daughter who has been "high needs" since birth. Early on we discovered she was allergic to dairy and eliminated that from her and my diet (breastfeed, still breastfeeding) Except for a few phases in her life, she usually seems unhappy more often than not. This currently manifests itself in whining, tantrums, extreme clinginess among other things. She also has always been underweight, has severe tooth decay, intermittent mysterious rashes, and sleeps TERRIBLY (at most 2 hours at a time at night, all night) she also constantly wants to nurse. Lately all of this has gotten even worse, and I am starting to get burned out from being her mother. I often feel like I have nothing more to give her, and nothing makes her feel better, or happier. I finally brought her to a recommended naturopathic doctor and he suggested going gluten free for 4 weeks. Does this seem like a reasonable effort to you folks who have gluten intolerant children?

Since our visit to the doctor we have been Gluten-free for 1 week. It seemed like two of those days were slightly better: improved mood and sleeping. However, today I felt so discouraged as it seemed any progress I had been seeing went out the window: An entire day of whining and haven't been able to put her down without a total meltdown. So frustrated. Any help? This is my last ditch effort.

 

 

I have been there and know what you mean. Some days (and occasionally nearly ten years later we still have times like that) I just felt that I had nothing left to give! My celiac daughter was so sick the whole time I was nursing her and I had to go through an elimination diet. I ended up eating no dairy or beef and she got some better, but we were clueless about the wheat connection then. HANG IN THERE! Get on this board when you need some encouragement! My daughter was so sick and fussy that I babied her too much, and by the time she was three we had created a monster. It was hard for us to transition to being "tougher" on her, but it saved our sanity. I figured out around age 2 or 2.5 that she could have a meltdown in her room where I couldn't hear it just as well as she could with me holding her! ha. Sometimes just give yourself a little break from it all. It really won't hurt her to cry it out a bit in her room while you take a shower or whatever you need to do for your own sanity.

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LoveMyDucklings Newbie

Wow. This is SO us! I'm sorry you're going through this too, but it's nice to know that someone out there understands! Unfortunately, my daughter just tested negative for celiac. So I have no idea what the cause is of her pain, constipation, etc. :'(

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GottaSki Mentor

Wow. This is SO us! I'm sorry you're going through this too, but it's nice to know that someone out there understands! Unfortunately, my daughter just tested negative for celiac. So I have no idea what the cause is of her pain, constipation, etc. :'(

 

Welcome!

 

Did your daughter have a complete Celiac Antibody Panel?  I ask, because many docs will order only one or two of the tests to "screen" for Celiac Disease.

 

If she has been tested....you may wish to consider removing ALL gluten sources for three months to monitor improved symptoms.  Unfortunately Non-Celiac Gluten Sensitivity presents with many of the same symptoms as Celiac Disease without measurable antibodies.  The only test for NCGS is elimination of gluten.

 

Hang in there and keep looking for answers :)

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LoveMyDucklings Newbie

Welcome!

 

Did your daughter have a complete Celiac Antibody Panel?  I ask, because many docs will order only one or two of the tests to "screen" for Celiac Disease.

 

If she has been tested....you may wish to consider removing ALL gluten sources for three months to monitor improved symptoms.  Unfortunately Non-Celiac Gluten Sensitivity presents with many of the same symptoms as Celiac Disease without measurable antibodies.  The only test for NCGS is elimination of gluten.

 

Hang in there and keep looking for answers :)

Thanks!

I'm not sure what was included in the panel. She sees the ped for a follow up on Monday and I'm going to ask for a copy of the results. What test *should* she have gotten? She'll be 2 on Friday; I'm wondering about the possibility of a false negative. The ped is suppose to put in a referral for GI. I'm keeping her on gluten for now, until we see the GI, in case they want to do other testing/scope.

Sorry to hijack your thread, OP!

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GottaSki Mentor

Thanks!

I'm not sure what was included in the panel. She sees the ped for a follow up on Monday and I'm going to ask for a copy of the results. What test *should* she have gotten? She'll be 2 on Friday; I'm wondering about the possibility of a false negative. The ped is suppose to put in a referral for GI. I'm keeping her on gluten for now, until we see the GI, in case they want to do other testing/scope.

Sorry to hijack your thread, OP!

 

We all hijack around here...helps everyone learn...

 

so...from this point forward....ALWAYS ask for written/electronic results for any tests run for anyone in your family (ya...took my way too long to figure this one out).

 

Full Panel:

 

Total Serum IgA

tTG - both IgA and IgG

DGP - both IgA and IgG

EMA - IgA

 

Nutrients.....Celiac prevents proper absorption of nutrients:

 

B1,B2,B6, B12, D,K, Iron,Ferritin, Copper and Zinc

 

If they have not been run:

 

CMP

CBC

 

Hang in there...ask more questions...read..research.

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jepacar Newbie

I have a 2.5 year old daughter who has been "high needs" since birth. Early on we discovered she was allergic to dairy and eliminated that from her and my diet (breastfeed, still breastfeeding) Except for a few phases in her life, she usually seems unhappy more often than not. This currently manifests itself in whining, tantrums, extreme clinginess among other things. She also has always been underweight, has severe tooth decay, intermittent mysterious rashes, and sleeps TERRIBLY (at most 2 hours at a time at night, all night) she also constantly wants to nurse. Lately all of this has gotten even worse, and I am starting to get burned out from being her mother. I often feel like I have nothing more to give her, and nothing makes her feel better, or happier. I finally brought her to a recommended naturopathic doctor and he suggested going gluten free for 4 weeks. Does this seem like a reasonable effort to you folks who have gluten intolerant children?

Since our visit to the doctor we have been Gluten-free for 1 week. It seemed like two of those days were slightly better: improved mood and sleeping. However, today I felt so discouraged as it seemed any progress I had been seeing went out the window: An entire day of whining and haven't been able to put her down without a total meltdown. So frustrated. Any help? This is my last ditch effort.

OMG I hear you dear, I was there too for 4 years!!! until we eliminated gluten, dairy, sugar and all processed food. I'm still breastfeeding because I know how much it helps to heal the gut and now she is happy!!! sometimes I look at her and cannot believe is the same child, all of this tells me she was upset because she didn't feel well, she had a big belly that disappeared with the new diet, but whenever she get cross contamination a lot of those symptoms come back, but since I'm homeschooling her, she is not exposed very much. I send you a big hug!!!

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jepacar Newbie

I have a 2.5 year old daughter who has been "high needs" since birth. Early on we discovered she was allergic to dairy and eliminated that from her and my diet (breastfeed, still breastfeeding) Except for a few phases in her life, she usually seems unhappy more often than not. This currently manifests itself in whining, tantrums, extreme clinginess among other things. She also has always been underweight, has severe tooth decay, intermittent mysterious rashes, and sleeps TERRIBLY (at most 2 hours at a time at night, all night) she also constantly wants to nurse. Lately all of this has gotten even worse, and I am starting to get burned out from being her mother. I often feel like I have nothing more to give her, and nothing makes her feel better, or happier. I finally brought her to a recommended naturopathic doctor and he suggested going gluten free for 4 weeks. Does this seem like a reasonable effort to you folks who have gluten intolerant children?

Since our visit to the doctor we have been Gluten-free for 1 week. It seemed like two of those days were slightly better: improved mood and sleeping. However, today I felt so discouraged as it seemed any progress I had been seeing went out the window: An entire day of whining and haven't been able to put her down without a total meltdown. So frustrated. Any help? This is my last ditch effort.

I forgot to mention that it took us about 1 month to start seeing real changes. Now we are about 6 months in this diet and she is ssssoooo happy, well, sometimes she get upset, but just for a few minutes. When a person has Celiac or gluten sensitivity the exposure to gluten has damage the gut and it takes a while before it starts healing. I'm glad you found a doctor who thought about it, in our case I had to figure it out, then go to a doctor and suggest the test, reason why it took me 4 years!! Hang on please you beautiful mom and keep going, you have a big supporting group here,

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jepacar Newbie

Oh, I forgot to add that some kids seem to have issues with breast milk if the parent is eating gluten. You might want to get tested too (it's genetic) and then go gluten-free as well.

Yes!!! big time...I went gluten free for my girl (because I breastfed her) and discovered I had the same issue, so my physical and mental health also improved dramatically after this...

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D-borealis Rookie

Thanks again everyone so great to hear your personal stories and challenges. Progress has continued to be 2 steps forward, 1 step back, over and over again..  We have bad days here and there and I can't tell if it is because she is still working things out of her system or if I accidently exposed her to gluten somehow. She has unfortunately un-potty trained over the course of the last week. It seems as though her brain is "reprogramming" in some sense of that word :) Overall, she is much happier though. I have also gone gluten free and feel much more alert. I feel a bit overwhelmed about all the possibilities for cross contamination, and the confusion of eating out. Still getting the hang of it.

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LoveMyDucklings Newbie

We all hijack around here...helps everyone learn...

 

so...from this point forward....ALWAYS ask for written/electronic results for any tests run for anyone in your family (ya...took my way too long to figure this one out).

 

Full Panel:

 

Total Serum IgA

tTG - both IgA and IgG

DGP - both IgA and IgG

EMA - IgA

 

Nutrients.....Celiac prevents proper absorption of nutrients:

 

B1,B2,B6, B12, D,K, Iron,Ferritin, Copper and Zinc

 

If they have not been run:

 

CMP

CBC

 

Hang in there...ask more questions...read..research.

I have the results in hand now. Ped GI appt next Tuesday. The ped acted like gluten intolerance didnt exist and said "gluten is a ht topic right now". :/

TTG IgG 1 ref range (11-26)

TTG IgA <1

Endomysial IgA negative

Gliadin IgA 1 ref range (0-20)

IgA 29

Gliadin IgG 2 ref range (0-20)

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GottaSki Mentor

I have the results in hand now. Ped GI appt next Tuesday. The ped acted like gluten intolerance didnt exist and said "gluten is a ht topic right now". :/

TTG IgG 1 ref range (11-26)

TTG IgA <1

Endomysial IgA negative

Gliadin IgA 1 ref range (0-20)

IgA 29

Gliadin IgG 2 ref range (0-20)

 

Sorry your ped is being dismissive....sadly this is still far too common.

 

Question -- what is the range for the Total Serum IgA of 29?  If IgA deficient, the tests are inaccurate.  Getting a Total Serum IgG run is not common, but I would suggest it as if the IgA tests are not accurate....that leaves only the IgG based tests...I strongly advise getting two more tests:

 

Total Serum IgG

DGP IgG (Deamiadated Gliadin Peptide) IgG

 

-- which can be tough if your primary is not cooperative.

 

Is your appt today or next Tuesday?  

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LoveMyDucklings Newbie

There's no ref range on the results paper for the IgA.

Oops, I wasn't clear, the GI appt is next Tuesday, the 30th. I'm hoping for answers, and more testing. She's not even on the growth chart for weight. She lost a pound since her appt a month ago. The ped said he wondered of it was the poop that came out. If it was, that's good it came out, bad that she's still not growing.

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KGCeliacMom Newbie

I could have written this post myself!  My daughter has the exact same behaviors.  She was diagnosed a month ago at age 3 with Celiacs.  We are a month gluten free and I have seen changes in her behaviors.  Her tantrums are much less and less intense and she seems to be happier, etc. 

 

I  had NO idea she had Celiacs.  My dr. ran the panel because I had so many complaints about her behavior and lack of potty training.  I seriously was convinced she had a mental disorder due to her mood swings and rages! 

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LoveMyDucklings Newbie

KGCeliacmom, that sounds like us too! I "joke" that my 2 y/o is bipolar because of how moody she is. I realize that some of it is normal 2 year old behavior and frustrations, but this goes beyond that!

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KGCeliacMom Newbie

KGCeliacmom, that sounds like us too! I "joke" that my 2 y/o is bipolar because of how moody she is. I realize that some of it is normal 2 year old behavior and frustrations, but this goes beyond that!

 

Yes she was out of control.  I am talking severe tantrums daily, she was always upset about something, etc.  A month in I have seen positive improvements, ,but I also have to remember that she is still 3 and full of drama.  I honestly did not know how to parent her at all.  I would have never guessed it was gluten all of this time making her so miserable!

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      It sounds like you've been through a lot with your son's health journey, and it's understandable that you're seeking answers and solutions. Given the complexity of his symptoms and medical history, it might be beneficial to explore a few avenues: Encourage your son to keep a detailed journal of his symptoms, including when they occur, their severity, any triggers or patterns, and how they impact his daily life. This information can be valuable during medical consultations and may help identify correlations or trends. Consider seeking opinions from specialized medical centers or academic hospitals that have multidisciplinary teams specializing in gastrointestinal disorders, especially those related to Celiac disease and Eosinophilic Esophagitis (EOE). These centers often have experts who deal with complex cases and can offer a comprehensive evaluation. Since you've already explored alternative medicine with a nutrition response doctor and a gut detox diet, you may want to consider consulting a functional medicine practitioner. They take a holistic approach to health, looking at underlying causes and imbalances that may contribute to symptoms. Given his low vitamin D levels and other nutritional markers, a thorough nutritional assessment by a registered dietitian or nutritionist specializing in gastrointestinal health could provide insights into any deficiencies or dietary adjustments that might help alleviate symptoms. In addition to routine tests, consider asking about more specialized tests that may not be part of standard screenings. These could include comprehensive stool analyses, food intolerance testing, allergy panels, or advanced imaging studies to assess gut health.
    • Nacina
      Hello, I am a 45 year old mom, who was diagnosed at 29 with Celiac. My now 14 year old son was diagnosed just before his 4th birthday. Needless to say, we are old pros with the diet. He was experiencing some issues, overall health took a major plummet a year ago, and through a bit of work, was diagnosed with EOE. Tried diet alone, but his follow up endoscopy didn't show the improvements his DR. wanted to see, so I tried the medication. (Steroid). He became extremely backed up, and they had him taking Miralax daily. His health plummeted. He is a straight A honor's 8th grader who plays club soccer very competitively. His health continued to decline and at 13 had a colonoscopy and another upper gi. (He was still compacted even with the prep). I finally pulled him off all meds and mira lax, after reading much negative literature online, and put him on a gut detox diet and took him to a nutrition response dr. Finally things have improved. However...over a year later and he is having relapse stomach pain, debilitating stomach pain. Missing a day of school a week, to three this week. This is where we downward spiral with him. He says it doesn't feel the same as when he has gotten backed up before. He is eating prunes, taking his supplements, drinking water...all of the things. Yet, he is feeling horrible. Pain is abdomen, headache, lethargy, diarrhea . He is on a strict gluten dairy, egg free diet. He has adapted well in regards to diet. But I feel like we are missing something here. He is too active, too outgoing to be feeling sick all of the time. His Bilirubin is constantly high. His white blood count always runs slightly low. His vitamin D was very low last time he ran tests, (last month) when he was sick for a week. His celiac markers show negative, so it isn't that. His last endoscopy showed no Eosinaphils in his esophagus.  I have taken him to multiple Ped. Gastro specialists. They run tests, and we get zero answers. I meticulously go through labs, hoping to make some sense and maybe catch something. Any thoughts or ideas would greatly be appreciated. 
    • trents
      But if you have been off of wheat for a period of weeks/months leading up to the testing it will likely turn out to be negative for celiac disease, even if you actually have celiac disease. Given your symptoms when consuming gluten, we certainly understand your reluctance to undergo  the "gluten challenge" before testing but you need to understand that the testing may be a waste of time if you don't. What are you going to do if it is negative for celiac disease? Are you going to go back to merrily eating wheat/barley/rye products while living in pain and destroying your health? You will be in a conundrum. Do I or do I not? And you will likely have a difficult time being consistent with your diet. Celiac disease causes inflammation to the small bowel villous lining when gluten containing grains are consumed. This inflammation produces certain antibodies that can be detected in the blood after they reach a certain level, which takes weeks or months after the onset of the disease. If gluten is stopped or drastically reduced, the inflammation begins to decrease and so do the antibodies. Before long, their low levels are not detectable by testing and the antibody blood tests done for diagnosing celiac disease will be negative. Over time, this inflammation wears down the billions of microscopic, finger-like projections that make up the lining and form the nutrient absorbing layer of the small bowel where all the nutrition in our food is absorbed. As the villi bet worn down, vitamin and mineral deficiencies typically develop because absorption is compromised. An endoscopy with biopsy of the small bowel lining to microscopically examine this damage is usually the second stage of celiac disease diagnosis. However, when people cut out gluten or cut back on it significantly ahead of time before the biopsy is done, the villous lining has already experienced some healing and the microscopic examination may be negative or inconclusive. I'm not trying to tell you what to do I just want you to understand what the consequences of going gluten free ahead of testing are as far as test results go so that you will either not waste your time in having the tests done or will be prepared for negative test results and the impact that will have on your dietary decisions. And, who are these "consultants" you keep talking about and what are their qualifications? You are in the unenviable position that many who joint this forum have found themselves in. Namely, having begun a gluten free diet before getting a proper diagnosis but unwilling to enter into the gluten challenge for valid testing because of the severity of the symptoms it would cause them.
    • Fluka66
      Thank you very much for your reply. I hadn't heard of celiac disease but began to notice a pattern of pain. I've been on the floor more than once with agonising pain but this was always put down to another abdominal problem consequently I've been on a roundabout of backwards and forwards with another consultant for many years. I originally questioned this diagnosis but was assured it was the reason for my pain. Many years later the consultant gave up and I had a new GP. I started to cut out certain food types ,reading packets then really started to cut out wheat and went lactose free. After a month I reintroduced these in one meal and ended screaming in agony the tearing and bloating pain. With this info and a swollen lymph node in my neck I went back to the GP.  I have a referral now . I have also found out that acidic food is causing the terrible pain . My thoughts are this is irritating any ulcers. I'm hoping that after a decade the outlook isn't all bad. My blood test came back with a high marker but I didn't catch what it was. My GP and I have agreed that I won't go back on wheat just for the test due to the pain , my swollen lymph node and blood test results.  Trying to remain calm for the referral and perhaps needed to be more forceful all those years ago but I'm not assertive and consultants can be overwhelming. Many thanks for your reply . Wishing you all the best.
    • Moodiefoodie
      Wow! Fascinating info. Thanks so much! I really appreciate the guidance. @Spacepanther Over the years I have had rheumatologists do full lab work ups on me. They told me they had screened me for arthritis, lupus, and Lyme disease (all negative). In addition to joint pain and stiffness I had swelling in both knees that later moved to my elbow as well.  I also experience stiffness and pain in my neck and shoulders when it flares. I vomited fairly often growing up, but there wasn’t a real pattern to it and I didn’t know it wasn’t normal (thought people caught stomach viruses often).  I don’t usually have stomach symptoms immediately after eating gluten that I notice.  The only other joint condition I know of is fibromyalgia. Good luck! Hope you can get it figured out. I only assumed my joint symptoms were due to the celiac’s because it is under control for the most part on a gluten-free diet.  The rheumatologist also mentioned that some inflammatory/autoimmune diseases can be slow-moving and not detectable until they progress.
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