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Where Do We Go From Here?


Mylesmommy

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Mylesmommy Rookie

My son had an EGD and sigmoidoscopy on Monday, upper biopsies negative. Waiting for sigmoid biopsies, but I thought it wasn't usually found that low.

In some strange way I am disappointed because I feel like now I have no answer. He is just really gluten intolerant I guess. I know that gluten free helps, but I feel like when you say your son is gluten intolerant people look at you and say....yeah right.

I am going to get some probiotics and switch him off of dairy again to see if we can really heal his gut. Poor boy, I can tell what he had for dinner just looking at his diaper, it all comes right back out. He can't be getting that much in terms of nutrition.


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africanqueen99 Contributor

I can't even tell you how sorry I am to hear this.  Seriously, I had two kids scoped last week and they both came back negative.  I cried!  I wanted there to be clear damage so I *knew* I was making the right decision.

 

The oldest kid is still going with celiac - even after a negative biopsy.  The GI DX her before the scope and said that it's not uncommon for kids to clearly have celiac and not have a positive biopsy.  She said it's like having a water mark on the middle of your large dining room table.  You can take a lot of pictures and never see the water mark.  Biopsies are like that - they simply can't see the entire thing.  This kid has every other sign of celiac, though (1st degree relative, stomach pains, no growth in over a year).

 

Middle kid was sort of iffy before the scope.  So he came back negative and we're not going with celiac.  He's going to be nearly 100% gluten-free until he hits the birthday party circuit and then he can have the gluten-y treats there.

 

You know, you can call your son whatever you want to the vast majority of people.  Who cares what they think - if gluten doesn't work for your kid then that's all that matters.

Mylesmommy Rookie

This sounds odd, but it's so nice to hear someone say they almost cried when the biopsy didn't show anything! I feel the same way. I just wanted a concrete answer! Sick, I know. I really wouldn't wish celiac on anyone! I just want to have a straightforward answer. Now I just feel like I put my kid through a procedure for nothing.

I know gluten is not good for him though. I gave him a big bowl of goldfish before he went to bed as a last goodbye before his procedure...he was up four times that night. He still wakes up at night, but when he is off gluten...sleeps like a dream.

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    • xxnonamexx
      What about digestive enzymes that I hear help? I take align 5x probiotics daily.
    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
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