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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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    • Scott Adams
      If your tTg-IgA was 28 and positive is at 3, you are nearly 10x over the positive marker, so the most likely explanation by far would be celiac disease. I also do not understand why your doctor would not want to run the blood test, which is the normal first step in the diagnosis process.
    • xxnonamexx
      Is there a digestive enzyme that helps build a healthier gut? I see people taking them but not sure what really works
    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
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