Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Stricter Protcol Than Just gluten-free?


juliev

Recommended Posts

juliev Newbie

Hi,

 

My 10-year-old is presumed Celiac based on 4 blood draws (first three test results 18 months ago were over 100; most recent test was 96).  Although we thought we'd been very careful to keep him gluten free, his most recent test result should have been much lower if we had.  I've heard that there is a stricter protocol for someone who is not responding to a gluten-free diet, but I don't know what that stricter protocol is.  My guess is that it involves a gluten-free, casein-free diet.  Is anyone familiar with this, and if so, would you be willing to share information with me?

 

Thanks so much.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ravenwoodglass Mentor

Welcome to the board. Are you following all the stuff we have to do to avoid cross contamination? He needs his own toaster, condiments, you can't use stuff like a colander that is used to drain wheat pasta for his gluten-free pasta, supplements and script meds need to be checked to be sure they are gluten free etc. It isn't just that food must be gluten free we also have to be very careful about how it is prepared.

Have you read the Newbie thread at the top of the Coping section? If not you should as it will have a lot of valuable info for you.

I don't have time before work for a more complete answer but I am sure others will be on to give some good recommendations.

cyclinglady Grand Master

This is an older post from Jebby. She is a Ped Medical doctor who also has celiac disease. She wrote about Dr. Fansano's diet (and other celiac disease experts) and how it deals with super sensitive or possible refractory celiac disease.

https://www.celiac.com/gluten-free/blog/1038/entry-1780-the-gluten-contamination-elimination-diet-summary-of-dr-fasanos-recent-paper/

I hope this helps!

kareng Grand Master

https://www.celiac.com/gluten-free/blog/1038/entry-1780-the-gluten-contamination-elimination-diet-summary-of-dr-fasanos-recent-paper/

 

 

Sometimes referred to as "the Fasano Diet"

 

 

Looks like Cycles & I were posting at the same time!   :D

cyclinglady Grand Master

https://www.celiac.com/gluten-free/blog/1038/entry-1780-the-gluten-contamination-elimination-diet-summary-of-dr-fasanos-recent-paper/

 

 

Sometimes referred to as "the Fasano Diet"

 

 

Looks like Cycles & I were posting at the same time!   :D

I was going to say two things:

"Great minds think alike!"

And....

When I first saw the posting, I was heading out the door and in a hurry and thought that Karen will respond. I was right!

kareng Grand Master
RMJ Mentor

And just in case you want to see the original Fasano paper describing the diet:

Open Original Shared Link


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



juliev Newbie

Thank you, all!  This was just the information I was hoping to find.  While we knew to get him his own oven (just so happens that we're moving into a brand-new house in a few weeks, so problem solved there!), no one said anything about new colander (though I had wondered about that) or other items. 

 

I will definitely look into the Fasano diet! 

 

Eloise, best wishes in your new journey!  I'm sure that changing your eating habits as a teen is incredibly difficult, but good for you for taking control of your health.  I really appreciate your recommendation to check his vitamins for gluten, too!  Great suggestion.

 

Thank you all again!  I feel very encouraged that we'll be able to better eliminate gluten and to help him feel his best.

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - CatS commented on Scott Adams's article in Winter 2026 Issue
      5

      Are Gluten-Free Processed Foods Making You Sick? (+Video)

    2. - Samanthaeileen1 replied to Samanthaeileen1's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      5

      Thoughts? Non-endoscopic Celiac diagnosis in two year old

    3. - Wheatwacked replied to Samanthaeileen1's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      5

      Thoughts? Non-endoscopic Celiac diagnosis in two year old

    4. - RMJ replied to Samanthaeileen1's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      5

      Thoughts? Non-endoscopic Celiac diagnosis in two year old

    5. - Samanthaeileen1 replied to Samanthaeileen1's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      5

      Thoughts? Non-endoscopic Celiac diagnosis in two year old

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,801
    • Most Online (within 30 mins)
      7,748

    b r i t t a n y. g r i f f
    Newest Member
    b r i t t a n y. g r i f f
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • 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. 
    • JoJo0611
      I have been diagnosed with coeliacs disease today after endoscopy, bloods and CT scan. I have also been diagnosed with Mesenteric Panniculitis today. Both of which I believe are autoimmune diseases. I have been told I will need a dexa scan and a repeat CT scan in 6 months. I had not even heard of Mesenteric Panniculitis till today. I don’t know much about it? Has anyone else got both of these. 
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.