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Now They Are Wondering If It Is Something More


ILOVEOMC

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ILOVEOMC Enthusiast

My 12 year old son was diagnosed in March of last year and I thought had been doing well on gluten-free diet. His symptoms had gone away over the summer and early fall. About 6 weeks ago around Thanksgiving he started having tummy pain, D off and on, and at his year checkup with the GI yesterday they were concerned about his lack of weight and height gain which was mininal since March. Only 1 inch and 5 pounds. He is in the 15th percentile for weight and 50% for height. They drew blood for more testing and are having us do a three day write down everything he eats and how much while also collecting all stool those days and check for fat. They think he either isn't absorbing still or he isn't getting enough calories in his nutrition and diet. They also are doing a check for the genetic marker for cysitic fibrosis. All of this in scary and unnerving for us all here. He is home today with D and not feeling well. I thought things were going great until about 6 weeks ago and the Dr. appt. yesterday. Any feedback, tips, or advice is welcome. Thanks for letting me write this. It helps just to have a place to come to share my concerns,fears, and frustrations.


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Jnkmnky Collaborator

I hate that CF connection to celiac disease. Are you sure he's 100% gluten-free? No gluten in his shampoo, toothpaste, chapstick, did he lick envelopes at Christmas? If he was dx with celiac disease, then keep your focus on that. If it is CF, it should be a mild case if he's only showing signs now. But the gluten is where you should be looking the hardest.

Rachel--24 Collaborator

I agree with JnkMnky, he may have gluten hidden in his diet somewhere.

I'm having the same problems with absorption and weight gain. My doctor says bacterial infections are common in celiac and they can keep the intestines from healing. They are running tests for that now to see if thats whats holding me back.

ILOVEOMC Enthusiast

Yes, I have called the companies about chapstick and Vaseline lotion and I know his soap and shampoo are gluten-free. There is always the possibility that he got gluten somewhere though. He even realized his fish food had wheat gluten in it and brought it to my attention so I feed the fish or he washed hands good afterwards.

Rachel, I am sorry you are having trouble still too. It helps though to know others struggle with this and make it seem less scary. Thanks both of you for responding and sharing your insight:)

Guest nini

I would lean towards hidden glutens in his diet... maybe something that he eats that used to be gluten free is no longer safe (for example Malt O Meal cereals used to have some safe ones, now they all have gluten, Kroger Corn Pops used to be safe, now they've added wheat starch, any holiday candy that even if it was a safe brand, if they are in holiday packaging or shapes they may have contained gluten...

Jnkmnky Collaborator

Open Original Shared Link

Interesting new research on how to treat Cystic Fibrosis... going back to nature, eliminating the phameceutical companies... not going to hear about this for too long in the 'natural'... going to have to hear about the Pricey lab, concocted saline solution....

Donaldson said he was surprised by the results because he doubted that saltwater -- or more precisely a 7 percent sodium chloride solution called "hypertonic saline" -- could work by itself. So he thought another drug would be needed.

"We found exactly the opposite," Donaldson said. "The patients who received just the hypertonic saline got all the benefit, while the patients who underwent pre-treatment with amiloride (a diuretic drug used to boost the hydration effect of the saltwater) had no improvement.

Quick.. write down the "recipe". They'll be charging you $100.00 a bottle for it in about a month and you'll never know from the labeling that it's a saline solution you could mix up on your own!

ravenwoodglass Mentor
My 12 year old son was diagnosed in March of last year and I thought had been doing well on gluten-free diet. His symptoms had gone away over the summer and early fall. About 6 weeks ago around Thanksgiving he started having tummy pain, D off and on, and at his year checkup with the GI yesterday they were concerned about his lack of weight and height gain which was mininal since March. Only 1 inch and 5 pounds. He is in the 15th percentile for weight and 50% for height. They drew blood for more testing and are having us do a three day write down everything he eats and how much while also collecting all stool those days and check for fat. They think he either isn't absorbing still or he isn't getting enough calories in his nutrition and diet. They also are doing a check for the genetic marker for cysitic fibrosis. All of this in scary and unnerving for us all here. He is home today with D and not feeling well. I thought things were going great until about 6 weeks ago and the Dr. appt. yesterday. Any feedback, tips, or advice is welcome. Thanks for letting me write this. It helps just to have a place to come to share my concerns,fears, and frustrations.

Please also check for hidden gluten in school, in particular art classes, paints and clays and glues or even in chalk for the boards. If he eats in the cafeteria send some extra napkins, (perhaps damp in a plastic bag) so he can wipe where he puts his food down. I really hope they find out why he is doing so poorly lately. Best wishes


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    • Scott Adams
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    • cristiana
      Thanks for sharing that film, @trents.  I am not sure how I missed that film as I see it is a few years old, but it is very good.  I think you should be fine if you take your own packed lunch and eat it from your own lunchbox etc.  Might be worth doing a lunchtime recce to see how cramped the room is before making a decision - for all you know, there may be other people  there who don't eat gluten?
    • cameo674
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    • Alibu
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    • Scott Adams
      It’s great that you were finally able to see a gastroenterologist—and even luckier to get in the same day as your referral! It sounds like your GI is taking a very thorough approach, which is reassuring given your complex symptoms and history. The confusion around your different tissue transglutaminase (tTG) antibody results is understandable. The variation between your December and June labs may be due to multiple factors, including differences in the lab performing the test (Quest vs. Mayo Clinic), the specific assay used, and the amount of gluten you had been consuming before each test. Antibody levels can drop significantly when gluten is reduced or eliminated from the diet, even partially, which might explain why your recent tTG IgA was now negative and your tTG IgG was borderline high. That’s likely why your GI mentioned it was “usually the reverse”—typically, tTG IgA is more commonly elevated in confirmed celiac, not IgG alone, especially when IgA levels are sufficient, as yours are. Your gene testing confirms that you carry HLA types (DQ2.2 most likely) that are permissive for celiac disease, meaning you can develop it, but not everyone with these genes will. These genes don’t explain why your symptoms are milder or different from others with celiac—many people have so-called "silent" or atypical presentations like yours, with issues like long-term heartburn, loose stools, nutrient intolerances, or just gradually adapting to symptoms over time. It’s not uncommon to assume these symptoms are just aging, medication side effects, or lifestyle-related until someone finally connects the dots. It’s a good thing your daughter advocated for you to be tested—many cases are missed for years because they don’t follow the “textbook” presentation. As for the immunoglobulin tests, your doctor likely ordered those to ensure your immune system is functioning normally, particularly your IgA level, since a deficiency can cause false-negative celiac blood tests. Since your IgA level is normal, your tTG IgA test should be reliable (assuming adequate gluten intake), but again, if you weren't eating enough gluten, that could explain the lower antibody levels now. The comprehensive metabolic panel and negative stool parasite results are additional pieces ruling out other causes of your symptoms, like infections or organ dysfunction. The upcoming endoscopy and colonoscopy should provide more definitive answers, especially with biopsies looking for celiac disease, eosinophilic esophagitis, and microscopic colitis. It’s completely valid to feel unsure about what you’re experiencing, especially when your symptoms have been lifelong or gradually worsening without being severe. You’re not alone—many adults with celiac or gluten-related disorders report subtle or chronic symptoms they’ve normalized. You’re doing the right thing by staying on gluten now through your procedure date in August. Try not to stress about reaching the full 6-slice equivalent each day, but do increase your gluten intake as much as tolerable (e.g., a couple of pieces of bread, pasta, crackers, etc.) to give the biopsy the best chance of detecting any damage. Good luck with your upcoming procedures—you’re closer than ever to answers and a clearer direction forward.
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