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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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    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
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