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Children with Celiac and parenting


Mommy

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Mommy Newbie

Hello Lovelys. My child is 10. She was diagnosed a couple years ago and now at least I know why she has had so many tummy aches and missed school days. We do the diet really well. I just converted my kitchen to gluten free, it was just us so its pretty easy. But.......of course it still slips in. Cross-contamination I'm guessing. We don't go to restaurants but she had a hot chocolate at a friends house Sunday and although I checked the ingredients and it seemed clear, it did not say gluten-free on it. When she gets her symptoms; headaches, fatigue, stomache pain, I go into Nancy Drew mode trying to investigate where the gluten came from. Once I tracked a bag of lentils back to a facility that now claims to be a non gluten free product but the bag I had was old and said nothing. I think when things go well for a while I buy things like dried beans or rice that don't say gluten-free on it but also don't say may contain, so I think we are safe. It's a crap shoot with those I learn. So then I'm back to only buying gluten-free which you know is EXPENSIVE! I use lots of fruits and veggies that my kiddo likes thank goodness so that's a no brainer....so far. 

But I am writing now because she is in grade 5 and it is mid October and she has missed 12 days of school already from a cold and 2 times getting glutened. I ask for homework but her teacher just says to practice her "math facts", which amounts to adding and subtracting numbers up to 20. Not exactly ground breaking knowledge. I'm in BC Canada so I'm wondering if there is some type of sick day school club for expanding the mind! I have her learning to type, doing math facts of course, learning about plants and doing art, but I want her to not fall behind. 

Are there any other parents out there with similar concerns about missing so much school? Are there any people out there living with celiac that want to be a light in my mind of what it feels like to have symptoms and miss school? It doesn't sound pleasant from my daughters voice. Big hugs to you all. And I wish you tummy sunshine.


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trents Grand Master

Welcome to the forum, Mommy!

It is common for celiacs to develop other food intolerances/allergies because of the "leaky gut" syndrome that accompanies celiac disease. Common among them are dairy, soy, corn and eggs. But it can be almost anything. It might be helpful to keep a food diary for your daughter to see if any patterns turn up between what she eats and when symptoms appear. 

Has your daughter had any follow-up testing (either antibodies or biopsy) to check for villi healing progress? For adults, it's common to take up to two years or more for complete villi healing after starting the gluten free diet. I would think maybe less than that for children since their recuperative powers are so great.

Mommy Newbie
5 hours ago, trents said:

Welcome to the forum, Mommy!

It is common for celiacs to develop other food intolerances/allergies because of the "leaky gut" syndrome that accompanies celiac disease. Common among them are dairy, soy, corn and eggs. But it can be almost anything. It might be helpful to keep a food diary for your daughter to see if any patterns turn up between what she eats and when symptoms appear. 

Has your daughter had any follow-up testing (either antibodies or biopsy) to check for villi healing progress? For adults, it's common to take up to two years or more for complete villi healing after starting the gluten free diet. I would think maybe less than that for children since their recuperative powers are so great.

Thanks Trent. She has been clinically diagnosed. The biopsy is too invasive for her age, but her last blood work showed it going down. Was +250 and now in 70s. I was thinking of having her tested for other allergies. Removing dairy didn't seem to make a difference. But corn and eggs I never thought of. She isn't good with gluten-free oats, so we don't use those. I didn't know leaky gut is connected but now that you mention it that makes sense. Same zone. Maybe we should do gluten-free rice and beans with veggies and fruit for a week and just clean up. Take care.

trents Grand Master

I think leaky gut and celiac go hand in hand. My understanding is that the theory is that it may be kind of a chicken and the egg question in the since of which causes which.

Mommy Newbie
17 hours ago, trents said:

I think leaky gut and celiac go hand in hand. My understanding is that the theory is that it may be kind of a chicken and the egg question in the since of which causes which.

Any suggestions for supporting leaky gut? 

 

trents Grand Master
11 minutes ago, Mommy said:

Any suggestions for supporting leaky gut? 

 

Not specifically that I know of. Zonulin has been identified as the regulator of spacing between the cells that line the small bowel. So, therapies for leaky gut are being investigated that involve zonulin but no breakthroughs yet. There is just a lot that isn't yet known yet about how it works and how to manipulate it. Since there is a connection between celiac disease and leaky gut the best we can do now is to eliminate gluten. For many years my total serum protein and albumen have been below normal range, though occasionally they have managed to creep into the low end of normal, despite getting plenty of protein in my diet. I'm sure this is due to leaky gut since with leaky gut, not only do larger than normal protein fractions pass through the bowel wall into the blood, but it works the other way as well. Protein leaks across the gut lining back into the bowel from the blood stream.

Mommy Newbie
5 hours ago, trents said:

Not specifically that I know of. Zonulin has been identified as the regulator of spacing between the cells that line the small bowel. So, therapies for leaky gut are being investigated that involve zonulin but no breakthroughs yet. There is just a lot that isn't yet known yet about how it works and how to manipulate it. Since there is a connection between celiac disease and leaky gut the best we can do now is to eliminate gluten. For many years my total serum protein and albumen have been below normal range, though occasionally they have managed to creep into the low end of normal, despite getting plenty of protein in my diet. I'm sure this is due to leaky gut since with leaky gut, not only do larger than normal protein fractions pass through the bowel wall into the blood, but it works the other way as well. Protein leaks across the gut lining back into the bowel from the blood stream.

Thanks for sharing your experience and thoughts! It is definitely down the rabbit hole trying to manage celiac and all that is connected. From my daughters experience she feels quite tired, has headaches, stomache paine and brain fog when she has been "glutened." We have a gluten free house but this time I think it was from pumpkin seeds made at a friends house after carving pumpkins. Such a simple thing has created 4 days of sluggish pain. What is your experience with symptoms if you don't mind me asking? I want to understand what she goes through. I don't make her go to school when she is like this because I can't imagine sitting obedient in class for 6 hours with this going on inside of her.


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Ivana Enthusiast

Hello,

I noticed that your daughter has been diagnosed a couple of years ago, but her antibodies are still rather high (70s). It is a different process for everyone, of course, and it can take time, but it is my understanding that they fall to negative or close to negative within a year or two. Is it possible that she is still having gluten regularly somehow in her diet and not just ocassional glutening episodes? Or, if not, perhaps it is cassein in dairy that is keeping her antibodies high?Did her doctor have any explanation of this?

mahonia Newbie

Hi Mommy,

For the missed school we use

Out school.com

It is an online community of teachers that teach all types of subjects.  You can sign up for a class just before it starts, and they have lots of 1 day offerings. 

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    • trents
      Cristiana asks a very relevant question. What looks normal to the naked eye may not look normal under the microscope.
    • cristiana
      Hello @CC90 Can I just ask a question: have you actually been told that your biopsy were normal, or just that your stomach, duodenum and small intestine looked normal? The reason I ask is that when I had my endoscopy, I was told everything looked normal.  My TTG score was completely through the roof at the time, greater than 100 which was then the cut off max. for my local lab.  Yet when my biopsy results came back, I was told I was stage 3 on the Marsh scale.  I've come across the same thing with at least one other person on this forum who was told everything looked normal, but the report was not talking about the actual biopsy samples, which had to be looked at through a microscope and came back abnormal.
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      My bad. I should have reread your first post as for some reason I was thinking your TTG was within normal range. While we are talking about celiac antibody blood work, you might not realize that there is not yet an industry standard rating scale in use for those blood tests so just having a raw number with out the reference scale can be less than helpful, especially when the test results are marginal. But a result of 87.4 is probably out of the normal range and into the positive range for any lab's scale. But back to the question of why your endoscopy/biopsy didn't show damage despite significantly positive TTG. Because they took the trouble to take seven samples, it is not likely they missed damage because of it being patchy. The other possibility is that there hasn't been time for the damage to show up. How long have you been experiencing the symptoms you describe in your first post? Having said all that, there are other medical conditions that can cause elevated TTG-IGA values and sometimes they are transient issues. I think it would be wise to ask for another TTG-IGA before the repeat endoscopy to see if it is still high.  Knitty kitty's suggestion of getting genetic testing done is also something to think about. About 35% of the general population will have one or both genes that are markers for the potential to develop active celiac disease but only about 1% of the population actually develop celiac disease. So, having a celiac potential gene cannot be used to definitively diagnose celiac disease but it can be realistically used to rule it out if you don't have either of the genes. If your symptoms persist, and all testing is complete and the follow-up endoscopy/biopsy still shows no damage, you should consider trialing a gluten free diet for a few months to see if symptoms improve. If not celiac disease, you could have NCGS (Non Celiac Gluten Sensitivity). 
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