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HeatherG

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HeatherG Rookie

Hi, I may be joining you all soon. My daughter will be 7 years old in July. She has had stomach problems nearly her whole life. She had terrible constipation (10 -14 days between BMs) often not able to go at all without an enema even when she was a 100% breastfed child. We started treating it with month after month of laxatives that really didn't work. 2 to 3 times the adult dose and it just barely kept us from having to give her enemas. She had constant respiratory issues and sinus infections. When she was 18 months old my ped decided to go ahead and run a celiac panel - basicaly he was running out of ideas and GI guys told me I just needed to punish her when she wouldn't poop (nice). Here are the results from 18 months of age:

IgG was 89 which is hugely high

IgA was 10 which is normal

tTG IgA was 1 - again very normal

From this they told me she didn't have celiac and that the IgG didn't mean anything.

Fast forward 5 years - the symptoms have gotten no better. She is in constant pain. She's being diagnosed with reflux and a slow gut. Nothing seems to help. No one has any solution but constant laxatives which just makes her sick and unless I give her lots of exlax it doesn't help anyway. If I give her enough laxatives to help the cramping is so bad she can't get off the couch. Her reflux is bad too. I know it's all connected but I'm just at my wits end. She can't eat without pain so she often doesn't eat at all. So I started looking into Celiac again. It just didn't make sense that the high anti-gliadin IgG didn't mean anything. I found Dr. Fasano's website that said the other tests may not show positive for a child under the age of 2 so I called them up. They agreed that those blood tests are very suspicious so they asked me to have our ped run the tests again and get a total IgA. So we did that on Friday and here we wait.

Part of me is worried she has celiac and the other part of me is worried that they test will be negative and we'll be no closer to finding a solution to her pain.

Thanks for letting me talk while I wait in a panic.

Heather


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lonewolf Collaborator

Welcome! It must be hard to see your daughter go through so much. I hope we can be of help to you. Are you planning to try the gluten-free diet even if the tests come back negative? That's what I did with my son, at the advice of the pediatrician. Let us know how we can help!

HeatherG Rookie
Welcome! It must be hard to see your daughter go through so much. I hope we can be of help to you. Are you planning to try the gluten-free diet even if the tests come back negative? That's what I did with my son, at the advice of the pediatrician. Let us know how we can help!

Thanks,

I don't know which would be worse - to know she's on a restrictive diet for the rest of her life or to not know whats wrong with her. I guess I'd just like an answer. I'm tired of seeing her feel so yucky.

Thanks -

Heather

flagbabyds Collaborator

Welcome!

I hope that you do try the diet anyway after you get the blood tests back. And if the blood is positive, know that you do not necesarialy need to do the biopsy if you don't want her to go through it.

I can help you rdaughter with the restricted diet, i have been on the gluten-free diet for 15 years now, and it has gotten a lot better. i think that you should try the diet because it could make her feel so much better even if she has a neg test. because some people have neg blood tests still feel better on the diet, and feeling better is much better than having a restricitve diet, you can PM me whenever you want, but just know i might not get back right away becasue i have to go to school, and have 4 weeks more, so finals are coming soon, but i will try to get back as soon as possible.

TCA Contributor

You might want to considera diet trial no matter what the tests say because sometimes you can get a false negative. If you need help starting the diet, feel free to PM me. My son still eats hot dogs, pizza, chicken fingers, cookies, cupcakes, etc. They're just gluten-free. I do hope she feels better soon.

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    • rei.b
      Okay well the info about TTG-A actually makes a lot of sense and I wish the PA had explained that to me. But yes, I would assume I would have intestinal damage from eating a lot of gluten for 32 years while having all these symptoms. As far as avoiding gluten foods - I was definitely not doing that. Bread, pasta, quesadillas (with flour tortillas) and crackers are my 4 favorite foods and I ate at least one of those things multiple times a day e.g. breakfast with eggs and toast, a cheese quesadilla for lunch, and pasta for dinner, and crackers and cheese as a before bed snack. I'm not even kidding.  I'm not really big on sugar, so I don't really do sweets. I don't have any of those conditions.  I am not sure if I have the genes or not. When the geneticist did my genetic testing for EDS this year, I didn't think to ask for him to request the celiac genes so they didn't test for them, unfortunately.  I guess another expectation I had is  that if gluten was the issue, the gluten-free diet would make me feel better, and I'm 3 months in and that hasn't been the case. I am being very careful and reading every label because I didn't want to screw this up and have to do gluten-free for longer than necessary if I end up not having celiac. I'm literally checking everything, even tea and anything else prepacked like caramel dip. Honestly its making me anxious 😅
    • knitty kitty
      So you're saying that you think you should have severe intestinal damage since you've had the symptoms so long?   DGP IgG antibodies are produced in response to a partial gluten molecule.  This is different than what tissue transglutaminase antibodies are  produced in response to.   TTg IgA antibodies are produced in the intestines in response to gluten.  The tTg IgA antibodies attack our own cells because a structural component in our cell membranes resembles a part of gluten.  There's a correlation between the level of intestinal damage with the level of tTg antibodies produced.  You are not producing a high number of tTg IgA antibodies, so your level of tissue damage in your intestines is not very bad.  Be thankful.   There may be reasons why you are not producing a high quantity of tTg IgA antibodies.  Consuming ten grams or more of gluten a day for two weeks to two months before blood tests are done is required to get sufficient antibody production and damage to the intestines.  Some undiagnosed people tend to subconsciously avoid lots of gluten.  Cookies and cakes do not contain as much gluten as artisan breads and thick chewy pizza crust.  Anemia, diabetes and thiamine deficiency can affect IgA antibody production as well.   Do you carry genes for Celiac?  They frequently go along with EDS.
    • rei.b
      I was tested for celiac at the same time, so I wasn't taking naltrexone yet. I say that, because I don't. The endoscopy showed some mild inflammation but was inconclusive as to celiac disease. They took several biopsies and that's all that was shown. I was not given a Marsh score.
    • knitty kitty
      Food and environmental allergies involve IgE antibodies.  IgE antibodies provoke histamine release from mast cells.   Celiac disease is not always visible to the naked eye during endoscopy.  Much of the damage is microscopic and patchy or out of reach of the scope.  Did they take any biopsies of your small intestine for a pathologist to examine?  Were you given a Marsh score? Why do you say you "don't have intestinal damage to correlate with lifelong undiagnosed celiac disease"?   Just curious.  
    • rei.b
      I was tested for food allergies and environmental allergies about 7 months before I started taking Naltrexone, so I don't think that is the cause for me, but that's interesting!  The main thing with the celiac thing that is throwing me off is these symptoms are lifelong, but I don't have intestinal damage to correlate with lifelong undiagnosed celiac disease.
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