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

New To All Of This


riiimommy

Recommended Posts

riiimommy Newbie

Hello! My name is MaryAnn and I have a son that is 15 months old. For the last six months or so my ped has been monitoring my son for poor weight gain. Although he has not lost any weight, he has been consistently in the 5th percentile on the growth chart. At our last appointment, my ped suggested that he be tested for Celiac disease. I have read several of the posts that everyone has made here and it seems that a lot of the symptoms are consistent however some aren't even close.

My ds has never had projectile vomiting with formula or breastmilk, only a couple of times when I gave him rice cereal. He ate barley and oatmeal just fine. He is never cranky, always happy, VERY energetic, does not indicate that he is having tummy aches or anything like that. The only symptoms that he has that are consistent with others that I have read are loose stools and the minimal weight gain (are frequent bowel movements and indication too? If so, then he has that too--he poops 3-4 times/day).

You all sound so knowledgeable and I right now am still reeling from the suggestion that he might have this. We had the blood work done last Friday, still waiting for the results. Oh and that's another thing...what should I be paying attention to when I get the results? Not that I don't trust my ped, but I like to be informed when she tells me the results. I've never known anyone to have this and I'll change whatever necessary if he does have it...does it sound like he has it?

My husband is a very small person...he was only 98 lbs when he graduated from high school! I am tall, but was also about 98 lbs in high school. So could my son just be a small person? I'm sure you all know how it feels to have all these questions when the diagnosis may or may not be positive....any information you would share with me would be so greatly appreciated! Thanks in advance--

MaryAnn :o


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



Celiac.com Sponsor (A8-M):



TaylorsMom Rookie

MaryAnn,

First of all you are so fortunate to have a Ped. that is educated about Celiac. I'm still not sure if my daughter has Celiac or not but I would love to have a Ped that would even consider it! As for your son's symptoms, he very well could have Celiac. I have done endless research and have found that Celiac presents itself with an array of symptoms. Some people are even asymptomatic. Your son's loose stools and slow weight gain could both be symptoms of Celiac, but like you said both you and your husband were small so it may just be how he is. Either way it's wonderful that your having the testing done! Your son is very lucky that if he has Celiac that he will be diagnosed early and can get started on the gluten-free diet.

As for what to look for with the blood tests, I'm not too sure. I'm sure the others on this board will give you wonderful advice on that.

Good luck to you and your son!

Megan

momof2 Explorer

My daughters symptoms started out as diarrhea at 13 months old. The only symptoms she had were loose (very loose) stools, large tummy, and being clingy. Other than that, she was happy when held, and slept a lot too. She was always in the 5th percentile in her weight. After 3 weeks of consistent diarrhea, we took her in, and my pediatrician sent her to the lab with every blood test imaginable.

My question to others reading though is this...my daughters blood tests came back positive, but the GI specialist said they still wanted to do a biopsy for 100% accuracy. I know if the tests come back negative, you can still have it too. So, what is the point of putting the kids through blood tests if they aren't accurate? So, as far as I know, whatever the results of the test come back, there is a chance they are wrong.

kirst4588 Apprentice

momof2,

My son just turned 2 last month, he was diagnosed with celiac disease 6 months ago - his igg was 25 (borderline) and his iga was 52 (very high) but I had no other tests done because going gluten free was an instantanious improvement - night and day. But *now* the Ped GI wants to do endoscopy and possibly biopsy and I'm wondering WHY also - if I know the gluten-free diet works, why would I do anything different? (regardless of additional test results???) Our appointment is next week, I'll report back - meanwhile, I'm like you and wondering why its necessary - not to mention, the procedures are risky and *not* 100% accurate.

-Kirst

mat4mel Apprentice

Kirst, I am wondering the same thing-- my ped GI wants her to do a gluten challenge as well after having positive IgG and IgA and improvement on the diet. I hear too any stories of false negatives on biopsies, and no procedure is 100% safe. I just don't get their insistence on a biopsy..

To the original poster, my dd didn't have a bloated belly, vomitting, etc... and she would only complain occasionally about a tummy ache. Her main symptoms were loose, frequent bm's and also hung out in the very low percentiles for her weight. She is 2.

Mel

Kim Explorer

The gold standard for diagnosis is the biopsy. That's why your peds want to have one done -- to be sure. Often, insurance companies won't pay for an endoscopy (biopsy) if you don't have blood tests first. They do put the child under so it is a painless procedure.

As for doing a biopsy after your child has already been gluten-free, you may not get accurate results. First, they must sample at least 6 -7 places to get a true reading. but, if your child is already gluten-free, then the biopsy results may be negative because he/she has already started healing. A person with celiac who maintains a gluten free diet will have a normal biopsy.

As for a gluten-challenge, I'm personally not a believer in them, but I recognize it's a personal decision. If your child is already gluten free (for a significant period of time) and feeling better, then why torture the child. He/she must eat significant amounts of gluten for at least 4-6 weeks in order to sustain some damage to the intestine to be picked up on biopsy.

Good luck to you all.

Kim, Atlanta, GA

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. - knitty kitty replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    2. - lizzie42 replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    3. - knitty kitty replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    4. - lizzie42 replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    5. - Scott Adams replied to Russ H's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Anti-endomysial Antibody (EMA) Testing

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

    • Total Members
      132,870
    • Most Online (within 30 mins)
      7,748

    KABoston
    Newest Member
    KABoston
    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

    • knitty kitty
      Blood tests for thiamine are unreliable.  The nutrients from your food get absorbed into the bloodstream and travel around the body.  So, a steak dinner can falsely raise thiamine blood levels in the following days.  Besides, thiamine is utilized inside cells where stores of thiamine are impossible to measure. A better test to ask for is the Erythrocyte Transketolace Activity test.  But even that test has been questioned as to accuracy.  It is expensive and takes time to do.   Because of the discrepancies with thiamine tests and urgency with correcting thiamine deficiency, the World Health Organization recommends giving thiamine for several weeks and looking for health improvement.  Thiamine is water soluble, safe and nontoxic even in high doses.   Many doctors are not given sufficient education in nutrition and deficiency symptoms, and may not be familiar with how often they occur in Celiac disease.  B12 and Vitamin D can be stored for as long as a year in the liver, so not having deficiencies in these two vitamins is not a good indicator of the status of the other seven water soluble B vitamins.  It is possible to have deficiency symptoms BEFORE there's changes in the blood levels.   Ask your doctor about Benfotiamine, a form of thiamine that is better absorbed than Thiamine Mononitrate.  Thiamine Mononitrate is used in many vitamins because it is shelf-stable, a form of thiamine that won't break down sitting around on a store shelf.  This form is difficult for the body to turn into a usable form.  Only thirty percent is absorbed in the intestine, and less is actually used.   Thiamine interacts with all of the other B vitamins, so they should all be supplemented together.  Magnesium is needed to make life sustaining enzymes with thiamine, so a magnesium supplement should be added if magnesium levels are low.   Thiamine is water soluble, safe and nontoxic even in high doses.  There's no harm in trying.
    • lizzie42
      Neither of them were anemic 6 months after the Celiac diagnosis. His other vitamin levels (d, B12) were never low. My daughters levels were normal after the first 6 months. Is the thiamine test just called thiamine? 
    • knitty kitty
      Yes, I do think they need a Thiamine supplement at least. Especially since they eat red meat only occasionally. Most fruits and vegetables are not good sources of Thiamine.  Legumes (beans) do contain thiamine.  Fruits and veggies do have some of the other B vitamins, but thiamine B 1 and  Cobalamine B12 are mostly found in meats.  Meat, especially organ meats like liver, are the best sources of Thiamine, B12, and the six other B vitamins and important minerals like iron.   Thiamine has antibacterial and antiviral properties.  Thiamine is important to our immune systems.  We need more thiamine when we're physically ill or injured, when we're under stress emotionally, and when we exercise, especially outside in hot weather.  We need thiamine and other B vitamins like Niacin B 3 to keep our gastrointestinal tract healthy.  We can't store thiamine for very long.  We can get low in thiamine within three days.  Symptoms can appear suddenly when a high carbohydrate diet is consumed.  (Rice and beans are high in carbohydrates.)  A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function, so symptoms can wax and wane depending on what one eats.  The earliest symptoms like fatigue and anxiety are easily contributed to other things or life events and dismissed.   Correcting nutritional deficiencies needs to be done quickly, especially in children, so their growth isn't stunted.  Nutritional deficiencies can affect intelligence.  Vitamin D deficiency can cause short stature and poor bone formation.   Is your son taking anything for the anemia?  Is the anemia caused by B12 or iron deficiency?  
    • lizzie42
      Thank you! That's helpful. My kids eat very little processed food. Tons of fruit, vegetables, cheese, eggs and occasional red meat. We do a lot of rice and bean bowls, stir fry, etc.  Do you think with all the fruits and vegetables they need a vitamin supplement? I feel like their diet is pretty healthy and balanced with very limited processed food. The only processed food they eat regularly is a bowl of Cheerios here and there.  Could shaking legs be a symptom of just a one-time gluten exposure? I guess there's no way to know for sure if they're getting absolutely zero exposure because they do go to school a couple times a week. We do homeschool but my son does a shared school 2x a week and my daughter does a morning Pre-K 3 x a week.  At home our entire house is strictly gluten free and it is extremely rare for us to eat out. If we eat at someone else's house I usually just bring their food. When we have play dates we bring all the snacks, etc. I try to be really careful since they're still growing. They also, of course, catch kids viruses all the time so I  want to make sure I know whether they're just sick or they've had gluten. It can be pretty confusing when they're pretty young to even be explaining their symptoms! 
    • Scott Adams
      That is interesting, and it's the first time I heard about the umbilical cord beings used for that test. Thanks for sharing!
×
×
  • 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.