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Newly Learning About Celiac Disease - Could My 4 Year Old Have It?


Shondra

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Shondra Newbie

Hi all! I've spent this evening googling different symtoms my 4 year old son has, and came across this message board after wondering if we could be dealing with Celiac Disease. He is very small for his age (5%), but the dr has always discarded this because I am small as well (I'm not even 5' tall; by far the smallest in my family). His weight is very low as well - the same as his 2 year old sister. He has night terrors almost every night, diarrhea every day... His dr wanted me to get him tested for "sensory integration disorder" because he is a very sensitive child in the tactile sense. I have no idea if that is relevant or could be related to C.D. or not... the poor child is just a very anxious kiddo overall. Anyway, I've already learned so much from just reading on this board, and hope that some of you may have some insight for me. On another note, could anybody tell me how involved the testing is, how long results take, and how much they generally cost? I'm ready for a diagnosis and treatment...yesterday!

Thank you!


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JennyC Enthusiast
Hi all! I've spent this evening googling different symtoms my 4 year old son has, and came across this message board after wondering if we could be dealing with Celiac Disease. He is very small for his age (5%), but the dr has always discarded this because I am small as well (I'm not even 5' tall; by far the smallest in my family). His weight is very low as well - the same as his 2 year old sister. He has night terrors almost every night, diarrhea every day... His dr wanted me to get him tested for "sensory integration disorder" because he is a very sensitive child in the tactile sense. I have no idea if that is relevant or could be related to C.D. or not... the poor child is just a very anxious kiddo overall. Anyway, I've already learned so much from just reading on this board, and hope that some of you may have some insight for me. On another note, could anybody tell me how involved the testing is, how long results take, and how much they generally cost? I'm ready for a diagnosis and treatment...yesterday!

Thank you!

I'm still in the very early stages of the identification of Celiac disease with my son, he hasn't even seen the GI doctor yet. My son's pediatrician ordered a full blood panel for my son. I just got the bill yesterday and it cost $500, and I got the results in 5 days. I've read here that the official test is a biopsy, but this disease is spotty, so you may get a negative result even if your child has Celiac. I'm not sure if I will get my son biopsied, because after the blood work came back the doctor called and told me that my son had Celiac and didn't tell me not to start a special diet, so I all ready have. Biopsies are more accurate the individual is still consuming wheat. If you don't have health insurance, you should look into Regence BlueCross BlueShield, if it's in your area. It's by far the most affordable H.I. that I know of.

My son seems to have all the symptoms: chronic diarrhea, abdominal bloating, light-colored stools-that float, failure to thrive, poor sleep habits, and moodiness. I've read that Celiac can have different symptoms, or no symptoms at all. I would start with the blood test. Do the full panel to rule out other allergies.

Good luck with your venture. I hope you find the diagnosis soon. I understand your frustration.

RiceGuy Collaborator

By far the best way to diagnose an intolerance to gluten is by trying a gluten-free diet. That is also the only treatment. Thankfully, neither of these requires a doctor.

So the question you need to ask yourself, is if you want blood work or other "official" tests to tell you to put your child on a gluten-free diet, or do you want to try it right now and see if it works. Keep in mind that all the best tests often can and do give false negatives. Plus the patient must be eating gluten to get the most accurate readings.

Many on this board have found the diet works even when their test results where negative. Still others prefer to get the testing done just for peace of mind if nothing else, though they'd like it to tell them what they already have found via the diet changes.

As for the tactile sensitivity, I did experience this when I was little, though until your post I never made the connection. Thanks for the additional insight!

Hope you find the answers you need to help your child.

e&j0304 Enthusiast

It sounds like your son could definitley have celiac disease or a gluten intolerance. I realize that the cost of blood work or other tests can be a consideration but if your insurance covers it or if you have the money to spend I highly recommend going that route. If the tests are negative you can always try the diet. However, if you try the diet first and then change your mind about testing it will be VERY difficult to get an accurate test. As a mother I know that I just wanted to do everything I could to get a diagnosis for my children. I felt as though they deserved to know exactly what condition they have. It's a personal choice and I completely understand that not everyone agrees with my decision. The tests are not bad at all. It is a simple blood draw to begin with and although your child will scream he will be fine when it's over. Both of my kids have had to have them many times and although never pleasant they get over it. We started having them when my dauther was only 14 months old so I understand where you're at. The endoscopy is was really easy. My son tolerated it without issue and I really haven't heard any bad stories about the procedure.

Good luck with whatever you decide. I hope your son is feeling better soon.

Shannon

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    • trents
      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
    • trents
      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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