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I Think My Dad Has Celiac, But Can't Get Doc's Help!


KyCyn

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KyCyn Newbie

My father is 77, but has been in perfect health all his life; gets yearly physicals, walks two miles a day, low blood pressure, low cholesterol... you get the picture.

Well, in April he became sick and was diagnosed with walking pneumonia. He took antibiotics and seemingly got over the pneumonia, but then developed very sore, achy legs, chronic diarrhea, swollen feet and ankles, and difficulty breathing.

After months of tests, he was finally diagnosed with polynueropothy in his legs, and the primary doc said one cause of polyneuropothy was celiac disease. Us kids starting researching celiac, and the more we read, the more we became convinced he may be suffering from this. In addition, my older brother has always had gastro problems and his legs had been hurting so badly he was wearing a brace. He decided to test it on his own, and went gluten-free; it's been three weeks now, and he says he feels like a new person; no brace, no gastro problems, and many other things that are going right that he didn't necessarily want to discuss with his sister - ha!

Anyway, since then, we have been literally begging the primary doc to do a celiac test on my dad. He refused, and said he didn't know enough about it, but sent dad to a gastrologist. The gastrologist actually told my father that IF he had celiac, the antibiotics he took for the pneumonia would have cured it!

Since then, they have sent my father to an infectious disease doc, a thyroid specialist, a blood specialist (who told us last night he thinks it's amyloidotis, which seems related somehow), and a cardiologist. Meanwhile, my dad has become so week that he was admitted to the hospital last week (which is EXACTLY what we told the docs was going to happen).

We've been told they will do the celiac test next week, but now we are concerned that too much damage has been done.

Can anyone give me ideas, encouragement, or ammunition for the docs? Us three kids (two bros and me) are meeting with the primary doc in the morning at 8am and we want to be armed - any help would be much appreciated.

Thank you,

Cyn


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I would INSIST that they do a blood test now and schedule an endoscopy. That is your right. They are probably continuing to feed him gluten which is making him more ill. You need to be an advocate for your father and insist and not nicely if that is necessary. Remember you can have a false negative blood test and the endoscopy can only confirm Celiac, it cannot rule it out. If the tests come back negative, then start bringing your father food from home that is gluten free and see if he improves. Your brother can help you with that as he is gluten free. Good luck and prayers are coming your way.

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    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
    • JoJo0611
      I have been diagnosed with coeliacs disease today after endoscopy, bloods and CT scan. I have also been diagnosed with Mesenteric Panniculitis today. Both of which I believe are autoimmune diseases. I have been told I will need a dexa scan and a repeat CT scan in 6 months. I had not even heard of Mesenteric Panniculitis till today. I don’t know much about it? Has anyone else got both of these. 
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