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Mother Of New Celiac


kdskaggs

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kdskaggs Newbie

Hi,

I posted this under the kids' section but didn't receive a reply. I am hopeful maybe someone here can help me out.

I am the mother of 12-year old Morgan. Morgan has always been what I have called a stomach achy kind of gal. She is very hard on herself and demands perfection so we assumed, as did her doctor, that she was reacting to stress. Morgan does not have a distended stomach, diarhhea, constipation, funny looking poop or any other common symptoms of celiac disease, except that she does have a lot of stomach aches which have increased in frequency. She also has dark circles under her eyes. She was very colicky as an infant, despite being breast fed for the first 8 months of her life. I was very careful about my diet but it didn't seem to help.

I had her at our pediatrician's office last week because of increased stomach aches. She was tested for celiac disease. Her results are as follows:

(tTG) Ab, IgG 7

(tTG) Ab, IgA 35

Gliadin Ab IgA 15

IgA, serum 132

Can anyone here please interpret them for me?

Our pediatrican is out sick and we have not been able to discuss this with him but an associate of his considers this to be a positive test and has referred us to a pediatric gastro, whom we have not yet seen. My understanding is that the gastro will want to do a biopsy but I question whether it is necessary. My question is why do it? If the treatment for her is the same either way, why put her through the endoscopy? I have had one and know they aren't any fun. Also, her labs don't seem that bad, compared to some I have read here. Are these numbers conclusive for celiac disease?

I understand that celiac is herditary. Does this mean that either my husband or I, or both of us, have it? I was diagnosed with pancreatitis over a year ago after a major pancreatic attack which seemingly came out of the blue. I had mildly elevated liver enzymes for a couple of years but no symptoms. I have read that pancreatitis is sometimes caused by celiac disease. I do not drink alcohol, the typical cause of pacreatitis. I was also diagosed several years ago with fibromyalgia but have beaten it with the help of a naturopath and have Interstitial Cystitis. According to my ND, I have a weak immune system and am now wondering if I have celiac disease.

This website has been so helpful. I have spent hours here and have learned so much. I appreciate any help. :)

Thank you.

Kenda


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ryebaby0 Enthusiast

Welcome Kenda!

My son (11) and husband both are celiac. My son was dx after a very long and dramatic crisis, my husband after being tested. My son has had several 'scopes and they aren't so bad for children, they put them under (and you can ask to have them sedated before any IV is put in) with few ill effects. My husband had "ambiguous" blood tests but decided to go gluten-free without a biopsy. There are lots of people here who don't feel they need the biopsy, but that's an individual decision.

I would go see the peds GI about the test results. Different labs use different values so it's hard to know, but in general, an elevated (borderline positive, or positive) tTg test is a very strong (unlikely to be a false result) and specific (can't be anything else) indicator of celiac disease.

Yes, it is a genetic autoimmune disease. You and your husband should be tested as well. You could be carriers and not actually have an active case. It's important NOT to go gluten-free until all the testing is done. You will need to advocate strongly for your child, although peds GI doctors are -- as a group -- pretty good people. Ask "what will that test tell us" and "what do we do now" and "what happens next/after that" kinds of questions. Write them down, so you remember to ask!

In the end, you've nothing to lose by trying a gluten-free diet. If your daughter is celiac, she will get sicker and sicker. Dark circles are a common celiac symptom, btw. If she's not, you won't see any difference after 6-8 weeks. My husband had only slightly inconvenient and unnotable digestive problems, but after only 2 weeks of gluten-free diet he felt better than he had "in years." Be warned that the beginning of gluten-free life is very confusing, disorienting, and frustrating -- and there's some grieving for bread! -- but IT DOES GET EASY.

Good luck! Let us know how it's going :)

joanna

mom and wife to celiacs

kdskaggs Newbie

Hi Joanna,

I had the celiac blood test today so I should get my results in about a week. My husband will get tested as well. I'm surprised he's willing, he's afraid of needles. :ph34r: I started my daughter on a gluten-free diet a week ago and she improved within 2 days. Her stomach is still upset a bit but nothing like it had been for weeks preceeding the diet change. I ate gluten-free with her but started eating wheat and gluten again a few days ago, wanting to eat it to get an accurate blood test. My doctor assured me that being gluten-free for just a few days wouldn't change the test results since I started eating it again up until the time I did the test.

Her appointment with the gastro isn't until April so we have a ways to go. I'm leaning against the biopsy but will listen to what the gastro has to say. I already have a gastro becuase of my pancreatitis and will see him if my test is positive. I'm anxious to see if he'll attribute the pancreatitis attack to celiac disease if my celiac disease test is positive. If that's the case, simply eating gluten-free, which I plan to do anyway, will prevent any further attacks, which would be a huge relief.

I ordered several gluten-free foods on line for Morgan to try, we also have a Wild Oats here so shopping gluten-free has been extremely easy. I have been pleasantly suprrised at everything we have tried. The cookies and brownies have been excellent, better than most so this has really helped her desire to be gluten-free. I have always prepared meals with very little wheat or gluten so the change for me in cooking is very slight, it's sweets and eating out that are the most challenging. So far, so good!

Kenda

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    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
    • Xravith
      I'm very confused... My blood test came out negative, I checked all antibodies. I suppose my Total IgA levels are normal (132 mg/dl), so the test should be reliable. Still, I'm not relieved as I can't tolerate even a single biscuit. I need to talk to my doctor about whether a duodenal biopsy is necessary. But it is really possible to have intestinal damage despite having a seronegative results? I have really strong symptoms, and I don't want to keep skipping university lectures or being bedridden at home.
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      They may want to also eliminate other possible causes for your symptoms/issues and are doing additional tests.  Here is info about blood tests for celiac disease--if positive an endoscopy where biopsies of your intestinal villi are taken to confirm is the typical follow up.    
    • Scott Adams
      In the Europe the new protocol for making a celiac disease diagnosis in children is if their tTg-IgA (tissue transglutaminase IgA) levels are 10 times or above the positive level for celiac disease--and you are above that level. According to the latest research, if the blood test results are at certain high levels that range between 5-10 times the reference range for a positive celiac disease diagnosis, it may not be necessary to confirm the results using an endoscopy/biopsy: Blood Test Alone Can Diagnose Celiac Disease in Most Children and Adults TGA-IgA at or Above Five Times Normal Limit in Kids Indicates Celiac Disease in Nearly All Cases No More Biopsies to Diagnose Celiac Disease in Children! May I ask why you've had so many past tTg-IgA tests done, and many of them seem to have been done 3 times during short time intervals?    
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