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Testing A Three Year Old


ligeia

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ligeia Apprentice

What is the most reliable test for a three year old? I was thinking probably a genetic screening would be the best bet but how much does it cost? Who does it? What do they look for? False positives or anything like that?


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leadmeastray88 Contributor
What is the most reliable test for a three year old? I was thinking probably a genetic screening would be the best bet but how much does it cost? Who does it? What do they look for? False positives or anything like that?

Genetic testing could be useful, however it is not diagnostic. It won't tell you if your child hs Celiac or if he/she will ever develop it...just if he/she is predisposed. Enterolab and Kimball Genetics both do screenings, not sure of the exact cost but I think Enterolab is around $100 and Kimball around $300.

How about bloodwork and/or biopsy? Does your child have symptoms?

ligeia Apprentice

My child does display symptoms but I would like to know for sure. I would prefer to avoid a biopsy for her sake. If we did bloodwork would she have to be consuming gluten for it to show up? If a genetic test shows that she carries the gene isn't it safe to assume she would benefit from a gluten free diet?

mamaw Community Regular

our grandson was 2 1/2 when he had an endo done.....Yes, she would need to be consuming gluten for the bloodwork to be accurate. Do you have her off of gluten already? Also rem,ember there are some that bloodwork, biospy, never show anything but when taken off gluten the person thrives. Latent celiac....I know a couple of children who did not have the typical reactions.........is she having intestinal issues or other issues? SHe may be gluten intolerant & not full blown celiac

hth mamaw

ligeia Apprentice

She has been off of gluten for a few months now but has gotten it a few times accidentally here and there. The Enterolab site said that a person already off of gluten shouldn't go back on it for the testing but for someone so young maybe it would be a better idea? She's showing mostly behavioral symptoms. She acts majorly ADHD, she gets grouchy and tired quickly, her emotions seem to be a lot harder for her to keep ahold of and she complains that her stomach hurts after eating gluten.

leadmeastray88 Contributor
If a genetic test shows that she carries the gene isn't it safe to assume she would benefit from a gluten free diet?

Not necessarily, having the gene doesn't mean you have it or will get it, just that you may be predisposed to it. Coincidentally, the Celiac genes are also amongst the most common in general - yet not everyone has Celiac.

You're correct, she has to be eating gluten for a very long time before testing. Has she shown any improvement from the diet this far?

As for your Enterolab question, they cannot diagnose Celiac. They can however tell you if your daughter has active dietary gluten sensitivity. There is a lot of speculation on this forum regarding the accuracy/validity of this testing.

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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
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