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Help Me Inform My Doctor


alexisb

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alexisb Rookie

I need help! I have Celiac and I strongly suspect that my two year old is coming down with it. Persistent, mucousy D two weeks long now. I had her tested last December and she was negative, but she really didn't have any symptoms, we just tested to be sure. I took her in yesterday and he suggested some changes from the BRAT diet. Nothing has helped. She's been on gluten all the while. I know an obvious suggestion would be to try to go gluten-free with her, but with siblings and church, etc. its really hard, and I would rather just get her blood tested right away to confirm things. These are my questions:

1. What are the real statistics out there on the percentage of kids who get celiac who have Celiac parents?

2. If my little Mary had a negative blood test in December aren't I right that Celiac can just pop up anytime? (and I know that there can be false negatives...)

We're going back to see him tomorrow and I want to be a bit more informed. HELP!!!!!!!!!!!!


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Mother of Jibril Enthusiast

Hi alexisb,

Having a first-degree relative (like a parent) puts you at the highest risk for having celiac disease. The problem with small children is that testing is notoriously unreliable. The tests are designed to show up "positive" only when you have obvious damage to your villi... it takes time to build up that kind of damage! Some kids do test positive, but a lot of them don't even when they have obvious symptoms. At this point you really have three options:

1) Test again (you might get a positive)

2) Do an endoscopy (regardless of the blood test results) to look for damage

3) Assume your daughter has celiac disease and take her off gluten

I know it's not easy to make changes with a child (my son is allergic to peanuts and corn), but if you think changing her diet is the right thing to do... and it does seem very reasonable... then you just need to find the confidence to insist! You can find lots of advice on this forum about coping with daycare, school, etc... ask any questions you like :)

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    • trents
      knitty kitty asks a very relevant question. So many people make the mistake of experimenting with the gluten free diet or even a reduced gluten diet soon before getting formally tested.
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      Another great fiber option is dried apricots. Four of them give you 3g of fiber and I find they don't produce all the gas that some other high fiber options do. They taste good too. Costco sells a large bag of them that are labeled gluten-free so you don't have to worry about cross contamination issues like you might in bulk grocery settings.
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      Wow, that's alot of info, Thanks!!!! I had my intake with Nutrionist where we went over basics and then will have follow up where we will talk about all the questions I've come up with (including the fiber question and so many more). I'll talk to her about the info you provided as well.  Thanks again (newbie here 😀)
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    • knitty kitty
      @Trish G,  I like dates, they have lots if fiber as well.  But what I found helped most was taking Thiamine (in the form Benfotiamine which helps promote intestinal healing), Pyridoxine B 6, Riboflavin B 2, and magnesium, and Omega Three fats. The absorption of nutrients is affected by Celiac disease which damages the intestinal lining of the small intestines where our nutrients are absorbed.  If you have constipation, where your body is rather pushing your food away and not interacting with it, the nutrients in the food are not being released and absorbed.  You can develop deficiencies in all the vitamins and minerals necessary for the body to function properly.   The B vitamins cannot be stored for long, so they must be replenished daily.  Thiamine B 1 stores can run out in as little as three days.  Constipation (or diarrhea or alternating) is one of the first symptoms of thiamine deficiency.  Thiamine needs magnesium, Pyridoxine B 6, and Riboflavin B 2 to make the intestinal tract function.  Thiamine and Niacin make digestive enzymes.  Thiamine provides the energy for nerve impulses to carry messages to the brain and back about digestion.  Thiamine provides the energy for the muscle contractions which move your food through the digestive tract. High calorie meals containing lots of starches and sugars can deplete thiamine stores quickly because more thiamine is required to turn them into energy.   Are you taking any vitamin and mineral supplements?  Correction of malnutrition is very important in Celiac disease.  Thiamine, the other B vitamins and magnesium will help with constipation better than adding more fiber.  What did your nutritionist recommend you take, besides just the fiber? The association between dietary vitamin B1 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11100033/ Thiamine, gastrointestinal beriberi and acetylcholine signaling https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Association between dietary vitamin B6 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11584952/
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