Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

New Gi Doesn't Believe That My Dd Has Celiac!


ptkds

Recommended Posts

ptkds Community Regular

I haven't been on here in a while, but I just need to vent to those that understand!

My 4 yr old dd has a range of health issues. She has been having blood on her poop for a while so another dr wanted her to see a GI. Well, this is a new GI because the old one left :(. He told me that he doesn't really think my dd (or my others for that matter) actually have Celiac. I KNOW they have it. I don't care that they weren't scoped. They improved so much after going gluten-free. He then told me I should have them retested so that they will know whether staying gluten-free would be a requirement or a "lifestyle choice". Like I would choose this rotten lifestyle (sorry, not too happy about a gluten-free lifestyle!). He suggested that I put her back on gluten for 2 weeks and then do an endoscopy to "confirm" Celiac disease. He also wants to do a colonoscopy to try to see what the cause of the bleeding is. I don't have a problem with that (at least not too much!)

First of all, she has been gluten-free for 3 years. She will not have enough damage after only 2 wks to show up positive on an endoscopy. That is my 1st clue that this man is clueless. Second of all, she has a bleeding disorder. Why put her through some unneccesary testing that could cause her to bleed out? And third, he wasn't the dr that made the diagnosis. He didn't see my kids back then. Why does he think he has to change that diagnosis?

IMO, if she feels the need to "challenge" the diagnosis when she is an adult, then she can. But I will not knowingly give my 4 year old poison just to make the dr happy. She is a very happy child, and she is healthy!

I hate it when dr's act like this. It is just so frustrating! GGGGGGRRRRRRRRRRRR

Ok, I'm done venting for now!!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ThatlldoGyp Rookie
I haven't been on here in a while, but I just need to vent to those that understand!

My 4 yr old dd has a range of health issues. She has been having blood on her poop for a while so another dr wanted her to see a GI. Well, this is a new GI because the old one left :(. He told me that he doesn't really think my dd (or my others for that matter) actually have Celiac. I KNOW they have it. I don't care that they weren't scoped. They improved so much after going gluten-free. He then told me I should have them retested so that they will know whether staying gluten-free would be a requirement or a "lifestyle choice". Like I would choose this rotten lifestyle (sorry, not too happy about a gluten-free lifestyle!). He suggested that I put her back on gluten for 2 weeks and then do an endoscopy to "confirm" Celiac disease. He also wants to do a colonoscopy to try to see what the cause of the bleeding is. I don't have a problem with that (at least not too much!)

First of all, she has been gluten-free for 3 years. She will not have enough damage after only 2 wks to show up positive on an endoscopy. That is my 1st clue that this man is clueless. Second of all, she has a bleeding disorder. Why put her through some unneccesary testing that could cause her to bleed out? And third, he wasn't the dr that made the diagnosis. He didn't see my kids back then. Why does he think he has to change that diagnosis?

IMO, if she feels the need to "challenge" the diagnosis when she is an adult, then she can. But I will not knowingly give my 4 year old poison just to make the dr happy. She is a very happy child, and she is healthy!

I hate it when dr's act like this. It is just so frustrating! GGGGGGRRRRRRRRRRRR

Ok, I'm done venting for now!!

seriously? With that family history? I would "just say NO" about that and let him know that any gluten challenge will be her choice when an adult. Don't argue about it, just state your decision and move on. If he has a problem with that, then I think a new GI is hopefully in your future!

Blessings!

TrillumHunter Enthusiast

Do I understand that he doesn't believe many people have celiac? If that's true, it might be best to move on if you can as he is woefully behind on current statistics and knowledge.

I wouldn't do that to a four-year-old. Think of how confusing it would be to be told she can eat what previously she was told was poison. Think of her young developing brain. Is it worth taking those risks to most likely end up with a negative biopsy? You are doing the right thing by refusing this for her. If she wants to challenge it later, you can help her then.

My kids were older when they went gluten-free. My dd was just under the cut-off and showing lots of signs. She was furious when we told her what we were going to do, but she did it. We saw amazing changes in her! She doesn't even look like the same kid because of how the puffiness in her face went down. And the behavior issues are just the run of the mill ones I expect now, not five-hour screaming fits. Two days ago she told me she didn't care what any test said, she would never eat gluten again.

Protect her health! You know what is best!

chiroptera Apprentice

I am sorry you have such an unsupportive doctor, although I have to say I am not surprised. You are SO doing the right thing (as moms/dad seem to do :) ) and try not to worry about what he said. I know, easier said than done and the doctor was insulting.

Btw, my kids were diagnosed also without an endoscopy and they said they would never ever ever eat gluten; they are nine.

take care! :)

  • 2 weeks later...
BlueTaelon Rookie

I ran into the same problem with our GI and he swore even a week would be enough to get + biopsy. I tried and dd reacted to badly, I ended up going behind his back and had DNA testing done and of course she came back + for the gene. He kind of backed off a bit but did state we can just test her when she's in her teens and hits the rebellion phase and starts sneaking gluten like most celiac teens seem to do. Our family is gluten-free period, I'm not going to change our diet to make some Dr happy when I see for myself how much our lives changed by the diet. I spent most of my life in severe pain and misery, I was begging for a hysterectomy at only 24 because I was in so much pain and I thought it could only be my girly bits causing it. The cramps would literally bring me to my knees when they hit they were so painful. All my health issues went away when I went gluten-free and since then we've found out celiac is very heavy in my family tree including a biopsy dx'd 30 years go!. 12 different people in 4 generations, thats a lot of misery going around!

Ahorsesoul Enthusiast
Well, this is a new GI because the old one left :(. He told me that he doesn't really think my dd (or my others for that matter) actually have Celiac.

Ok he doesn't think they are celiac. You can tell him I dont think he knows much about celiac. lol

Wouldn't you just love to slap him up the side of the face with a full blown out of control case of celiac disease.

lovegrov Collaborator

Time for another GI if possible. For one thing, two weeks on back on gluten will tell him nothing.

richard


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



EmilyR83 Rookie

Oh gosh, I am going through almost the exact same thing. At first they were all supportive of us doing the gluten free diet and not doing the testing. They were so helpful. All the sudden, they decided he didnt have it and are calling me all the time telling me to put him on gluten. I finally gave and gave him gluten and he was in pain for days. I told them I wouldnt do it anymore and they are very upset saying that he probably doesnt have celiacs and it is a milk allergy(which he has been drinking milk with no problem-the only thing we did was cut out gluten and suddenly he was gaining weight and healthy and not crying constantly). We are currently looking for a new GI that actually listens to what we have to say. It is so frustrating! My husband keeps telling me, remember they have the degree, but you have the hands on experience. If you can clearly see that gluten causes the problem than cut it out!!!

Ahorsesoul Enthusiast
remember they have the degree, but you have the hands on experience.

A very smart dh!

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - knitty kitty replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      2

      Son's legs shaking

    2. - Scott Adams replied to Paulaannefthimiou's topic in Gluten-Free Foods, Products, Shopping & Medications
      2

      Bob red mill gluten free oats

    3. - knitty kitty replied to SamAlvi's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      6

      High TTG-IgG and Normal TTG-IgA

    4. - trents replied to SamAlvi's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      6

      High TTG-IgG and Normal TTG-IgA

    5. - SamAlvi replied to SamAlvi's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      6

      High TTG-IgG and Normal TTG-IgA

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,868
    • Most Online (within 30 mins)
      7,748

    LMGarrison
    Newest Member
    LMGarrison
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

  • Upcoming Events

  • Posts

    • knitty kitty
      @lizzie42, You're being a good mom, seeking answers for your son.  Cheers! Subclinical thiamine deficiency commonly occurs with anemia.  An outright Thiamine deficiency can be precipitated by the consumption of a high carbohydrate meal.   Symptoms of Thiamine deficiency include feeling shakey or wobbly in the legs, muscle weakness or cramps, as well as aggression and irritability, confusion, mood swings and behavior changes.  Thiamine is essential to the production of neurotransmitters like serotonin and dopamine which keep us calm and rational.   @Jsingh, histamine intolerance is also a symptom of Thiamine deficiency.  Thiamine is needed to prevent mast cells from releasing histamine at the slightest provocation as is seen in histamine intolerance.  Thiamine and the other B vitamins and Vitamin C are needed to clear histamine from the body.  Without sufficient thiamine and other B vitamins to clear it, the histamine builds up.  High histamine levels can change behavior, too.  High histamine levels are found in the brains of patients with schizophrenia.  Thiamine deficiency can also cause extreme hunger or conversely anorexia.   High carbohydrate meals can precipitate thiamine deficiency because additional thiamine is required to process carbohydrates for the body to use as fuel.  The more carbohydrates one eats daily, the more one needs additional thiamine above the RDA.  Thiamine is water soluble, safe and nontoxic even in high doses. Keep in mind that gluten-free processed foods like cookies and such are not required to be fortified and enriched with vitamins and minerals like their gluten containing counterparts are.  Limit processed gluten-free foods.  They are often full of empty calories and unhealthy saturated fats and additives, and are high in histamine or histamine release triggers.  It's time you bought your own vitamins to supplement what is not being absorbed due to malabsorption of Celiac disease.  Benfotiamine is a form of Thiamine that has been shown to improve intestinal health as well as brain function. Do talk to your doctors and dieticians about supplementing with the essential vitamins and minerals while your children are growing up gluten free.  Serve nutritionally dense foods.  Meats and liver are great sources of B vitamins and minerals. Hope this helps!  Keep us posted on your progress!
    • Scott Adams
      Oats naturally contain a protein called avenin, which is similar to the gluten proteins found in wheat, barley, and rye. While avenin is generally considered safe for most people with celiac disease, some individuals, around 5-10% of celiacs, may also have sensitivity to avenin, leading to symptoms similar to gluten exposure. You may fall into this category, and eliminating them is the best way to figure this out. Some people substitute gluten-free quinoa flakes for oats if they want a hot cereal substitute. If you are interested in summaries of scientific publications on the topic of oats and celiac disease, we have an entire category dedicated to it which is here: https://www.celiac.com/celiac-disease/oats-and-celiac-disease-are-they-gluten-free/   
    • knitty kitty
      @SamAlvi, It's common with anemia to have a lower tTg IgA antibodies than DGP IgG ones, but your high DGP IgG scores still point to Celiac disease.   Since a gluten challenge would pose further health damage, you may want to ask for a DNA test to see if you have any of the commonly known genes for Celiac disease.  Though having the genes for Celiac is not diagnostic in and of itself, taken with the antibody tests, the anemia and your reaction to gluten, it may be a confirmation you have Celiac disease.   Do discuss Gastrointestinal Beriberi with your doctors.  In Celiac disease, Gastrointestinal Beriberi is frequently overlooked by doctors.  The digestive system can be affected by localized Thiamine deficiency which causes symptoms consistent with yours.  Correction of nutritional deficiencies quickly is beneficial.  Benfotiamine, a form of thiamine, helps improve intestinal health.  All eight B vitamins, including Thiamine (Benfotiamine), should be supplemented because they all work together.   The B vitamins are needed in addition to iron to correct anemia.   Hope this helps!  Keep us posted on your progress!
    • trents
      Currently, there are no tests for NCGS. Celiac disease must first be ruled out and we do have testing for celiac disease. There are two primary test modalities for diagnosing celiac disease. One involves checking for antibodies in the blood. For the person with celiac disease, when gluten is ingested, it produces an autoimmune response in the lining of the small bowel which generates specific kinds of antibodies. Some people are IGA deficient and such that the IGA antibody tests done for celiac disease will have skewed results and cannot be trusted. In that case, there are IGG tests that can be ordered though, they aren't quite as specific for celiac disease as the IGA tests. But the possibility of IGA deficiency is why a "total IGA" test should always be ordered along with the TTG-IGA. The other modality is an endoscopy (scoping of the upper GI track) with a biopsy of the small bowel lining. The aforementioned autoimmune response produces inflammation in the small bowel lining which, over time, damages the structure of the lining. The biopsy is sent to a lab and microscopically analyzed for signs of this damage. If the damage is severe enough, it can often be spotted during the scoping itself. The endoscopy/biopsy is used as confirmation when the antibody results are positive, since there is a small chance that elevated antibody test scores can be caused by things other than celiac disease, particularly when the antibody test numbers are not particularly high. If the antibody test numbers are 10x normal or higher, physicians will sometimes declare an official diagnosis of celiac disease without an endoscopy/biopsy, particularly in the U.K. Some practitioners use stool tests to detect celiac disease but this modality is not widely recognized in the medical community as valid. Both celiac testing modalities outlined above require that you have been consuming generous amounts of gluten for weeks/months ahead of time. Many people make the mistake of experimenting with the gluten free diet or even reducing their gluten intake prior to testing. By doing so, they invalidate the testing because antibodies stop being produced, disappear from the blood and the lining of the small bowel begins to heal. So, then they are stuck in no man's land, wondering if they have celiac disease or NCGS. To resume gluten consumption, i.e., to undertake a "gluten challenge" is out of the question because their reaction to gluten is so strong that it would endanger their health. The lining of the small bowel is the place where all of the nutrition in the food we consume is absorbed. This lining is made up of billions of microscopically tiny fingerlike projections that create a tremendous nutrient absorption surface area. The inflammation caused by celiac disease wears down these fingers and greatly reduces the surface area needed for nutrient absorption. Thus, people with celiac disease often develop iron deficiency anemia and a host of other vitamin and mineral deficiencies. It is likely that many more people who have issues with gluten suffer from NCGS than from celiac disease. We actually know much more about the mechanism of celiac disease than we do about NCGS but some experts believe NCGS can transition into celiac disease.
    • SamAlvi
      Thank you for the clarification and for taking the time to explain the terminology so clearly. I really appreciate your insight, especially the distinction between celiac disease and NCGS and how anemia can point more toward celiac. This was very helpful for me.
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.