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Testing Please Advise


Beantree

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Beantree Rookie

My 3 yr old got a referral to see a pediatric allergist today.

I suspect she has issues with gluten.

I need advice on what I need to ask for when we see the allergist. What do I need to know and what do you wish you knew when your kids were getting tested.

thanks

Shannon


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kejohe Apprentice

Hmm, there are differences between celiac disease and gluten/wheat allergy. It seems to me that digestive issuses are more common with celiac disease and for that you might consider a gastroenterologist rather than an allergist. Whereas skin issues and other allergy type reactions (hives, breathing difficulty etc.) are more common with wheat allergy, and that would be for the allergist.

What kind of indicators does your daughter have? That might determine what kind of specialist you need to look for?

Also, the only thing our gi specialist did for us was to confirm our peds dx. After that we never really saw him again, and all our checkups go through the ped, so if yours is willing to do the testing for you, you may not need a specialist at all.

wclemens Newbie

Shannon, When my newborn grandson began having severe reactions to his milk formula, we changed him to soy, and I immediately sent away for Enterolab.com's "full spectrum" home test kit, which tests for whether he carries the Celiac gene (I have Celiac Disease and allergies to milk, dairy, casein, whey, egg whites, and yeast), is gluten sensitive, and is allergic to milk and dairy.

I sent his stool sample and gene swab from the inside of his cheek back to the lab by FedEx, and within 3 weeks they emailed that he carried a copy of the gene for Celiac, was gluten sensitive, and was allergic to milk and dairy.

Since then my husband's and brother's tests have come back negative, but my sister does have Celiac. I am working to get as many people in the family tested as possible. The full spectrum test runs $368 and the gluten sensitive only test runs $118. I trust Dr. Fine to be thorough, since he also has Celiac.

Hope this helps. Always, Welda

Beantree Rookie

This does help.

Ok here is the story, pull up a chair cause it has been a long three years.

My daughter was born and I exclusively breastfed her. Well she had what the Dr diagnosed as colic. I thought that was bunk and knew there had to be a reason for the gas and crying. My dh has a family history of dairy problems. Lo and behold when I was off of dairy for about two weeks, she was better. So no dairy...fine I can live with that. I went to soy milk.

For a year, it was soy milk for me (still breastfeeding) and no dairy for either of us. Shortly after her first bday, I started noticing signs of food allergy again. Ring around the anus, crying fits and greenish stools. What in the heck could it be??? I was so vigilant. Well after she had a reaction to stir fry one night, I realized it was soy. No more tofu or soy milk. Fine, can live with that.

Well she has always been small. I am a small person (cultural) and my Dh is a small person. No big deal. So she is petite.

But there are other signs that are alarming me... she has diarhea often. She has some pitting at the gumline and chipped a tooth. My Dh and I both have VERY VERY good teeth, we eat a primarily whole foods diet and she does not get candies or typical junk food as I will not let her have artificial colorings in her food. She weighs 26.5 pounds at 3.5 years and is 37.25 inches tall. She is also cranky and says her belly hurts.

I am not sure if the belly thing is true, i think it is sometimes. She has been on this "ooh I am so sick" parade when she has to do something she does not want to. I know part of it is show but I am not convinced that ALL of it is show. She is a very lively and imaginative child.

I am going to ask the allergist for a celiac panel. I need this to come from a Dr. who will gain the respect of my Dh's family. My SIL has a masters in Nutrition, so they all think that my daughter has these problems because she does not get enough calcium from dairy in her diet. I love them very much but they do not believe that she has a problem. Not many of the family members do. My mom let me know that they are freakin laughing at me behind my back. GRRRR!!!!!

Many of them are diabetic, some have died from unexplained kidney failure (with diabetes). UGH!!!!!! anyway, that is the end of my rant.

I know what tests I want done and the doctor is simply a tool for getting them.

thanks again

hillary-h Rookie

Hi

I have a five year old she weighs 35 lbs. I had the same problem no one would believe me when I said she just wasn't right. I continued to take her to the doctors after many visits to the doctors they did a blood test for her it came back positive for celiac. I wish you all the best it took me a year to finally get her diagnosed (two blood test, both positive and a biopsy later) they discovered her Villi was completely flat. Ronnis's symptoms:no weight gain, white floaty stool, diarehea,vomiting, fevers, muscle and joint pain and black rings under her eyes. I hope this information helps ask your doctor for a blood test.

Hillary

Beantree Rookie

Thank you Hilary!

I know what I want and wont stop till I get it.

Our consultation appt is in 2 weeks and I cannot help but to cut down on the gluten foods.

I know I am not supposed to.

UGH! I am so confused. We eat a VERY healthy diet. I am the "wholefoods freak" in our family and think that I provide very well for my families diet. But all of this is really making me doubt myself.

I have a hard time getting dd to eat and today we went to a bday party. They had hotdogs. She has not had bread in a very long time. well she snarfed down this HUGE nathan's beef hotdog in NO time. She behaved as if she had not eaten in days. I almost wanted to cry. We do not eat hotdogs here because I cannot bring myself to buy processed meat. But now I am second guessing myself.

My mother in law insists that it could be that we eat too much fiber. I am just so confused about food anymore. For a moment, I wondered if perhaps I made "normal" kid food she would eat it. I mean, am I doing her a disservice by giving her nuts and huumus with veggies as snacks???

I hate this and I feel like I am failing my daughter. I just want some answers.

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    • Mmoc
      Thank you kindly for your response. I have since gotten the other type of bloods done and am awaiting results. 
    • Aretaeus Cappadocia
      I wanted to respond to your post as much for other people who read this later on (I'm not trying to contradict your experience or decisions) > Kirkland Signature Super Extra-Large Peanuts, 2.5 lbs, are labeled "gluten free" in the Calif Costcos I've been in. If they are selling non-gluten-free in your store, I suggest talking to customer service to see if they can get you the gluten-free version (they are tasty) > This past week I bought "Sliced Raw Almonds, Baking Nuts, 5 lbs Item 1495072 Best if used by Jun-10-26 W-261-6-L1A 12:47" at Costco. The package has the standard warning that it was made on machinery that <may> have processed wheat. Based on that alone, I would not eat these. However, I contacted customer service and asked them "are Costco's Sliced Almonds gluten free?" Within a day I got this response:  "This is [xyz] with the Costco Member Service Resolutions Team. I am happy to let you know we got a reply back from our Kirkland Signature team. Here is their response:  This item does not have a risk of cross contamination with gluten, barley or rye." Based on this, I will eat them. Based on experience, I believe they will be fine. Sometimes, for other products, the answer has been "they really do have cross-contamination risk" (eg, Kirkland Signature Dry Roasted Macadamia Nuts, Salted, 1.5 lbs Item 1195303). When they give me that answer I return them for cash. You might reasonably ask, "Why would Costco use that label if they actually are safe?" I can't speak for Costco but I've worked in Corporate America and I've seen this kind of thing first hand and up close. (1) This kind of regulatory label represents risk/cost to the company. What if they are mistaken? In one direction, the cost is loss of maybe 1% of sales (if celiacs don't buy when they would have). In the other direction, the risk is reputational damage and open-ended litigation (bad reviews and celiacs suing them). Expect them to play it safe. (2) There is a team tasked with getting each product out to market quickly and cheaply, and there is also a committee tasked with reviewing the packaging before it is released. If the team chooses the simplest, safest, pre-approved label, this becomes a quick check box. On the other hand, if they choose something else, it has to be carefully scrutinized through a long process. It's more efficient for the team to say there <could> be risk. (3) There is probably some plug and play in production. Some lots of the very same product could be made in a safe facility while others are made in an unsafe facility. Uniform packaging (saying there is risk) for all packages regardless of gluten risk is easier, cheaper, and safer (for Costco). Everything I wrote here is about my Costco experience, but the principles will be true at other vendors, particularly if they have extensive quality control infrastructure. The first hurdle of gluten-free diet is to remove/replace all the labeled gluten ingredients. The second, more difficult hurdle is to remove/replace all the hidden gluten. Each of us have to assess gray zones and make judgement calls knowing there is a penalty for being wrong. One penalty would be getting glutened but the other penalty could be eating an unnecessarily boring or malnourishing diet.
    • trents
      Thanks for the thoughtful reply and links, Wheatwacked. Definitely some food for thought. However, I would point out that your linked articles refer to gliadin in human breast milk, not cow's milk. And although it might seem reasonable to conclude it would work the same way in cows, that is not necessarily the case. Studies seem to indicate otherwise. Studies also indicate the amount of gliadin in human breast milk is miniscule and unlikely to cause reactions:  https://www.glutenfreewatchdog.org/news/gluten-peptides-in-human-breast-milk-implications-for-cows-milk/ I would also point out that Dr. Peter Osborne's doctorate is in chiropractic medicine, though he also has studied and, I believe, holds some sort of certifications in nutritional science. To put it plainly, he is considered by many qualified medical and nutritional professionals to be on the fringe of quackery. But he has a dedicated and rabid following, nonetheless.
    • Scott Adams
      I'd be very cautious about accepting these claims without robust evidence. The hypothesis requires a chain of biologically unlikely events: Gluten/gliadin survives the cow's rumen and entire digestive system intact. It is then absorbed whole into the cow's bloodstream. It bypasses the cow's immune system and liver. It is then secreted, still intact and immunogenic, into the milk. The cow's digestive system is designed to break down proteins, not transfer them whole into milk. This is not a recognized pathway in veterinary science. The provided backup shifts from cow's milk to human breastmilk, which is a classic bait-and-switch. While the transfer of food proteins in human breastmilk is a valid area of study, it doesn't validate the initial claim about commercial dairy. The use of a Dr. Osborne video is a major red flag. His entire platform is based on the idea that all grains are toxic, a view that far exceeds the established science on Celiac Disease and non-celiac gluten sensitivity. Extraordinary claims require extraordinary evidence, and a YouTube video from a known ideological source is not that evidence."  
    • Wheatwacked
      Some backup to my statement about gluten and milk. Some background.  When my son was born in 1976 he was colicky from the beginning.  When he transitioned to formula it got really bad.  That's when we found the only pediactric gastroenterologist (in a population of 6 million that dealt with Celiac Disease (and he only had 14 patients with celiac disease), who dianosed by biopsy and started him on Nutramegen.  Recovery was quick. The portion of gluten that passes through to breastmilk is called gliadin. It is the component of gluten that causes celiac disease or gluten intolerance. What are the Effects of Gluten in Breastmilk? Gliaden, a component of gluten which is typically responsible for the intestinal reaction of gluten, DOES pass through breast milk.  This is because gliaden (as one of many food proteins) passes through the lining of your small intestine into your blood. Can gluten transmit through breast milk?  
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