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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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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
      I know what you mean. When I get glutened I have severe gut cramps and throw up for 2-3 hr. and then have diarrhea for another several hours. Avoid eating out if at all possible. It is the number one source of gluten contamination for us celiacs. When you are forced to eat out at a new restaurant that you are not sure is safe, try to order things that you can be sure will not get cross contaminated like a boiled egg, baked potatos, steamed vegies, fresh fruit. Yes, I know that doesn't sound as appetizing as pizza or a burger and fries but your health is at stake. I also realize that as a 14 year old you don't have a lot of control over where you eat out because you are tagging along with others or adults are paying for it. Do you have support from your parents concerning your need to eat gluten free? Do you believe they have a good understanding of the many places gluten can show up in the food supply?
    • Peace lily
      Okay went online to check green mountain k cups .It was said that the regular coffees are fine but they couldn’t guarantee cross contamination.with the flavors. im trying to figure out since I eliminated the suyrup so far so good. I’m hoping. thanks it feels good to listen to other people there views.
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