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Need Help! ... It Seems Like Its Me Vs. My Doctor


celiaco

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celiaco Newbie

Before I realized that I was Gluten Intolerant 18 months ago, I had spent a fortune on Doctors as I thought that I was literally dying. My stomach was bloated all the time, my energy level was very bad, my joints hurt, my eyes were foggy, my eyes would water all the time, I even smelled different. When I stopped eating gluten 18 months ago it took 1 week for me to start feeling some relief, after 3 weeks I was feeling like "a kid" and it remained that way until 7 weeks ago. But it is important to tell you that I never had any blood test done in order to oficially state that I was gluten intolerant.

Two out of my three kids, age 6 and 4, were having some growth issues, they were not growing at the pace of the average children even though my wife and I are average size. They were diagnosed with Renal Tubular Acidosis, which is a disease that occurs when the kidneys fail to excrete acids into the urine, abnormal growth is one of their symptoms. As I am convinced that I am gluten intolerant and knowing that it might be hereditary and that one of the symptoms on children is problems with growth I told the doctor that they should be tested. He first asked me to test my self in order to have a resonable reason to test the children. After been in a gluten-free diet for 18 months he said to eat gluten 15 days before testing my blood, but after verifying it with celiac.com


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rosetapper23 Explorer

Is there a way that you can change doctors? You should NOT have to go through a worthless endoscopy to prove that you can't tolerate gluten. It's a shame that you've had to harm your health by adding gluten back into your diet. The fact that your children have growth issues is reason enough (in my book) to do further testing. Shame on their doctor!! Please, if possible, change doctors ASAP.

mushroom Proficient

How were your children diagnosed, and what treatment is your doctor providing for this condition?

Marlie Apprentice

How were your children diagnosed, and what treatment is your doctor providing for this condition?

First of all children can have Celiac Disease and not have parents who are. So whether or not you have Celiac disease is immaterial. From what I've read there are false negatives both on the labs and even the biopsys. My child who was just diagnosed only tested positive on the DgP test. Had my child turned up negative on the biopsy I was going to do a trial Gluten Free Diet as I had nothing to lose. In the end she was diagnosed and she is feeling better after 6 days gluten free. Individuals also can get sick from Gluten yet not have Celiac Disease. Best wishes.

ravenwoodglass Mentor

I am so sorry you are going through this. I don't know why doctors feel we have to prove the diet is helping by making us as sick or sicker than we were when we started it. False negatives on testing are not uncommon even having never been gluten free and even close to death. (Raising both arms and waving strongly here :lol:) My doctors refused to even consider doing an endo since I show up false negative in blood work.

You do have the option of simply putting them on the diet. You don't need the doctors permission. If it helps their growth, and if they need to be on the diet you may see a surprising result in their charts on the next visit, when the doctor says 'well I guess they just needed to 'catch up' you can reply "No they have been on the gluten free diet for x months". I would give anything to have known about the diet and been able to put my son on it with or without a doctors 'permission'.

domesticactivist Collaborator

Is there any way you can see another dr who is known to pay more attention to your actual experience than just labs? Could you get the testing done for your kids anyway?

Another thought is maybe it'll make sense to just do the diet without tests. My sense is that regardless what the labs say you'd want to try it with your kids.

beefree11 Newbie

Before I realized that I was Gluten Intolerant 18 months ago, I had spent a fortune on Doctors as I thought that I was literally dying. My stomach was bloated all the time, my energy level was very bad, my joints hurt, my eyes were foggy, my eyes would water all the time, I even smelled different. When I stopped eating gluten 18 months ago it took 1 week for me to start feeling some relief, after 3 weeks I was feeling like "a kid" and it remained that way until 7 weeks ago. But it is important to tell you that I never had any blood test done in order to oficially state that I was gluten intolerant.

I will tell the doctor to make an endoscopy and duodenal biopsy to continue trying to prove that I am gluten intolerant in order to have reasonable doubt about my kids having the same thing in order to help them with their growth issues.

I have read it posted - here, in fact - that the biopsy isn't 100%. You could still have gluten issues with a negative biopsy. Please read the information from this site: https://www.celiac.com/articles/978/1/So-Why-Do-Celiacs-Still-Need-Biopsy-By-William-Dickey-PhD-MD-FACG/Page1.html I hope it helps.

Would you mind so much the endoscopy if perhaps something else could be the cause of your issues? I am very sympathetic. I was found to have a small duodenal ulcer and told to eat fatty. YES a doctor advised me to drink whole milk products to coat the stomach. I was on the floor in pain...come to find out I had gallstones and the fat was killing me! Even after that, my issues became worse. Diarrhea was daily. The endo and colo scopes found some inflammation. Some healing of reflux and a few others, but no villous blunting, I believe was medical jargon was in my report--no blunting.

I am on enzymes, probiotics, organic food and learning to remain calm! Well, at least trying to. But perhaps the scope might be the test you need to find what is going on. If there is inflammation, there may be a problem that your doctor cannot ignore and you may continue the gluten free diet. He can't stop you. Good luck and I hope it all turns out well for you.


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kayo Explorer

Is there a reason you wouldn't just put your children on a gluten free diet? Forget the tests and the docs and just go ahead with the diet changes and see if they improve?

My test results are inconclusive because I was gluten-free at the time of testing but doc feels I have celiac as I have all the symptoms. Those symptoms go away when I'm gluten-free. That's all the proof I need. My sister does have celiac and her blood work came back negative and her endoscopy came back positive.

eatmeat4good Enthusiast

Gluten Intolerance is not something that shows up on tests, yet it can be every bit as debilitating as Celiac in terms of health symptoms and poor quality of life.

Just go gluten free and take your children with you.

Leave your Dr. in his office.

He isn't helping.

Find another Dr. and have the vitamin levels of the children checked and yours too.

Then see how it goes on the gluten free diet.

Just a thought

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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
      I have been diagnosed with coeliacs disease today after endoscopy, bloods and CT scan. I have also been diagnosed with Mesenteric Panniculitis today. Both of which I believe are autoimmune diseases. I have been told I will need a dexa scan and a repeat CT scan in 6 months. I had not even heard of Mesenteric Panniculitis till today. I don’t know much about it? Has anyone else got both of these. 
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