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DQ2/DQ8


Lizzylulu

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Lizzylulu Newbie

My daughter is two years old and has been consistently small for her age. Last April she became very ill and lost three pounds. That doesn't sound like a lot but that left her weighing a mere 18 lbs. She seem to just drift away from us and become withdrawn around others. She would go hours without sleeping and nap for a quick 5 mins. She was an amazingly light sleeper and if she was woken up she would be very crabby. I became sick after having our third child. I was diganoused with celiac disease. Then a light came on, must be what's wrong with our two year old! So we put her on a gluten free diet and amazing things happened. Her hair started to grow, she smiled more, her eyes which were always the darkest-grey suddenly got specks of yellow & green in them.

When we finally took her to the pediatric GI, we were told she had to be tested and must go back on a regular diet. This was awful! She complained about stomace pain everytime she ate, her skin lost all its color she was VERY irratible. Finally the day of the endo arrived, Doc told us that the small intestines were worn away in patchs. It didn't look good. Finally we got a call, she is DQ2/DQ8, highest catagory. Her endo results were normal. She doesn't have Celiac Deisease. This makes no sense to us. How could she have worn away villi (patches), respond so well to a gluten-free diet and have both of the needed genes and not be celiac?

Can someone give me some advice? Im so fusterated!


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kareng Grand Master

My daughter is two years old and has been consistently small for her age. Last April she became very ill and lost three pounds. That doesn't sound like a lot but that left her weighing a mere 18 lbs. She seem to just drift away from us and become withdrawn around others. She would go hours without sleeping and nap for a quick 5 mins. She was an amazingly light sleeper and if she was woken up she would be very crabby. I became sick after having our third child. I was diganoused with celiac disease. Then a light came on, must be what's wrong with our two year old! So we put her on a gluten free diet and amazing things happened. Her hair started to grow, she smiled more, her eyes which were always the darkest-grey suddenly got specks of yellow & green in them.

When we finally took her to the pediatric GI, we were told she had to be tested and must go back on a regular diet. This was awful! She complained about stomace pain everytime she ate, her skin lost all its color she was VERY irratible. Finally the day of the endo arrived, Doc told us that the small intestines were worn away in patchs. It didn't look good. Finally we got a call, she is DQ2/DQ8, highest catagory. Her endo results were normal. She doesn't have Celiac Deisease. This makes no sense to us. How could she have worn away villi (patches), respond so well to a gluten-free diet and have both of the needed genes and not be celiac?

Can someone give me some advice? Im so fusterated!

Get a copy of the endo report and the pathology report. Also, get any blood test & genetic test results. If they give you any trouble, tell them you are taking it to another doctor. At least you need to give it to your pediatrician. Read them and tell us here what they say. I'm assuming you are in the US. If you have any trouble getting the records, PM me. We can throw some legal phrasing at them. Most offices are easy to get copies from. Just talk to the person who answers the phone. They will probably transfer you to another clerk. If you are there for an appointment, ask the nurse to make you some copies.

Start out asking nicely and friendly.

mommida Enthusiast

You have enough for a "probable" Celiac diagnoses. You have positive for 2 known Celiac gene test and a positive improvement on a gluten free diet and villi damage as noted from the endoscopy with biopsy.

What was the doctors explaination for the villi damage? Were the biospies tested for Eosinophils?

Unfortunately there are other diseases that have associated damage from gluten or other "trigger" food or airborn allergens.

ravenwoodglass Mentor

You are a diagnosed celiac, she responded very well to the diet and became ill when you reintroduced gluten, she has both DQ2 and DQ8 plus with the endo "Doc told us that the small intestines were worn away in patches" no matter what the doctors tell you IMHO this child needs to be gluten free. False negatives are not uncommon especially in children. You don't need a doctors permission to make her gluten free and if the GI doctor doesn't give you an official diagnosis to make things easier when she goes to school perhaps your ped will as the ped will see the changes in her health and growth.

Lizzylulu Newbie

You are a diagnosed celiac, she responded very well to the diet and became ill when you reintroduced gluten, she has both DQ2 and DQ8 plus with the endo "Doc told us that the small intestines were worn away in patches" no matter what the doctors tell you IMHO this child needs to be gluten free. False negatives are not uncommon especially in children. You don't need a doctors permission to make her gluten free and if the GI doctor doesn't give you an official diagnosis to make things easier when she goes to school perhaps your ped will as the ped will see the changes in her health and growth.

Thank you for this. Its nice to have the support of others.

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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