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As Close To A Diagnosis As We're Going To Get


October3

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October3 Explorer

Finally got a call back today from the clinic where we took my son for a second opinion. The doc made a bold statement and diagnosed him as "potential celiac". I think that's about as good as we're going to get at this point, so I'm pleased.

The scope he had a year ago had previously said everything was totally normal. Then I had heard from this clinic (they re-examined the biopsy slides) that the review also showed his biopsy was totally normal. However, when I got the GI's official response he said there was a mild increase in intraepithelial lymphocytes in the villous epithelim which apparently by itself isn't adequate to diagnose celiac disease just like my son's persistant iron deficiency anemia isn't enough to say celiac disease and a moderately elevated tTG isn't enough to say celiac disease, but put all of them together and I guess its enough for this doc to say "potential".

The result is the same. We're back to gluten free. I guess if the symptoms don't resolve off gluten (meaning his tTG stays high and the anemia doesn't resolve) we'll re-evaluate, but it seems unlikely that will be the case. So I'm thinking this time its for good.

Thanks to everyone who held my hand or hit my head against the wall when I needed it. :P I feel like we're finally somewhere stable.

Any advice for this weekend. Better to make it low key and not a big deal or do we have a last gluten party?


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mushroom Proficient

Yay, October3, a sensible decision by the GI by the sound of it. I am so happy for you. Here's to your son's health. I don't think a gluten party is a good idea as it will just reinforce to him what he is losing. I would do a transition, low-key. Give him perhaps one of his favourite gluteny foods but don't even tell him you are removing the gluten. Just do it bit by bit and then you can :"lay it on him" that this is how it will be from now on.

October3 Explorer

Yay, October3, a sensible decision by the GI by the sound of it. I am so happy for you. Here's to your son's health. I don't think a gluten party is a good idea as it will just reinforce to him what he is losing. I would do a transition, low-key. Give him perhaps one of his favourite gluteny foods but don't even tell him you are removing the gluten. Just do it bit by bit and then you can :"lay it on him" that this is how it will be from now on.

Thanks Mushroom.

pain*in*my*gut Apprentice

Any advice for this weekend. Better to make it low key and not a big deal or do we have a last gluten party?

Why not have a Gluten Free Party? You could make a delicious gluten-free cake or cupcakes and celebrate a "new" healthy beginning? Most of the gluten-free cake mixes are really good, and the Betty Crocker devil's food is delicious! I would try to make it as positive of an experience as possible. Better to focus on what he CAN have rather than what he CAN'T. ;)

October3 Explorer

Why not have a Gluten Free Party? You could make a delicious gluten-free cake or cupcakes and celebrate a "new" healthy beginning? Most of the gluten-free cake mixes are really good, and the Betty Crocker devil's food is delicious! I would try to make it as positive of an experience as possible. Better to focus on what he CAN have rather than what he CAN'T. ;)

That's a fantastic idea! Thanks!

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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