Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Reality Check


SolveigB

Recommended Posts

SolveigB Newbie

We have a almost 9-year old daughter who has struggled with her stomach since she was 6 months old and we started giving her food besides breastmilk.

Since then we have been to several doctors, tested for every food allergy there is (both in blood and on her arms), tests for lactose intolerance are negative (genetic, in blood and we also did a breathing test), she doesn't have Chrons or ulcerative colitis, the genetic test for celiac disease and the celiac panels are all negative.

Now I'm starting to think that I'm exaggerating her symptoms, maybe she's fine.

These are the facts:

She has had diarrhea "forever", sometimes as thin as water sometimes as thick as porridge. I apologize for the details. she visits the toilet at least 2 times every day.

After christmas she had blood in her stool, this is confirmed in 3 stool samples. There isn't blood every day, but from time to time maybe once or twice a week.

She is anemic, her ferritin? (my dictionary didn't have a translation from norwegian) is dropping from 31 in January last year to 14 this February. Her hemoglobin is 11.7, and some other ironlevels (MCV/MCH) are slightly low.

Every other test is fine and negative as I wrote.

She has stomachaches every single day, mostly in the evenings combined with the diarrhea.

This week we have started a fooddiary, maybe I am able to see a connection between food and pain.

I think I just need some confirmation that this isn't normal for a 8-year old girl. Any thoughts anyone?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Brittany85 Rookie

I'm certainly no expert, but that definitely doesn't sound normal to me. I've read that celiac tests can show false negatives. Did she have an endoscopy?

Nannu Rookie

We have a almost 9-year old daughter who has struggled with her stomach since she was 6 months old and we started giving her food besides breastmilk.

Since then we have been to several doctors, tested for every food allergy there is (both in blood and on her arms), tests for lactose intolerance are negative (genetic, in blood and we also did a breathing test), she doesn't have Chrons or ulcerative colitis, the genetic test for celiac disease and the celiac panels are all negative.

Now I'm starting to think that I'm exaggerating her symptoms, maybe she's fine.

These are the facts:

She has had diarrhea "forever", sometimes as thin as water sometimes as thick as porridge. I apologize for the details. she visits the toilet at least 2 times every day.

After christmas she had blood in her stool, this is confirmed in 3 stool samples. There isn't blood every day, but from time to time maybe once or twice a week.

She is anemic, her ferritin? (my dictionary didn't have a translation from norwegian) is dropping from 31 in January last year to 14 this February. Her hemoglobin is 11.7, and some other ironlevels (MCV/MCH) are slightly low.

Every other test is fine and negative as I wrote.

She has stomachaches every single day, mostly in the evenings combined with the diarrhea.

This week we have started a fooddiary, maybe I am able to see a connection between food and pain.

I think I just need some confirmation that this isn't normal for a 8-year old girl. Any thoughts anyone?

Hi,

I am also not so old in this forum, but from whatever i have in posts here, may be it is worth trying GFD for a while, and your DD feels better with her symptoms. Sometimes, people have benefitted within one week of starting GFD. May be more experienced people here are able to give a better view. All the best and i hope you are able to get your answers soon

Take care

Nannu

SolveigB Newbie

She has not had a biopsy done yet, and the doctor didn't seem to be very willing to refer us to one since all the celiac bloodtests are negative. I don't want to try gluten free until I know whehter she will have a biopsy or not.

She has had a good week with very little stomachache, only in the evenings and it hasn't been very painful. The fooddiary gives me no answers, but we have only been doing it this week. And then I start to wonder if it's normal, and maybe it isn't as bad as I have been telling the doctors. We have been through this before and I know there will come days where she lies on the bathroom floor crying because her stomach hurts. I was so sure it was celiac disease, and now I'm not sure of anything.

We will try milk free, and then gluten free. We just have to wait until all the tests are done, and I will fight for a biopsy. She has blood in her stool, and I want to know why.

researchmomma Contributor

I could have written your post except our issue was constipation. My daughter was negative on blood and does not have the genes so they wouldn't biopsy.

We decided to take her off gluten for 3 months and see if helped. Well guess what? It did and it has been fabulous.

Now her doctor has diagnosed her as Non Celiac Gluten Intolerant. I went in with a list of symptoms and crossed off the ones that had resolved and the doctor was very pleased.

Those symptoms you mention are not normal for a child so it certainly can't hurt you to try gluten-free.

You know what my favorite change is? Her moods. She was in pain for so long from gluten that she was just miserable and not really fun to be around. That is no longer the case. I wish I had tried gluten-free earlier! She is still zero percentile for weight but we are hoping that changes soon.

I say give it a try.

mushroom Proficient

Perhaps you could strike a bargain with your doctor. Have her eat gluten free for one week, continuing with her symptom and food diary, and see if there is any change. If she improves, the bargain would be that the the doctor would order the biopsy (you would have her resume eating gluten untill this could be scheduled, and one week off gluten should not affect the results). Of course, there is always the possibility nothing would change in one week but it is worth a trial and there is nothing to lose..

Then you wuld put her back on gluten free, permanently if positive and for a good three month trial if negative to see how she responds. She may be non-celiac gluten intolerant or she may have one of the more uncommon celiac genes.

Best wishes in taking care of your daughter. :)

SolveigB Newbie

Thank you so much for answers.

I'm going to call the pediatrician on wednesday, and I will insist on a biopsy. If he won't give us one I will ask for a referral to a nutritionist, together with her we will start a dairy and/or gluten free diet.

I keep telling myself that diarrhea isn't normal, that we need to find out what is causing this. Right now she's fine, and it's so easy to "forget" how bad she gets.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



researchmomma Contributor

Perhaps you could strike a bargain with your doctor. Have her eat gluten free for one week, continuing with her symptom and food diary, and see if there is any change. If she improves, the bargain would be that the the doctor would order the biopsy (you would have her resume eating gluten untill this could be scheduled, and one week off gluten should not affect the results). Of course, there is always the possibility nothing would change in one week but it is worth a trial and there is nothing to lose..

Then you wuld put her back on gluten free, permanently if positive and for a good three month trial if negative to see how she responds. She may be non-celiac gluten intolerant or she may have one of the more uncommon celiac genes.

Best wishes in taking care of your daughter. :)

I wish I had thought to do that!

SolveigB Newbie

I talked to the doc yesterday, and he is referring us to an endoscopy. I asked for a gastro?scopy too (the endoscopy is just the colon, and the gastro?scopy is in the small intestine where evidence of celiacs would be) , but he wasn't very willing to do that. He promised to talk to the doctor who is performing the scopies, and in the meantime he wanted us to try a very strict dairyfree diett.

mushroom Proficient

Generally, when we talk about an endoscopy on this forum we are referring to an upper endoscopy, or apparently gastroscopy as it seems to be called in Norway. The lower endoscopy is usually referred to as a colonoscopy and cannot diagnose celiac - only the gastroscopy can do that.

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,901
    • Most Online (within 30 mins)
      7,748

    tessycork47
    Newest Member
    tessycork47
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.