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Lovemykids34

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Lovemykids34 Newbie

My 3 and a half year old daughter was just preliminarily diagnosed with Celiac Disease. She has classic symptoms and her blood tests were positive. We go for the endoscope this week. Does anyone have any helpful tips on raising a child gluten free? My heart is breaking for her. I would love to have some feed back from anyone who has experienced this. Thanks!


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Lisa Mentor

My 3 and a half year old daughter was just preliminarily diagnosed with Celiac Disease. She has classic symptoms and her blood tests were positive. We go for the endoscope this week. Does anyone have any helpful tips on raising a child gluten free? My heart is breaking for her. I would love to have some feed back from anyone who has experienced this. Thanks!

Welcome! We have lots of parents with children with Celiac. It IS a road that can be successfully traveled. But, be comforted in the diagnosis....no drugs, no surgery. It just a change in diet. :)

..they will respond soon. ;)

Mizzo Enthusiast

It takes time to figure it all out. It is a constant learning experience. The really good news is product labeling is getting better and easier to make decisions with.

The fact that the products you have to really worry about are processed foods makes it easy to start to whole, natural foods and build on top of that.

Someone once suggested that you go completely processed food free for a month , then add in slowly things like gluten-free bread, muffins , crackers etc. This way you have sort of cleansed your palate of what it used to taste like because there is a texture difference. I think it's a great idea. If thats too extreme you can always keep things like gluten-free pretzels, Tostito chips, rice cakes for that crunchy, salty/sweet need.

researchmomma Contributor

My neighbor's son was diagnosed at 18 months. Because he was so young, he doesn't "miss" things like the process foods that my 12 year old daughter miss. So that is one positive. I know your heart breaks for her but it will be OK. There is an adjustment period for this and we are watching a friend go through it right now. You will slowly figure out ways to be prepared for birthday parties, etc. And We can help.

There are lots of good posts here. Use the search bar to find topics on dealing with Pre-school snacks and playdough, for example.

Welcome to the Board and let everyone know what your questions are. We will help us much as we can.

StephanieL Enthusiast

My son had the biopsy at 3 but his was "inconclusive" (more recently negative by Dr. Fasano) HOWEVER... we went gluten-free for him at 3 1/2. With his TTG levels and how fast they fell after 6 months gluten-free, I am sure there was just not a lot of damage and/or they didn't get a patch where it was.

Honestly it is challenging but if gluten is the only thing you have to avoid, there are still tons of options :) Because of the limits we have in addition to gluten, we cook whole foods most of the time. I do a lot of batch cooing and freezing.

For school, there are some challenges. Play-doh is OUT! Art class can have some pitfalls with paste for paper mach

mommyto2kids Collaborator

At that age you will have to lead by example. She will need to see your family eat it. Dinner should be easy to fix that way. If you need ideas, lots of people are here to help.

StephanieL Enthusiast

At that age you will have to lead by example. She will need to see your family eat it. Dinner should be easy to fix that way. If you need ideas, lots of people are here to help.

Different families deal differently. We do NOT have an entirely gluten-free home (or allergy free for that matter). I do tend to make dinners friendly for everyone but there are nights that doesn't happen. My thing is, in the "real world" that he is going to have to deal with differences in his food so he needs to learn how to deal with those. There is the other side who feel that the home should be entirely "safe" of problem foods. Again, you need to decide what is right for your family!

(If you do have a combined home you want to be sure there is a separate toaster and any pots/pans that are scratched would need to be replaced if they are non-stick).


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suziq0805 Enthusiast

I have an almost 2 year old that is gluten-free for now. At first I felt bad for him (and now me too since I'm gluten-free also), but after awhile I realized it could be so much worse. This is a disease that's not curable, but at the same time there's not drugs to be on the rest of his life or no needed surgery. And because of this diet change my family is eating healthier- less processed foods and we've discovered new veggies that we like.

Some suggestions- Welch's fruit snacks are gluten free and easy to throw in my purse to make sure I always have a snack on hand when we're out. If she goes to daycare/preschool I would sit down and discuss it with her teachers and discuss how important it is that she not eat food that hasn't been approved by you. Always keep some treats at school for her in case of an unexpected party or anything. Also go through the art supplies and let them know which supplies are ok and which are not.

Have you and the rest of your family been tested? Celiac is genetic and others may have it also.

Takala Enthusiast

1. Plan ahead for meals AND snacks. If there is enough gluten free yummy options around, "cheating" isn't an issue if nutritional needs and emotional needs are being met. Keep in mind some vitamin/mineral deficiencies, in the beginning, can cause cravings for carbohydrates and sugars.

2. Buy some lunchbox type containers such as a small picnic sized cooler lunchbox or a insulated carry-pack with freezable thermal pockets, and make sure that when she leaves the house, it goes with her. You may end up also keeping a permanent carry- pack on your kitchen counter, and then re filling it daily with gluten free stock items, and that then goes in the car, all the time, on any trips. Never assume you will be able to find suitable gluten free food when you really need it. Once you get the routine down, this is not difficult and seems normal and reassuring.

3. All of you (the grownups), be aware that if she still sucks on her fingers or absentmindedly puts them in her mouth (what little kid doesn't :rolleyes: ) that her baby lotions, conditioners, sunblocks, soaps, etc need to be gluten free. And if you eat gluten, wipe your lips before kissing her face, please. Also, all over the counter medications and vitamins like ibuprofen, cough syrup, anti histamines, etc, need to be gluten free.

4. If you have indoor pets, you will likely want to get them on a gluten free pet food, especially if they wake you up by licking you, jump on the bed, or if they drool a lot. The objective here is to minimize the possibility of cross contamination from all sources. If you are thinking, OMG you have got to be kidding, no, uhm, yeah, seriously. Beware that some pet food labels will say gluten free, but contain oats or barley and can also be cross contaminated if it is regular oats. ( We have a very sensitive, very large wheat- allergic dog, and I have to be pretty hyper vigilant about not making him sick, too. )

5. For social occasions, bake and take. When you make or buy gluten free cupcakes, freeze some for the next time they are needed. gluten-free Pizza can also be frozen in individual servings for this purpose. Don't be afraid to take a a gluten free item to a potluck, if it is good, but be sure to take your servings packed separately, or get your daughter's out first, because the first thing somebody is going to do is cross contaminate it. Badly. They will even do this unwittingly if they know you are gluten free. Because they are not used to it.

6. Some relatives are a p.i.a. about food. This is normal. Come to the board and vent, we can be very creative with the comeback lines for the really amazingly bad things people might say to you, especially the things that make one wonder - " how could this person be a blood relative ? " :ph34r::blink:

7. All purpose generic excuses for not eating food that is offered to her are acceptable, even if they are not 100% true. "Really, eat this, it is gluten free" is a common remark, followed by "I picked off the croutons" (see #6 above...) and teach her how to gracefully decline if the status of the gluten free item is in question. When in doubt, invent another allergy to one of the ingredients. "oh, does this have xxx... sorry, can't have that." Yes, I know that this is an auto immune reaction, but people are more scared of causing an allergic attack. There are so many kids these days with food allergies, the incidence of which is increasing, that having an allergy or an intolerance to SOMETHING is not really that unusual anymore, and this can work to your advantage.

8. If you end up needing a lot of gluten free bread, and think that the commercial brands are too much $, you may want to learn to bake gluten free, then get a bread machine for it. You can test most recipes out in single cup sizes in the microwave, to see how it tastes as a quick bread. There are some people who are "supertasters" because they have more taste buds, and they will balk at some of the gluten free flours, others of us are happily nearly oblivious, and will eat nearly anything.

9. Food labels - it is possible to buy a regular item from a good company, that is actually gluten free, but it is not emblazoned with it in giant letters, but your found this out from researching it. And this item is okay to eat. It is also possible to buy a special gluten free item from a gluten free manufacturer, prominently displayed, and it turns out the thing was run on shared lines and is a real disaster. Keep this in mind during mystery flare ups.

stanleymonkey Explorer

you'll need to teach het to be an advocate for herself, my daughter who has just turned 3 will refuse food politely from people, we want her yo learn now so when she is older its just part of life and not a big deal

Cara in Boston Enthusiast

My son was diagnosed at age 5. Suddenly I was acutely aware of how many people are (seemingly) constantly offering him food. It happened everywhere we went. He is a smart boy, but shy so he would just shake his head or say "no thank you." But then they would PERSIST. Adults! "C'mom, its ok, have this cookie, I've never met a kid who says no to a cookie . . ." on and on. Now he says, "no thank you, I have food allergies" (it is much easier than trying to explain what celiac disease is or even what gluten is.) At first he had a rubber bracelet that said "gluten free" on it and he could just point to it if he was feeling shy. He doesn't need it anymore.

We learned a lesson last summer at tennis camp. I talked to the director, she assured me she knew all about celiac disease (I had a roommate with it . . . blah, blah) I talked to her on several occasions and she always kind of blew me off. I wasn't that concerned because it was a tennis clinic where we picked them up before lunch - so no food was involved. However, on some random Friday, another parent brought in a box of graham crackers to share with the group. My son spoke up and said he couldn't have them because he couldn't have gluten. The director read the ingredients and couldn't find the word "gluten" listed so she told him they were safe. He ate them and got very sick and missed a week of his summer vacation. Now he can check the labels himself (almost 7) but we also made a rule that he can only eat the foods that mom or dad have checked and that we know are safe. Sometimes his brother can do the checking (age 9).

Same goes for asking at the deli counter if something is gluten free. Do not believe the person unless you have read the manufacturers label yourself. Sometimes they have a product list behind the counter. If I don't see it myself, I don't believe it. I don't trust anyone else to take the care necessary to keep my child safe. I am always surprised how often we are the first person to ask someone (in an ice cream shop or deli or somewhere) about gluten. Most often they are confused (glucose? is that sugar?) so even if they have received "allergen training" I still check for myself.

Sometimes I go in without my son and check everything out so that when we go together, we can just order like normal people. He doesn't like to be the center of attention.

Cara

Cara in Boston Enthusiast

One more thing:

Invest in a good travel food container - we bought a pair of Ms. Bento food kits (zojurushi?) one for me and one for my son. They can easily hold an entire meal (enough for two!) and keep food hot and cold for several hours. Our extended family has lots of gatherings so now I bring our own food to eat and a dish to share. We packed our own Thanksgiving dinner (the same foods everyone else was having, but gluten-free) and it was so much easier than worrying about cross-contamination. The kit was expensive but this will be how we eat at other people's houses for many, many years so it was an investment. We bought it on line at Amazon.

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    • trents
      So, essentially all of the nutrition in the food we eat is absorbed through the villous lining of the small bowel. This is the section of the intestinal track that is damaged by celiac disease. This villous lining is composed of billions of finger-like projections that create a huge amount of surface area for absorbing nutrients. For the celiac person, when gluten is consumed, it triggers an autoimmune reaction in this area which, of course, generates inflammation. The antibodies connected with this inflammation is what the celiac blood tests are designed to detect but this inflammation, over time, wears down the finger-like projections of the villous lining. Of course, when this proceeds for an extended period of time, greatly reduces the absorption efficiency of the villous lining and often results in many and various nutrient deficiency-related health issues. Classic examples would be osteoporosis and iron deficiency. But there are many more. Low D3 levels is a well-known celiac-caused nutritional deficiency. So is low B12. All the B vitamins in fact. Magnesium, zinc, etc.  Celiac disease can also cause liver inflammation. You mention elevated ALP levels. Elevated liver enzymes over a period of 13 years was what led to my celiac diagnosis. Within three months of going gluten free my liver enzymes normalized. I had elevated AST and ALT. The development of sensitivities to other food proteins is very common in the celiac population. Most common cross reactive foods are dairy and oats but eggs, soy and corn are also relatively common offenders. Lactose intolerance is also common in the celiac population because of damage to the SB lining.  Eggs when they are scrambled or fried give me a gut ache. But when I poach them, they do not. The steam and heat of poaching causes a hydrolysis process that alters the protein in the egg. They don't bother me in baked goods either so I assume the same process is at work. I bought a plastic poacher on Amazon to make poaching very easy. All this to say that many of the issues you describe could be caused by celiac disease. 
    • catnapt
      thank you so much for your detailed and extremely helpful reply!! I can say with absolute certainty that the less gluten containing products I've eaten over the past several years, the better I've felt.   I wasn't avoiding gluten, I was avoiding refined grains (and most processed foods) as well as anything that made me feel bad when I ate it. It's the same reason I gave up dairy and eggs- they make me feel ill.  I do have a bit of a sugar addiction lol so a lot of times I wasn't sure if it was the refined grains that I was eating - or the sugar. So from time to time I might have a cookie or something but I've learned how to make wonderful cookies and golden brownies with BEANS!! and no refined sugar - I use date paste instead. Pizza made me so ill- but I thought it was probably the cheese. I gave up pizza and haven't missed it. the one time I tried a slice I felt so bad I knew I'd never touch it again. I stopped eating wheat pasta at least 3 yrs ago- just didn't feel well after eating it. I tried chick pea pasta and a few others and discovered I like the brown rice pasta. I still don't eat a lot of pasta but it's nice for a change when I want something easy. TBH over the years I've wondered sometimes if I might be gluten intolerant but really believed it was not possible for me to have celiac disease. NOW I need to know for sure- because I'm in the middle of a long process of trying to find out why I have a high parathyroid level (NOT the thyroid- but rather the 4 glands that control the calcium balance in your body) I have had a hard time getting my vit D level up, my serum calcium has run on the low side of normal for many years... and now I am losing calcium from my bones and excreting it in my urine (some sort of renal calcium leak) Also have a high ALP since 2014. And now rapidly worsening bone density.  I still do not have a firm diagnosis. Could be secondary HPT (but secondary to what? we need to know) It could be early primary HPT. I am spilling calcium in my urine but is that caused by the high parathyroid hormone or is it the reason my PTH is high>? there are multiple feedback loops for this condition.    so I will keep eating the bread and some wheat germ that does not seem to bother me too much (it hasn't got enough gluten to use just wheat germ)    but I'm curious- if you don't have a strong reaction to a product- like me and wheat germ- does that mean it's ok to eat or is it still causing harm even if you don't have any obvious symptoms? I guess what you are saying about silent celiac makes it likely that you can have no symptoms and still have the harm... but geez! you'd think they'd come up with a way to test for this that didn't require you to consume something that makes you sick! I worry about the complications I've been reading about- different kinds of cancers etc. also wondering- are there degrees of celiac disease?  is there any correlation between symptoms and the amnt of damage to your intestines? I also need a firm diagnosis because I have an identical twin sister ... so if I have celiac, she has it too- or at least the genetic make up for having it. I did have a VERY major stress to my body in 2014-2016 time frame .. lost 50lbs in a short period of time and had severe symptoms from acute protracted withdrawal off an SSRI drug (that I'd been given an unethically high dose of, by a dr who has since lost his license)  Going off the drug was a good thing and in many ways my health improved dramatically- just losing 50lbs was helpful but I also went  off almost a dozen different medications, totally changed my diet and have been doing pretty well except for the past 3-4 yrs when the symptoms related to the parathyroid issue cropped up. It is likely that I had low vit D for some time and that caused me a lot of symptoms. The endo now tells me that low vit D can be caused by celiac disease so I need to know for sure! thank you for all that great and useful information!!! 
    • trents
      Welcome, @catnapt! The most recent guidelines are the daily consumption of a minimum of 10g of gluten (about the amount found in 4-6 slices of wheat bread) for a minimum of two weeks. But if possible stretching that out even more would enhance the chances of getting valid test results. These guidelines are for those who have been eating gluten free for a significant amount of time. It's called the "gluten challenge".  Yes, you can develop celiac disease at any stage of life. There is a genetic component but also a stress trigger that is needed to activate the celiac genes. About 30-40% of the general population possesses the genetic potential to develop celiac disease but only about 1% of the general population actually develop celiac disease. For most with the potential, the triggering stress event doesn't happen. It can be many things but often it is a viral infection. Having said that, it is also the case that many, many people who eventually are diagnosed with celiac disease probably experienced the actual onset years before. Many celiacs are of the "silent" type, meaning that symptoms are largely missing or very minor and get overlooked until damage to the small bowel lining becomes advanced or they develop iron deficiency anemia or some other medical problem associated with celiac disease. Many, many are never diagnosed or are diagnosed later in life because they did not experience classic symptoms. And many physicians are only looking for classic symptoms. We now know that there are over 200 symptoms/medical problems associated with celiac disease but many docs are only looking for things like boating, gas, diarrhea. I certainly understand your concerns about not wanting to damage your body by taking on a gluten challenge. Your other option is to totally commit to gluten free eating and see if your symptoms improve. It can take two years or more for complete healing of the small bowel lining once going gluten free but usually people experience significant improvement well before then. If their is significant improvement in your symptoms when going seriously gluten free, then you likely have your answer. You would either have celiac disease or NCGS (Non Celiac Gluten Sensitivity).
    • catnapt
      after several years of issues with a para-gland issue, my endo has decided it's a good idea for me to be tested for celiac disease. I am 70 yrs old and stunned to learn that you can get celiac this late in life. I have just gradually stopped eating most foods that contain gluten over the past several years- they just make me feel ill- although I attributed it to other things like bread spiking blood sugar- or to the things I ate *with* the bread or crackers etc   I went to a party in Nov and ate a LOT of a vegan roast made with vital wheat gluten- as well as stuffing, rolls and pie crust... and OMG I was so sick! the pain, the bloating, the gas, the nausea... I didn't think it would ever end (but it did) and I was ready to go the ER but it finally subsided.   I mentioned this to my endo and now she wants me to be tested for celiac after 2 weeks of being on gluten foods. She has kind of flip flopped on how much gluten I should eat, telling me that if the symptoms are severe I can stop. I am eating 2-3 thin slices of bread per day (or english muffins) and wow- it does make me feel awful. But not as bad as when I ate that massive amnt of vital wheat gluten. so I will continue on if I have to... but what bothers me is - if it IS celiac, it seems stupid for lack of a better word, to intentionally cause more damage to my body... but I am also worried, on the other hand, that this is not a long enough challenge to make the blood work results valid.   can you give me any insight into this please?   thank you
    • trents
      The biopsy looks for damage to the mucosal lining of the small bowel from the inflammation caused by celiac disease when gluten is ingested. Once you remove gluten from the diet, inflammation subsides and the mucosal lining begins to heal. 
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