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Toddler With Suspected Celiac


Sesara

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Roda Rising Star

I'm sorry you and your son are having a rough time. It's good that the doctor wants to rule other things out, but at the same time you don't want him/her to discount that it could very well be latent/early celiac. You don't want to wait for more damage to be done. It's too bad they didn't get the rest of the bloods when he was in for his scope. It would have been easy to do while they had him sedated. At least you seem well informed and have him gluten free now. I hate it when doctors tip toe around a celiac diagnosis. Is is great to have celiac? No, but there are a lot worse things that someone could be diagnosed with. It's manageable with diet instead of pills. I'm glad he has you as his advocate. When it comes to our kids we will do anything to make them not hurt, be well and happy.

My youngest son had so many issues as a baby(horrible reflux, constant infections, food intolerences, etc). I eliminated so much from my diet in hopes to give him relief. Upon reintroducing foods back for myself(after I stopped breastfeeding) I started having issues. It eventually took 2.5 years for me to find out I had celiac. By the time I was diagnosed my son was going on 4 years old. He had been seeing an allergist/immunologist since he wad 14 months. I had him blood tested(didn't get the full pannel either only IgA and IgA tTG) and he was negative. Aside from being small he otherwise seemed to have all his issues he had as a baby/toddler resolve so we kept him eating normal. He began complaining of reflux, fat in stool and weird behavior changes at age 5. This went on for six months. I had him retested when he was almost 6 almost two years from his first celiac test. He did get the full panel and the only test to be positive(barely, but a postitive is a positive) was his IgA tTG. I put him gluten free immediately not wanting to put him through a scope that could be inconclusive. In hindsite I regretted not doing the scope on him, so after about 4.5 months I reintroduced gluten in the hopes of doing a three month challenge. Three days is allmy son and his dad and I could tolerate. All his symptoms came back with a vengence. So suffice to say he is gluten free for life. I consider him a diagnosed celiac because of my diagnosis of celiac, his positive blood work, resolution of symptoms on a gluten free diet and return of symptoms upon gluten reintroduction.

My oldest son had many issues also. After his brother went gluten free it got me looking very serious at him. He has been blood tested several times and his blood work is always VERY negative. I did have him scoped last summer just in case he was a sero negative celiac. His scope was normal also. We decided to trial him gluten free anyway, due to his problems with constipation, daily stomach pain/gas/bloating, and stalled growth. What an amazing difference it made! All his problems resolved and he gained 6 pounds in a month and has finally started growing. He has never gained that much in a year since his first year of life. We did challenge just to see what would happen and he did get some minor symptoms. He decided that he wanted to stay gluten free because he feels better. He is now 11.

I can sympathize with you on wanting your child to be well. You are on a journey together and a healthier one. I hope you consider at least getting the full celiac blood work. If it is positive then I would consider myself celiac as well. There are doctors that will diagnose on blood work alone.


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Sesara Rookie

I'm sorry you and your son are having a rough time. It's good that the doctor wants to rule other things out, but at the same time you don't want him/her to discount that it could very well be latent/early celiac. You don't want to wait for more damage to be done. It's too bad they didn't get the rest of the bloods when he was in for his scope. It would have been easy to do while they had him sedated. At least you seem well informed and have him gluten free now. I hate it when doctors tip toe around a celiac diagnosis. Is is great to have celiac? No, but there are a lot worse things that someone could be diagnosed with. It's manageable with diet instead of pills. I'm glad he has you as his advocate. When it comes to our kids we will do anything to make them not hurt, be well and happy.

My youngest son had so many issues as a baby(horrible reflux, constant infections, food intolerences, etc). I eliminated so much from my diet in hopes to give him relief. Upon reintroducing foods back for myself(after I stopped breastfeeding) I started having issues. It eventually took 2.5 years for me to find out I had celiac. By the time I was diagnosed my son was going on 4 years old. He had been seeing an allergist/immunologist since he wad 14 months. I had him blood tested(didn't get the full pannel either only IgA and IgA tTG) and he was negative. Aside from being small he otherwise seemed to have all his issues he had as a baby/toddler resolve so we kept him eating normal. He began complaining of reflux, fat in stool and weird behavior changes at age 5. This went on for six months. I had him retested when he was almost 6 almost two years from his first celiac test. He did get the full panel and the only test to be positive(barely, but a postitive is a positive) was his IgA tTG. I put him gluten free immediately not wanting to put him through a scope that could be inconclusive. In hindsite I regretted not doing the scope on him, so after about 4.5 months I reintroduced gluten in the hopes of doing a three month challenge. Three days is allmy son and his dad and I could tolerate. All his symptoms came back with a vengence. So suffice to say he is gluten free for life. I consider him a diagnosed celiac because of my diagnosis of celiac, his positive blood work, resolution of symptoms on a gluten free diet and return of symptoms upon gluten reintroduction.

My oldest son had many issues also. After his brother went gluten free it got me looking very serious at him. He has been blood tested several times and his blood work is always VERY negative. I did have him scoped last summer just in case he was a sero negative celiac. His scope was normal also. We decided to trial him gluten free anyway, due to his problems with constipation, daily stomach pain/gas/bloating, and stalled growth. What an amazing difference it made! All his problems resolved and he gained 6 pounds in a month and has finally started growing. He has never gained that much in a year since his first year of life. We did challenge just to see what would happen and he did get some minor symptoms. He decided that he wanted to stay gluten free because he feels better. He is now 11.

I can sympathize with you on wanting your child to be well. You are on a journey together and a healthier one. I hope you consider at least getting the full celiac blood work. If it is positive then I would consider myself celiac as well. There are doctors that will diagnose on blood work alone.

Ok, I'm almost positive, having actually read a description of it, that I have dermatitis herpeteformis. I don't know why I didn't remember this sooner, but back in college, I broke out in a horrible rash that was itchy and oozy and they told me I had scabies, but the treatment didn't work and they re-treated with something stronger, and took skin for allergy testing. At the dermatologists, someone said something to me about maybe having a wheat allergy, but (unsurprisingly) the allergy test came back normal and then I finally cleared up. Except that ever since then, I have periodically gotten breakouts on the top of my feet of tiny, oozy pustules, and since a latex sensitivity I developed from food service gloves in culinary school, the backs of my hands also occasionally have broken out, one winter so badly that I ended up looking like a burn victim for weeks despite regular applications of hydrocortisone and aquaphor.

So yeah, I'm pretty much now just planning on getting a full blood panel for myself as soon as I get the results back for my son, which I fully expect will show genes associated with celiac. Because I might as well accept that there's a good chance I have it too if I have DH.

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      @lizzie42, You're being a good mom, seeking answers for your son.  Cheers! Subclinical thiamine deficiency commonly occurs with anemia.  An outright Thiamine deficiency can be precipitated by the consumption of a high carbohydrate meal.   Symptoms of Thiamine deficiency include feeling shakey or wobbly in the legs, muscle weakness or cramps, as well as aggression and irritability, confusion, mood swings and behavior changes.  Thiamine is essential to the production of neurotransmitters like serotonin and dopamine which keep us calm and rational.   @Jsingh, histamine intolerance is also a symptom of Thiamine deficiency.  Thiamine is needed to prevent mast cells from releasing histamine at the slightest provocation as is seen in histamine intolerance.  Thiamine and the other B vitamins and Vitamin C are needed to clear histamine from the body.  Without sufficient thiamine and other B vitamins to clear it, the histamine builds up.  High histamine levels can change behavior, too.  High histamine levels are found in the brains of patients with schizophrenia.  Thiamine deficiency can also cause extreme hunger or conversely anorexia.   High carbohydrate meals can precipitate thiamine deficiency because additional thiamine is required to process carbohydrates for the body to use as fuel.  The more carbohydrates one eats daily, the more one needs additional thiamine above the RDA.  Thiamine is water soluble, safe and nontoxic even in high doses. Keep in mind that gluten-free processed foods like cookies and such are not required to be fortified and enriched with vitamins and minerals like their gluten containing counterparts are.  Limit processed gluten-free foods.  They are often full of empty calories and unhealthy saturated fats and additives, and are high in histamine or histamine release triggers.  It's time you bought your own vitamins to supplement what is not being absorbed due to malabsorption of Celiac disease.  Benfotiamine is a form of Thiamine that has been shown to improve intestinal health as well as brain function. Do talk to your doctors and dieticians about supplementing with the essential vitamins and minerals while your children are growing up gluten free.  Serve nutritionally dense foods.  Meats and liver are great sources of B vitamins and minerals. Hope this helps!  Keep us posted on your progress!
    • Scott Adams
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    • knitty kitty
      @SamAlvi, It's common with anemia to have a lower tTg IgA antibodies than DGP IgG ones, but your high DGP IgG scores still point to Celiac disease.   Since a gluten challenge would pose further health damage, you may want to ask for a DNA test to see if you have any of the commonly known genes for Celiac disease.  Though having the genes for Celiac is not diagnostic in and of itself, taken with the antibody tests, the anemia and your reaction to gluten, it may be a confirmation you have Celiac disease.   Do discuss Gastrointestinal Beriberi with your doctors.  In Celiac disease, Gastrointestinal Beriberi is frequently overlooked by doctors.  The digestive system can be affected by localized Thiamine deficiency which causes symptoms consistent with yours.  Correction of nutritional deficiencies quickly is beneficial.  Benfotiamine, a form of thiamine, helps improve intestinal health.  All eight B vitamins, including Thiamine (Benfotiamine), should be supplemented because they all work together.   The B vitamins are needed in addition to iron to correct anemia.   Hope this helps!  Keep us posted on your progress!
    • trents
      Currently, there are no tests for NCGS. Celiac disease must first be ruled out and we do have testing for celiac disease. There are two primary test modalities for diagnosing celiac disease. One involves checking for antibodies in the blood. For the person with celiac disease, when gluten is ingested, it produces an autoimmune response in the lining of the small bowel which generates specific kinds of antibodies. Some people are IGA deficient and such that the IGA antibody tests done for celiac disease will have skewed results and cannot be trusted. In that case, there are IGG tests that can be ordered though, they aren't quite as specific for celiac disease as the IGA tests. But the possibility of IGA deficiency is why a "total IGA" test should always be ordered along with the TTG-IGA. The other modality is an endoscopy (scoping of the upper GI track) with a biopsy of the small bowel lining. The aforementioned autoimmune response produces inflammation in the small bowel lining which, over time, damages the structure of the lining. The biopsy is sent to a lab and microscopically analyzed for signs of this damage. If the damage is severe enough, it can often be spotted during the scoping itself. The endoscopy/biopsy is used as confirmation when the antibody results are positive, since there is a small chance that elevated antibody test scores can be caused by things other than celiac disease, particularly when the antibody test numbers are not particularly high. If the antibody test numbers are 10x normal or higher, physicians will sometimes declare an official diagnosis of celiac disease without an endoscopy/biopsy, particularly in the U.K. Some practitioners use stool tests to detect celiac disease but this modality is not widely recognized in the medical community as valid. Both celiac testing modalities outlined above require that you have been consuming generous amounts of gluten for weeks/months ahead of time. Many people make the mistake of experimenting with the gluten free diet or even reducing their gluten intake prior to testing. By doing so, they invalidate the testing because antibodies stop being produced, disappear from the blood and the lining of the small bowel begins to heal. So, then they are stuck in no man's land, wondering if they have celiac disease or NCGS. To resume gluten consumption, i.e., to undertake a "gluten challenge" is out of the question because their reaction to gluten is so strong that it would endanger their health. The lining of the small bowel is the place where all of the nutrition in the food we consume is absorbed. This lining is made up of billions of microscopically tiny fingerlike projections that create a tremendous nutrient absorption surface area. The inflammation caused by celiac disease wears down these fingers and greatly reduces the surface area needed for nutrient absorption. Thus, people with celiac disease often develop iron deficiency anemia and a host of other vitamin and mineral deficiencies. It is likely that many more people who have issues with gluten suffer from NCGS than from celiac disease. We actually know much more about the mechanism of celiac disease than we do about NCGS but some experts believe NCGS can transition into celiac disease.
    • SamAlvi
      Thank you for the clarification and for taking the time to explain the terminology so clearly. I really appreciate your insight, especially the distinction between celiac disease and NCGS and how anemia can point more toward celiac. This was very helpful for me.
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