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

I'm Celiac... What To Have Son Tested For?


seattlejoy

Recommended Posts

seattlejoy Rookie

I just found out last week that I have Celiac Disease. I am taking my son into the Doctor here shortly to get him tested. I am afraid that the doctor will not run all the tests necessary though. I would take my son to my Naturopath but she is booked out weeks and I am impatient to know.

Is it reasonable for me to demand a test for the gene? If so, what is that test called?

The appointment is in an hour so whoever can respond by then, it would be appreciated. Otherwise, the info is still good to have.


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



Celiac.com Sponsor (A8-M):



beachbirdie Contributor

I just found out last week that I have Celiac Disease. I am taking my son into the Doctor here shortly to get him tested. I am afraid that the doctor will not run all the tests necessary though. I would take my son to my Naturopath but she is booked out weeks and I am impatient to know.

Is it reasonable for me to demand a test for the gene? If so, what is that test called?

The appointment is in an hour so whoever can respond by then, it would be appreciated. Otherwise, the info is still good to have.

How did your appointment go?

Sorry you did not get the answers you hoped for before you had to go.

It is certainly reasonable to ask for the genetic test, you just ask for genetic testing for celiac. The genetic test does not diagnose the disease, simply shows whether a person has the tendency towards it or not. The majority of people with the gene don't get the disease.

How old is your son? Some of the testing won't necessarily be accurate if your son is very young. Is your son having symptoms?

Lisa Mentor

So sorry we missed your window.

You must be referring to the DQ2 DQ8 gene test. It is not conclusive. Only thirty percent of the people who carry the genes (associated, but not limited too), will go on to develop Celiac.

Many people can use the gene testing as a piece of the puzzle, when a true diagnosis has escaped them. And adding that with dietary results, many people here quite comfortable with a self diagnosis.

Hope you got good news.

seattlejoy Rookie

How did your appointment go?

Sorry you did not get the answers you hoped for before you had to go.

It is certainly reasonable to ask for the genetic test, you just ask for genetic testing for celiac. The genetic test does not diagnose the disease, simply shows whether a person has the tendency towards it or not. The majority of people with the gene don't get the disease.

How old is your son? Some of the testing won't necessarily be accurate if your son is very young. Is your son having symptoms?

Thanks for asking. The Dr. wouldn't run the genetic test. He ordered the TTG and the Endomysial AB with reflex to titer and said that if my son (16 yrs old) has Celiac, that will come back positive. I tried to argue that my research showed that someone can test negative and if they carry the gene, it can be "activated" by a stressful event or virus later in life and I want to know if that is a possibility for him. The Dr. said NO, he either has it or he doesn't and the test will tell. If it is positive, he will then send my son for an endoscopy.

My son has 3 bowel movements a day and says they are normal. He is pretty fatigued and has lost 20 lbs this last year. For the month of January we went off bread products and dairy and all of a sudden my kid is getting up refreshed in the morning and making it to school on time. But that isn't enough for him to make the decision for himself to go off gluten or dairy. It's too tempting. It will take a Celiac diagnosis.

Lisa Mentor

I tried to argue that my research showed that someone can test negative and if they carry the gene, it can be "activated" by a stressful event or virus later in life and I want to know if that is a possibility for him. The Dr. said NO, he either has it or he doesn't and the test will tell.

Hopefully, he meant that Celiac is either active or it's not. But the predisposition can exist, without being activated, in 30% of the people who possess the DQ2 and DQ8. As you know, it can react to a trigger of some sort.

You have done your homework. :D

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.