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

Need Advice About Testing My Son, Feeling So Conflicted


megsybeth

Recommended Posts

megsybeth Enthusiast

My son has had very small stature since two months, also weak teeth enamel, poor concentration, anemia. Motor delays. He has seen a couple GIs who are not celiac experts but did some blood testing. He had negative bloodwork at 18mo, 2.5 years and a few weeks ago at four. BUT he also started having more pronounced GI issues: distended belly, diarrhea, constipation. And I just tested positive on bloodwork.

My son was set to have a colonoscopy/endoscopy last week but I stupidly canceled. His GI had told me shes never seen a positive biopsy with negative blood work. This suggested to me that I dont want her doing the biopsy so I wanted to have a specialist do it. But of course he cant get into a specialist until the end of. Nov, and an endoscopy would probably be another month wait. So I just decided to take him off. gluten. This was a week ago.

Well the not so great GI has my son scheduled for an endoscopy/colonoscopy in two weeks. I was planning to cancel but Ive had a change of heart. He still has diarrhea. What if it's colitis or something? I know it could be dairy, lingering gluten issues, but I decided to pu t him back on gluten for the next two weeks. I hope Im doing the right thing. I cant change my mind again!


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



Celiac.com Sponsor (A8-M):



mushroom Proficient

I think you're doing the right thing, Mom, considering you yourself are celiac. The one week off gluten will probably not make a difference. You may get a positive or he may not yet have enough damage since he is young. Either way, I am sure you will give him a good 3-6 month gluten free trial after the EGD.

I am sure you know from what you have read on here that you should make sure that the doctor takes at least six biopsy samples to be sure of catching damaged areas. :)

GottaSki Mentor

This process is not easy.

Keep him on gluten until the endo is complete.

Ask how many samples of the small intestine your doctor plans to take and whether these samples will be taken regardless of visual signs of Celiac Disease.

Here's a great article that another member posted which explains what should be done. Read and bring a copy along to show the doctor if they are dismissive of the specific need of celiac samples.

Open Original Shared Link

Hang in there!

megsybeth Enthusiast

Thanks. Mushroom :). I will tell her. Honestly I feel terrible about glutening my son but what reakky gets my goat is the money this mediocre GI will get from my insurance. But maybe I'm still a little crazy from my untreated celiac.

mushroom Proficient

Thanks. Mushroom :). I will tell her. Honestly I feel terrible about glutening my son but what reakky gets my goat is the money this mediocre GI will get from my insurance. But maybe I'm still a little crazy from my untreated celiac.

Just maybe, she will see her first positive biopsy with negative blood, and she will become a better doc because of it :D and not just go around dismissing people. And I agree with Lisa, she has to take the samples regardless of what she "sees". :ph34r: since most celiac damage cannot be seen with the naked eye.

megsybeth Enthusiast

Lisa, thanks for the article! And Mushroom, thanks for reminding me to stay positive. I need to remember that finding out at four would make my son really lucky compared to most of us.

GottaSki Mentor

Lisa, thanks for the article! And Mushroom, thanks for reminding me to stay positive. I need to remember that finding out at four would make my son really lucky compared to most of us.

You are welcome...but credit for the article goes to Mushroom too :)

She's right - stay positive :)


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



Celiac.com Sponsor (A8-M):



Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,898
    • Most Online (within 30 mins)
      7,748

    MLucia
    Newest Member
    MLucia
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Who's Online (See full list)

  • 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.