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kentsmom

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kentsmom Newbie

Greetings all!

My son is almost three, and has been diagnosed with a developmental delay. He doesn't talk much, and when he does, his speech is at an 18 month level. He has none of the sensory issues or repetitive motions associated with autism spectrum disorders.

Is it possible to have Celiac disease without the skin problems? Also he rarely has constipation or diarrhea.

He does, however, have painful gas and loss of tooth enamel; he's very pale and small for his age; he's an incredibly picky eater, and he's only grown an inch and a half and gained three pounds in the past year.

I'm going to ask the ped. about this at Kent's appointment in two weeks, but the responses to this query will determine how hard I push for a referral.

Is a biopsy really the only valid diagnostic tool?

Thanks,

Jen


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Guest jhmom

Hi Jen, welcome, you have come to the right place for support and encourgement.

yes it is possible to have celiac disease without Skin problems. It is also possible to not have diarrhea or constipation, in fact some people have the disease and never have GI problems at all.

In my opinion a biopsy is not the end all be all however docs look at it as the "gold standard". The reason I say this is because I went through all the blood test, biopsies and they all came back negative. My doc NOW informs me that it takes TIME for a disease to show up in the blood or to damage the villi in the small intestines. A lot of docs will accept an improvement on a gluten-free diet as a dx too.

I was tested through Open Original Shared Link they test the stool which is more sensitive than blood and more accurate than blood. You also do not have to be on gluten. This is how my 8 year old daughter was tested too, I refused to put her through ALL the test that I went through.

Ihope your little one feels better soon! :D

mat4mel Apprentice

Yes, it is possible to have Celiac and have no Gi symptoms and no skin problems. I would definitely insist on blood tests. I personally do not think you "need" to have a biopsy to make a diagnosis. The procedure is not without risk, and false-negatives are really common. I would say have the blood work up and if any of that is positive, do the gluten free diet.

Mel

kaylee Rookie

Hi Jen,

if your son is very small, pale, has tooth enamel loss and painful gas then looking into celiac disease is indeed a good idea as the others have suggested. Could I also add as a suggestion that you could put the time before the ped. visit to good use by keeping a food diary? Make notes on absolutely everything your son eats and also on anything that could be related - like mood (for example, irritability), physical things (the gas, but also trips to the toilet), tiredness, etc. Is his belly distended?

I found keeping this type of diary invcredibly useful when we first put our son on a gluten-free diet, but we were striking out sort of blindly, looking for answers without really knowing where we were going (it turned out to be a really good direction, though!). A diary might give you some extra info to give your pediatrician, too.

Best,

Kaylee

ashlees-mom Rookie

Hi Jen, I agree that you are looking in the right direction here! I think you have gotten some great advice, I would like to add that you might have to educate your ped about celiacs. My daughter was having extremely slow growth, but everyone assured me it could't be celiac disease. Unfortunately, she had to get extremely sick (the diarrhea did come eventually!) and lethargic before we were able to get her to the RIGHT specialist who could diagnose her. I later sent some information to our Ped who is ordering Danna Korn's book for the ped office now! Just be prepared to have to put up a fight, and don't let the Ped reassure you without doing tests! If it is celiac disease, it would be much better to find out now then to have him get really sick. Hang in there, you are doing the right thing!

Michelle

Guest Evelyn's mom

Jen,

You are definately doing the right thing by seeking information regarding Celiac. Take the time to study as much as you can. Some information seems conflicting but this site is really an excellant place to start.

My daughter's blood tests came back inconclusive but her symptoms were severe. I wish I had known about Enterolab at that time because I would have gone that route instead of putting her through the biopsy. It's a personal decision I think, but the biopsy procedure was very hard on all of us and I won't do it again with any future children I'd have that may have Celiac.

Hope this helps! Again, you're on the right track!

RaeAnn

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      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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