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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

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9 posts in this topic

My 6 year old son was diagnosed with celiac (bloodwork showed it - biopsy was inconclusive). He has been on the gluten-free diet for 3 months now. Repeat bloodwork showed the celiac aspect was much better - and he also feels&looks much better. However the bloodwork still shows the same amount of inflamation and also his iron level has gone down. It has been suggested that possibly he also has a cows milk intolerance. I am going to try to eliminate that now as well. His doctor is thinking of possibly sending us to a blood specialist because of all this. Anyone have any similar experiences?

Thanks.

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I was diagnosed as an adult so it may be different for a young child but...my iron was so low at first that the doctors asked me how I even got out of bed! Here it is 3 years later and my iron is just about normal. It still goes up and down but mostly it's okay.

Keep working on it and try not to get discouraged. ^_^

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Hi Diane,

If your son's villi haven't healed up then he IS lactose intolerant. The ends of the villi produce the enzyme that digests the dairy. If the ends of those villi are damaged then dairy is a no-no. If he still has problems after eliminating dairy, it's possible that he can't handle casein.

Blessings,

Lily

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just a quick note... if he's eating meat, have him drink a glass of orange juice with it - the vit C makes it easier to absorb more iron from food.

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Thanks for all replies! We do know that he is lactose intolerant and were treating him accordingly. About a week ago we decided to remove cow's milk as well to see if that helped. What exactly is casein - is it just in cows milk or in sheep and goat milk as well?

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Casein is not a sugar as far as I know (like the lactose), but a protein (like the gluten).

It is contained in every dairy product - cheese, not only milk.

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Casein is also added to a lot of other products, so keep reading those labels. Some things to look for, on the labels of food products, when eliminating dairy 100% are : whey, sodium caseinate, any other form of caseinate, and of course if the allergen label says milk, or of there is any added butter, cheese, yogurt, sour cream, cream, etc. Non-dairy does not mean dairy-free either, so be careful when getting non-dairy products.

I found out I was casein intolerant through Enterolab, and that was a surprise to me at first, but looking back I can see I had problems with dairy all along. My small intestine/colon is inflamed and I know that part of it is from the dairy. I have been (mostly) dairy free for 3 months and it is getting better, but I need to be more strick with it. The reason is this, casein and gluten have a very similar molecular structure and so in the intestines of some celiacs (but not all) their body sees them as being the same, and attacks them accordingly. This is why it is important to know if you are sensitive to dairy and to avoid it 100% if you are.

God bless,

Mariann :)

p.s. I'm not sure, but I think there is casein in all forms of milk, cow, sheep, goat, etc.

If anyone knows for sure, please post the information. Thank you.

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Thanks. My son's doctor advised us to eliminate cows milk for now to see if that helped. After his next follow up bloodtest we'll take it from there...

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My 6 year old son was diagnosed with celiac (bloodwork showed it - biopsy was inconclusive).  He has been on the gluten-free diet for 3 months now.  Repeat bloodwork showed the celiac aspect was much better - and he also feels&looks much better.  However the bloodwork still shows the same amount of inflamation and also his iron level has gone down.  It has been suggested that possibly he also has a cows milk intolerance.  I am going to try to eliminate that now as well.  His doctor is thinking of possibly sending us to a blood specialist because of all this.  Anyone have any similar experiences?

Thanks.

It can take up to two years completely gluten free for the damage due to celiac disease to be healed, 3 months is quite a short time to expect recovery but obviously your son is getting better.

One can be tested for lactose intolerance. This problem can be quite often found amongst coeliacs as the microvilli dealing with lactose (milk sugar) may be damaged in celiac disease, these microvilli are on the tips of the villi lining the small intestine which are affected by gluten in people with celiac disease.

Even if your son has lactose intolerance this is usually temporary & a lactose-intolerant coeliac can usually digest hard cheese & yogurt made from cow's milk & also goat's milk/cheese.

I was always able to eat hard cheese, gluten-free yogurt & goat's cheese when I had temporary lactose intolerance.

Iron-deficiency anaemia due to celiac disease can take a very long time indeed to recover by diet alone, even when a coeliac is strictly gluten-free. You can have strong iron supplements to help with low iron but these are on prescription only.

I had to have these strong prescription supplements after I was diagnosed with celiac disease until my iron went back to normal - your son may need these, too, so ask your family doctor if these are needed.

As I said, it can take a long time for a coeliac to recover and heal on GFD so it may be your son just needs time to heal but it is a good idea to see a specialist to check re the blood since his iron has gone down.

.

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