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16 Mo. Old Ds Just Diagnosed W/celiac


Disney323

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Disney323 Apprentice

This is my 1st post and I'm glad I found this site. I am sure I will get most questions answered. The only reason we had our son tested was because he has no interest in eating and doesn't gain much weight. He is currently 19 lbs. He has had no other symptoms. Normal bowel movements, no tummy aches that we know of, no vomiting and doesn't seem to be in any type of distress. Dr. said 1 part of the test was an abnormal # and the other 2 parts of it were normal. Whatever that means. He is being sent for a biopsy in 2 weeks. I am so nervous. What can I do while we wait? TIA


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Lisa Mentor

TIA:

First, welcome to the Board. Second, there are many mothers or family members with young children that have celiac issue, or just issues.

I also am glad that you found us. The knowledge is here.

happygirl Collaborator

Disney:

Welcome to the board...I am happy you have found us!

His results could indicate that your child has a problem with gluten, which is probably Celiac.

Your child needs to continue to eat gluten before the biopsy. Do not start the diet until after the biopsy. Talk to your son's doctor and ask to have the full blood panel run. There are FIVE parts to the Celiac panel. You want the bloodwork and biopsy run while he is eating gluten. You also need to make sure that the GI takes multiple biopsies in multiple sites in the small intestine. Celiac can be a patchy disease. A biopsy can rule "in" Celiac but cannot rule "out" Celiac, because the damage can be easily missed. To ensure a better chance, multiple biopsies from multiple locations are needed.

Here is the link to the full tests. Dr. Green is a leading Celiac researcher and physician at Columbia University and this is their website:

http://www.celiacdiseasecenter.columbia.ed...C05-Testing.htm The reason that it might be worth it to have the full testing done, is so that you have done it while he is eating gluten, and don't have to go back at some point to "challenge" gluten. At the very least, it is worth printing out the info about the tests, the importance of using all five tests, and discussing it with your doctor.

Celiac patients vary GREATLY in their symptoms....from severely debilitated to absolutely no symptoms, and everything in between (mild to moderate to not nice at all!). Some people have diarrhea, some constipation. Some gain weight, some lose weight. I think these contradictions indicate why Celiac is called a "medical chameleon" and often hard to diagnose.

All this being said....there are people who don't have Celiac but have non-Celiac gluten intolerance. They don't have the intestinal damage, but still have a problem with gluten. The Celiac panel does not test for gluten intolerance. So, even if the results are negative by chance, it still might be worth it to try the diet. Plus, testing in children under 2 is difficult, as their immune system is still developing...so he *could* have Celiac and it not show up on the biopsy. The bloodwork and his symptoms indicate *something* is going on....and it very well could be a problem with gluten. I think trying the gluten free diet would be worth a shot, no matter what.

Best of luck, and let us know what we can do to help!

Laura

rez Apprentice

I agree w/ previous posters. I would ask which tests were run and which test was abnormal. There are two blood tests that are very specific to Celiac and two others which can mean many other disorders as well. Good luck.

jayhawkmom Enthusiast

I find it interesting that they would test a child so young, who had no symptoms. Do you or your husband have Celiac? So many doctors are clueless about Celiac, so I'm just fascinated to read about one who sent a kiddo with no symptoms for testing.

Bravo to your doctor!! =)

My older son was sent for testing at 2, because he was failing to gain weight. He weighed 24 lbs at one year... he weighed 24 lbs at 2 years. The blood tests, from what I was told, were negative. At 8.5 - he had positive blood tests, much to my dismay.

I agree with the others, you need to get a hold of the actual results of the blood tests, it seems as if there are missing pieces ... and you need to keep your little one on a gluteny diet until after the endoscopy.

There are actually 5 parts to a Celiac panel. Some doctors will only look at a portion of that... others will consider the whole picture.

You should see results for:

tTg

Gliadin Antibodies - IgG & IgA

EMA

and total syrum IgA.

The gliadin antibodies are often "dismissed" by some doctors, although... clearly they indicate an autoimmune reaction to gluten, with or without Celiac disease. However, when it's only the IgG anti-gliadin antibody that is positive, it usually requires further investigation. My daughter and I are examples of that. Endoscopies came back clear for villi damage, yet... other "damage" consistent with latent Celiac.

My older son had positive tTg, IgG, & IgA antibodies. Combined with a positive dietary response and the total disappearance of a DH type rash once gluten free.... it's pretty obvious.

Gosh... I'm rambling here, sorry about that!!!

Once you have your baby's results.... if neither you or your husband are Celiac, you might want to have some testing done yourselves. One of you very well may be.

Best wishes to you.

Disney323 Apprentice

Thanks to all of you who responded to my post. I spoke with my son's dr. today and she said that the IGA and serum came back normal but the one specific for celiac (which I have no clue what it is) came back at 97% and it should be only about 19%. Neither my husband or I have Celiac (that we know of) I do suffer IBS and am wondering if it has anything to do with it. We will both be tested once our son is confirmed. I will go into the GI with many questions. Thank You very much!

jayhawkmom Enthusiast
Neither my husband or I have Celiac (that we know of) I do suffer IBS and am wondering if it has anything to do with it.

Celiac is very often misdiagnosed as IBS!!!


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Kibbie Contributor
This is my 1st post and I'm glad I found this site. I am sure I will get most questions answered. The only reason we had our son tested was because he has no interest in eating and doesn't gain much weight. He is currently 19 lbs. He has had no other symptoms. Normal bowel movements, no tummy aches that we know of, no vomiting and doesn't seem to be in any type of distress. Dr. said 1 part of the test was an abnormal # and the other 2 parts of it were normal. Whatever that means. He is being sent for a biopsy in 2 weeks. I am so nervous. What can I do while we wait? TIA

My daughter is 23 months currently and was diagnosed with Celiac Disease at 18 months old. Fruits and veggies are safe to eat and from there it will depend on what your son likes to eat!

what does he like to eat?

Disney323 Apprentice

what does he like to eat?

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    • Mmoc
      Thank you kindly for your response. I have since gotten the other type of bloods done and am awaiting results. 
    • Aretaeus Cappadocia
      I wanted to respond to your post as much for other people who read this later on (I'm not trying to contradict your experience or decisions) > Kirkland Signature Super Extra-Large Peanuts, 2.5 lbs, are labeled "gluten free" in the Calif Costcos I've been in. If they are selling non-gluten-free in your store, I suggest talking to customer service to see if they can get you the gluten-free version (they are tasty) > This past week I bought "Sliced Raw Almonds, Baking Nuts, 5 lbs Item 1495072 Best if used by Jun-10-26 W-261-6-L1A 12:47" at Costco. The package has the standard warning that it was made on machinery that <may> have processed wheat. Based on that alone, I would not eat these. However, I contacted customer service and asked them "are Costco's Sliced Almonds gluten free?" Within a day I got this response:  "This is [xyz] with the Costco Member Service Resolutions Team. I am happy to let you know we got a reply back from our Kirkland Signature team. Here is their response:  This item does not have a risk of cross contamination with gluten, barley or rye." Based on this, I will eat them. Based on experience, I believe they will be fine. Sometimes, for other products, the answer has been "they really do have cross-contamination risk" (eg, Kirkland Signature Dry Roasted Macadamia Nuts, Salted, 1.5 lbs Item 1195303). When they give me that answer I return them for cash. You might reasonably ask, "Why would Costco use that label if they actually are safe?" I can't speak for Costco but I've worked in Corporate America and I've seen this kind of thing first hand and up close. (1) This kind of regulatory label represents risk/cost to the company. What if they are mistaken? In one direction, the cost is loss of maybe 1% of sales (if celiacs don't buy when they would have). In the other direction, the risk is reputational damage and open-ended litigation (bad reviews and celiacs suing them). Expect them to play it safe. (2) There is a team tasked with getting each product out to market quickly and cheaply, and there is also a committee tasked with reviewing the packaging before it is released. If the team chooses the simplest, safest, pre-approved label, this becomes a quick check box. On the other hand, if they choose something else, it has to be carefully scrutinized through a long process. It's more efficient for the team to say there <could> be risk. (3) There is probably some plug and play in production. Some lots of the very same product could be made in a safe facility while others are made in an unsafe facility. Uniform packaging (saying there is risk) for all packages regardless of gluten risk is easier, cheaper, and safer (for Costco). Everything I wrote here is about my Costco experience, but the principles will be true at other vendors, particularly if they have extensive quality control infrastructure. The first hurdle of gluten-free diet is to remove/replace all the labeled gluten ingredients. The second, more difficult hurdle is to remove/replace all the hidden gluten. Each of us have to assess gray zones and make judgement calls knowing there is a penalty for being wrong. One penalty would be getting glutened but the other penalty could be eating an unnecessarily boring or malnourishing diet.
    • trents
      Thanks for the thoughtful reply and links, Wheatwacked. Definitely some food for thought. However, I would point out that your linked articles refer to gliadin in human breast milk, not cow's milk. And although it might seem reasonable to conclude it would work the same way in cows, that is not necessarily the case. Studies seem to indicate otherwise. Studies also indicate the amount of gliadin in human breast milk is miniscule and unlikely to cause reactions:  https://www.glutenfreewatchdog.org/news/gluten-peptides-in-human-breast-milk-implications-for-cows-milk/ I would also point out that Dr. Peter Osborne's doctorate is in chiropractic medicine, though he also has studied and, I believe, holds some sort of certifications in nutritional science. To put it plainly, he is considered by many qualified medical and nutritional professionals to be on the fringe of quackery. But he has a dedicated and rabid following, nonetheless.
    • Scott Adams
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    • Wheatwacked
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