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Morning Breath In A 2 Year Old


Breila

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Breila Explorer

On another thread someone questioned awful breath in their child who was suspected celiac. I commented that my 7yo, who is diagnosed celiac, had atrocious morning breath that is now subsiding on the gluten-free diet. I never considered it a symptom though, only realizing that the two may have been connected after the fact.

Now my 2 yo is getting the same kind of morning breath, the kind where you can't stand to be face to face with him until you've brushed his teeth. Should I consider this a warning sign or am I being paranoid about this? I will say that we have plans to get the blood tests for the whole family, but it is an expensive and therefore slow process. I'm just wondering if maybe I have reason to move him up on the list, so to speak. Is there a connection to bad breath?


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Ursa Major Collaborator

I really believe that bad breath could be a celiac disease symptom. My youngest daughter used to have such awful breath, that I could smell it when she sat in the back of the car, with me being the driver. It got much better when I made her 100% dairy free. But it completely disappeared on the gluten-free diet.

Since an older sibling had the same problem, and his/her breath is getting better on the gluten-free diet, I think you certainly have a clue why your little one has such awful breath.

Just be aware that the celiac disease testing is VERY unreliable in children under six. So, even if your two-year-old child's results return negative, that doesn't necessarily mean that the child doesn't have celiac disease. That might just mean that the damage isn't yet severe enough to have destroyed the villi to such an extent that he/she will have leaky gut and therefore antibodies in the blood.

If the blood test is negative, I would do the Enterolab testing, or just put the child on the gluten-free diet. At that age a good diet response is diagnostic (actually, it is at any age), and especially if an older sibling has been diagnosed with celiac disease already.

celiac-mommy Collaborator

Our dd had the same problem, it smelled like poo :huh: . I asked the dentist about it and there were 2 thoughts: 1. She's not brushing the back of her tongue well enough or 2. her tonsils are large and pocketed like mine and food is getting stuck back there so she needs to gargle with an anti-bacterial type mouthwash. (I realize this isn't going to work with a 2y/o) She started doing both, but I really think it was the mouthwash that made the difference. There's been no more issue since!

AliB Enthusiast

Our youngest grandson has that problem but then I have too all my life. I have always woken with a mouth like a sewage pit. It is due to toxins and infections that the body is trying to dispel via the tonsils (ever had those little 'cheesey' lumps in your mouth that smell like someone died? They come off the tonsils and are like solidified pus! That's why the tonsils should never be removed - they are the body's way of telling you something is wrong - remove them and the body has one less way of getting rid of its garbage!) - far better not to put the rubbish in your mouth in the first place!

Dropping gluten is a big start but if it gets replaced with lots of high-carb, high-sugar foods then the problem will not go away. Our eldest grandson is Celiac and on a gluten-free diet and unlike the little one LOVES fruit and veg and has rarely had a problem even before gluten-free. The little one is a carbaholic - he probably has candida which can also contribute to stinky breath.

Now my body is sorting itself out and I have radically cut the carbs, my breath is a lot more pleasant to be around, too!

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
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    • trents
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    • Jack Common
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