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Celiacs testing questions


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After ds had a long, chronic bout with diarrhea, I put him on a gluten and dairy free diet. He is finally better. He has no stomach cramping and his diarrhea has finally subsided. He had already had a stool culture that tested for all sorts of things, so I knew it wasn't parasites, etc. His pediatrician originally had him scheduled to see a specialist. I have now asked for him to be tested for celiacs, rather than see a specialist. The ped is now on board with this. He says that I do not need to reintroduce gluten into his diet before the test. I am not sure? I hear such a mix of information on this. The ped. says that the new tests do not require gluten to be in the diet at all, but everything else I read says it must be in their system or you will have a false negative.

 

Any thoughts?

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:lurk5:

 

interested to hear what you find out. We cut out gluten a year ago for various reasons. With my older kids, I mostly see behavorial changes, but my youngest now gets bad stomachaches if he eats gluten (often even with stuff like fries from a shared fryer). I kind of wish we'd had him tested before we went off gluten. We did have my husband tested (his psoriasis is one reason we tried going off gluten), and it came back normal.

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Actually, yes, you need to be on a regular diet (including gluten that is) prior to testing. Without the presence of damage or gluten, the body will test normal.

 

If it hasn't been long since you removed gluten, it may be okay, but it's not ideal. After my daughter tested positive on the blood test, she was still required to eat it until the biopsy (less than a week).

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Which test are we talking about?

 

The blood test, notoriously unreliable, requires gluten to be in your diet.

 

The intestinal biopsy, more reliable but not foolproof, requires gluten to be in your diet.

 

The stool test on the other hand, does not require gluten to be in your diet. This one is very reliable. You can read more about this one at http://www.enterolab.com.

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Actually, yes, you need to be on a regular diet (including gluten that is) prior to testing. Without the presence of damage or gluten, the body will test normal.

 

If it hasn't been long since you removed gluten, it may be okay, but it's not ideal. After my daughter tested positive on the blood test, she was still required to eat it until the biopsy (less than a week).

:iagree:

Which test are we talking about?

 

The blood test, notoriously unreliable, requires gluten to be in your diet.

 

The intestinal biopsy, more reliable but not foolproof, requires gluten to be in your diet.

 

The stool test on the other hand, does not require gluten to be in your diet. This one is very reliable. You can read more about this one at www.enterolab.com.

:iagree:

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curious why you want the test if your son is doing so much better?

 

 

The ped. is skeptical. He wonders if ds is only better because gluten and dairy are easier to digest. He want a ped. GI to order more testing and some of those tests I would really love to avoid with a child. I was hoping a blood test would be positive and we could just move on with life on a GF diet. The ped. said the new tests do not require gluten in the diet, but I don't feel so sure. He did not test positive.

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my middle dc is biopsy dx. She had to continue ingesting gluten until we got through the biopsy. That was painful for me--she was having seizures while she was on gluten. Of course all the docs told me that was unrelated, but as soon as the biopsy was complete and we went off gluten for good the seizures stopped.

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