Symptoms of Celiac Disease in Children
Posted by jebby , 12 August 2013 324 views I have four children, who are all at high risk for developing Celiac Disease. I was diagnosed with Celiac Disease 3 years ago, but have had symptoms since early childhood. My husband does not have Celiac Disease, but he carries one of the two main Celiac genes, DQ2. Due to my childrens risk, I have had their pediatrician screen them when they turn 4 years old with a Celiac panel (blood test with Celiac antibodies). My third child, Gabby, just turned 4 so she will have her first Celiac panel at her well-child visit in a few weeks, along with all of her four year old immunizations. I think Ill try to get my husband to take her! Since starting this page I have had a lot of people ask me if their children should be screened for Celiac Disease. The latest, evidence-based, recommendations for screening are as follows: Children should be screened for Celiac Diease if they have any of the following symptoms: short or underweight for age, especially if growth has slowed down diarrhea that lasts for more than a few weeks recurring constipation, abdominal pain, and/or vomiting tooth problems called dental enamel defects delayed puberty iron deficiency anemia that does not respond to treatment with supplements High risk children who belong to the following groups should also be screened (even if they have none of the above symptoms): 1st degree relative (child or sibling) of someone with Celiac Disease Type 1 diabetes Williams syndrome Autoimmune thyroid disease The first step in screening is to have Celiac antibodies measured in the blood. For small children, especially those under the age of 2, it is important for the antibody tests to include the deamidated gliadin peptide, or DGP, antibody. While most Celiac panels include TTG IgA and IgG antibodies and endomysial IgA and IgG antibodies, not all include the DGP antibodies. The second step in testing, if Celiac antibodies are abnormal, and/or there are enough symptoms that Celiac Disease is suspected, is to have an endoscopy and biopsy. During the endoscopy a flexible tube with a camera on the end is inserted into the mouth, down the esophagus, and into the small intestine. Small pieces of the small intestine (biopsies) are obtained, which are evaluated by pathologists. In Celiac Disease, the small fingerlike projections (villi) of the walls of the small intestine are flat, or blunted, which impairs the ability of the body to absorb essentials vitamins and nutrients. In the absence of symptoms, we are having our kids have Celiac antibody tests every two years or so starting at the age of 4. If any of them develop overt symptoms of Celiac Disease and/or have abnormal antibodies, we will go the route of having an endoscopy and biopsy done to be able to have a firm diagnosis of Celiac Disease.
But once gluten-free, the turnaround is nothing short of astounding. Janet Smith was sure she wasnt overreacting. Her 18-month-old daughter Heather had terrible symptoms: she was throwing up eight times a day, her stomach was bloated, and her diapers needed to be changed constantly. The pediatrician had told Smith it was the stomach flu. But how long does stomach flu last? she recalls wondering. Four months? Finally, at her wits end, Janet took Heather to a gastroenterologist. He took one look at the tiny girl with skinny arms and legs who, at a year-and-a-half had only gained six pounds since birth, and knew the problem: celiac disease. How celiac disease works This autoimmune disorder affects the small intestine. When someone with celiac disease eats gluten a protein found in wheat, barley and rye the immune system attacks the small intestine and progressively destroys the villi, tiny finger-like projections that absorb the nutrients in food. Heather was sent to the Hospital for Sick Children in Toronto for a biopsy, which confirmed the diagnosis. She was immediately put on a gluten-free diet , and the symptoms reversed. Shes now a healthy 9-year-old who loves to swim and has a passion for dogs.
Dr. Ivor Hill Named Director of Celiac Disease Center at Nationwide Children’s Hospital
Ivor Hill Named Director of Celiac Disease Center at Nationwide Childrens Hospital Newswise Ivor Hill, MD, MB, ChB, DCH, FCP(SA), FAAP , pediatric gastroenterologist, has been named medical director of the Celiac Disease Center at Nationwide Childrens Hospital. Dr. Hill, who joined the Division of Gastroenterology, Hepatology and Nutrition at Nationwide Childrens last month, will also serve as Professor of Clinical Pediatrics at The Ohio State University College of Medicine. He comes to Nationwide Childrens from Wake Forest University and Brenner Childrens Hospital in N.C. where he served as Section Chief of the Division of Pediatric Gastroenterology and was Professor of Pediatrics & Internal Medicine/Gastroenterology. One of the leading clinicians and researchers in childhood celiac disease, Dr. Hill has been instrumental in raising awareness of the disease in the United States. Notably, he was the chair of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) committee that developed the first evidence-based guidelines on diagnosis and treatment of celiac disease in children . We are extremely pleased to have Dr. Hill join our team at Nationwide Childrens Hospital, said Carlo Di Lorenzo, MD , chief of Gastroenterology, Hepatology and Nutrition at Nationwide Childrens. As an internationally recognized celiac disease specialist, Dr.