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Warning Signs Of Child Gluten Sensitivity
If you are celiac yourself, it is only natural that you will be looking out for signs of the disease in your children, and you will want it diagnosed as early as possible. Even if you are not celiac, and your child begins to develop possible symptoms of gluten sensitivity, surely you will want to start them on a gluten-free diet from a young age?
The main problem faced here is that Celiac's disease is currently only medically diagnosed by examining the damage that it causes to the intestines. This damage is progressive, and it often takes years of suffering for the gut to be damaged enough for a definite diagnosis. Not only will your child be ill during this time, the symptoms of Celiac's disease may be slowing down their growth and development.
Can Celiac's disease be diagnosed early?
New born babies do not have Celiac's disease as they have never been exposed to gluten, but if they have the celiac gene, and eat foods that contain gluten, the disease can begin to develop very early. It can develop slowly, and the symptoms are subtle, so how soon can it be diagnosed?
A biopsy of the small bowel to check for gluten damage is unlikely to produce conclusive results at a young age, as the disease will not have developed enough to cause significant damage. However, as soon as the body begins to react to gluten in the diet, a blood test can detect an antibody called the IgG-gliadin antibody. The presence of this antibody, when combined with celiac symptoms, should be enough to make your pediatrician suspect gluten sensitivity, but the course of action you take after that is really down to you.
What are the options?
Some doctors feel that without the definite diagnosis of Celiac's disease a gut biopsy can produce, they cannot recommend a gluten-free diet. Many will wait and monitor the child, undertaking regular tests until Celiac's disease is ruled out or officially diagnosed. This has obvious drawbacks, as the child will still be eating foods that contain gluten, leading to serious symptoms, and their growth may be limited by the disease. Celiac's disease is a progressive disease, but it moves slowly and it may be a long time before a definite diagnosis is reached.
The other option is to put your child on a gluten-free diet anyway and see if it improves their symptoms. If it does, that does not conclusively prove they are celiac, but it will improve their health and their quality of life. Switching to a gluten-free diet will prevent a definite celiac diagnosis, as the gut will never become damaged enough for a positive test result. If your child wants to challenge their diagnosis later in life, they will have to consume a normal diet including foods that contain gluten for at least six weeks, and probably several months, before any damage becomes obvious.
Medical opinion is mixed over the best course of action, but most parents, when faced with this choice, would choose to put their child on a gluten-free diet without medical diagnosis. If they do have a gluten sensitivity this will improve their quality of life, and prevent stunted growth. The child can decide to challenge this diagnosis later in life by switching to a diet including foods that contain gluten, and having a gut biopsy after several weeks.
Sean Ambrose runs http://www.gluten-answers.com the web's most thorough source on providing free information on learning to manage a Gluten free diet successfully.
