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    Procedures:

      Colonoscopy
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  Ask Dr. Aron

Jul 07



Couldn't my child's symptoms be Celiac?


My daughter (2 1/2) turned jaundiced a couple of weeks ago. For the past year and a half, she has never had a solid stool and her loose stools are foul smelling. She has always had a distended looking abdomen and did not start eating solids until she was 18 months old or she would throw up. Her hair is still thin and short like that of a one year old and her hair is very dry and lacks luster. She is very tiny. Lately, she began gagging herself and would let out huge belches, sometimes with a little vomit. Then when she turned yellow, the doctor tested her liver enzymes which were elevated. An ultrasound showed nothing amiss. Hepatitis and Mono tests were negative.

Finally, a friend told me that a friend of hers has a 5 year old who turned jaundiced and it turned out to be Celiac Disease. I have made an appointment with the gastroenterology department a St. Louis hospital this Saturday to see if they can confirm. I have had many digestive problems and had wheat sensitivity show up in my own blood work since she was born. Now, I avoid wheat in general myself, but I have never had the endoscopy. I went ahead and took my daughter off of wheat and dairy five days ago and yesterday she had one of the first solid bowel movements I have ever seen from her. Her belly looks almost normal and she looks less jaundiced. So, I am wondering what you think as well. Thanks for your consideration!


Your case sounds very similar to one that I addressed several months earlier. Both you and your daughter need to be thoroughly tested for celiac disease, and that includes an intestinal biopsy. I’m glad that you made the right contact in St. Louis. I wish you and your family a lifetime of gluten-free health. Stick around, some exciting research is coming down the pipeline to make the millions of celiac sufferers achieve a normal life.

Health and happiness,

Dr. Aron
, Feb 2008

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Tics and Celiac?

I’ve seen “neurological symptoms” listed as a possible symptom of celiac and gluten intolerance –are tics one of these possible “neurological symptoms”? My four year old is currently undergoing testing for celiac, but she also has begun to exhibit frequent and significant tics.

It is possible that the tics are related to celiac disease. Neurologic involvement in celiac disease is the slowest to resolve, as nerve tissue regenerates very slowly, so be patient with the gluten-free diet. You should also consult with a pediatric neurologist, as there may be symptomatic relief available while you await resolution of the problem.

Health and happiness,

Dr. Aron
, Feb 2008
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Scorching rectum pain after eating.

I have scorching rectum pain after defecation which occurs 20 minutes after eating. No hemorrhoids present. I have IBS and 2 colonoscopys plus all biospies reveal nought. Suffered at least 10 years. No help available so far. Please help if possible though I really doubt it. Lost 35 lbs. - Sick lady

The weight loss needs to be addressed, as anal fissures and IBS are not associated with this degree of wasting. That said, IBS is now recognised as an inflammatory disease that alters function and sensitivity without changing structure, hence the negative colonoscopies and endoscopies. I have had success using low doses of balasalazide or mesalamine in this setting; this is cutting-edge stuff, but check with your gastroenterologist about it.

Health and happiness,

Dr. Aron
, Feb 2008

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Celiac in Jejunum / Proximal Ileum?

What is the best way to look at the distal jejunum-proximal illium? Can Celiac disease manifest itself there? Also can Chylous ascites and volvulus accompany celiac disease? Many thanks for your answer.

If there has been no previous surgery, or episodes of obstruction, then a wireless capsule endoscopy can give a good view of the distal jejunum and proximal ileum. A double-balloon enteroscopy either via the mouth or the rectum can see these areas and get biopsies as well, but cannot be done if there has been an obstruction from a prior surgery. It is conceivable that far advanced celiac disease can lead to lymphoma which can produce a volvulus and chylous ascites, but the treatment would have to be focused on the lymphoma, and relief of the volvulus. Do not expect a gluten-free diet to have much of an effect in this setting.

Health and happiness,

Dr. Aron
, Feb 2008
 

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