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What are the signs of Celiac disease in children?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a parent concerned about the possibility of my child having celiac disease. As a 6-year-old, they have been experiencing symptoms like abdominal pain and digestive issues. Can you please advise me on the screening process for celiac disease in pediatric patients? Can you provide insights into how celiac disease is diagnosed in children, including screening methods and potential next steps for managing the condition?

Please help.
Answered by Dr. Prakash Chandra Girdhar Lal Nagar

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

I have a few questions.

1. Apart from abdominal pain, are there any other problems and symptoms?

2. Is he growing well?

3. Does he get diarrhea frequently?

4. Is there a family history of Celiac disease?

For diagnosis, you should do the following tests.

1. Routine blood test.

2. Tissue transglutaminase (tTG) immunoglobulin A (IgA) and tTG immunoglobulin G (IgG) tests.

3. Endomysial antibody (EMA) -IgA test.

4. Deamidated gliadin peptide (DGP) -IgA and DGP-IgG tests.

If tTG-IgA levels and an anti-endomysial antibiotic are positive then you need to go for confirmation with an intestinal biopsy.

Some prefer to go for a gluten challenge test also.

Once it is confirmed, then the treatment is to avoid gluten for the whole life along with vitamin supplements. With proper diet management, children do well and live a normal life.

Hope it helps.

Thank you.

Medically reviewed by Dr. Sowmiya D
Published At July 1, 2024
Reviewed At July 1, 2024

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sowmiya is a dedicated Dentist with valuable clinical experience in providing quality oral healthcare. She has sound expertise in diagnosing and treating a wide range of dental conditions with precision and care. Her areas of expertise include preventive and restorative dentistry, cosmetic dental treatments, and oral hygiene management aimed at maintaining healthy teeth and a confident smile.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash Chandra Girdhar Lal Nagar
Dr. Prakash Chandra Girdhar Lal Nagar

Child Health

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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