Nutrition evaluation — The Bump
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Nutrition evaluation

Has anyone had their child(ren) evaluated for food-related delays? My son vomits up every bread-related food aside from Cheerios (bread, cake, crackers, cookies), and our pedi wants to get him seen by early interventionists to make sure it's not a behavioral issue. He can eat other finger foods (fruit, veg) just fine. I'm nervous because I don't know what to expect, and I'm worried that he does have some sort of issue. :-(
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Re: Nutrition evaluation

  • I would skip the nutritionist and get a referral to a gi. Sounds like celiac disease to me.
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  • Thanks! Yeah, I was wondering if it could be that as well - my FIL has Celiac's, and I'm going to try to put my little on on a GF diet for two weeks to see if it'll be better.  I just want to know what the root of the problem is, whether it's physical or behavioral, you know?
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  • imageagapeflower117:
    Thanks! Yeah, I was wondering if it could be that as well - my FIL has Celiac's, and I'm going to try to put my little on on a GF diet for two weeks to see if it'll be better.  I just want to know what the root of the problem is, whether it's physical or behavioral, you know?

    if its in his genes it's most likely celiac. If your lo likes cookies and cereal, why not try the gluten free versions? If lo still vomits, you know it's behavioral. If the vomiting stops you have a pretty educated guess its celiac. 

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  • Has he been tested for a wheat allergy?  I agree that you might want to see an allergist and/or a GI doc.
  • imagebubba2b:

    For celiacs, testing done prior to going GF will show the disease. If gf before testing, then may not show celiac. A bug in your ear....and I hope I don't have it wrong.

    nope, you have it right.

    however, there are a lot of false negative results especially in the three and under crowd. Since we had such a strong family history, we put dd gluten free prior to testing since she became symptomatic so young. We did genetic testing and found she has both genes for celiac. With the fact she vomits from ingesting gluten that's enough evidence she has celiac even in the absence of a positive blood test.  

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  • Are there any other GI symptoms? Lots of gas, smelly gas, stomach aches, etc.?  What about any issues with things like dairy?

    I have Celiac's but didn't have a lot of gastro issues. While Celiac's is hereditary it doesn't necessarily mean that your child has it (he may predisposed to it though, or he may be more on the gluten sensitive side vs actual Celiac's).  The best test to confirm it is a biopsy of the small intestine.  If you are going to test for Celiac's then your child will need to have gluten in their system (totally sucks). 

    With your son being so young, which means testing may or may not be accurate, you could try a gluten free diet to see if the vomiting ends.  Keep in mind that gluten does stay in your system for more then 2 weeks though although I would assume you would see some sort of improvement in a 2wk timeframe.  It definitely would not hurt to try a GF diet especially since you have noticed the vomiting is with specific types of foods but gluten is in more then just bread, cookies, etc.  It is grain (wheat, barley, rye, triticale, and some will say oats) so if you are going GF you have to look at ingredients in pretty much everything you eat (cream of X soups, candies, cereals even like Rice Krispies, etc.) to make sure you are not eating "hidden gluten".

    He may be getting a negative food experience if he continues to vomit on grain type food (breads, cookies, cakes, etc.) which may make him adverse to even eating gluten free versions (plus there is typically a texture difference with GF food...or at least with what I've tried).  

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