I was hoping to show you some finished projects this afternoon, but a sudden change in the weather here has resulted in a day so dark that it is almost as if it has been night since about two this afternoon. Not the best conditions for snapping a decent photo. So, since I received so many supportive and helpful comments and emails from you all about this post, I thought that I would share a bit about where we're at with things now.
We did have an appointment with a pediatric gastroenterologist last Friday (we got in quickly because of a cancellation) and it was really helpful. The doctor was very, very good with Mariam, and with us as well, and in the end, we decided to follow his recommendation to schedule her for an endoscopy. The procedure is scheduled for this coming Tuesday. I realize that it is a bit of a stretch to go from additional blood work to an intestinal biopsy in such a short time, but I think that the reasoning behind the decision is pretty solid. Essentially, it comes down to a couple of things.
First, we had to consider the important difference between celiac disease and a wheat or gluten allergy. While many people confuse the two (I will admit to having previously been one of them) celiac is very different from a gluten allergy in some pretty important ways. The biggest of which is the fact that celiac is actually not a food allergy at all. It is an autoimmune disease which, if left untreated, can result in some really scary long term effects. Such as lymphoma or colon cancer. Obviously, I want none of that around here. The other consideration was the fact that celiac can only be definitively diagnosed by intestinal biopsy. We could do a hundred blood tests, but in order to be certain, we would need to do the biopsy at some point. And if we make dietary shifts ahead of time, we render the results of any future biopsy inaccurate. It made the most sense to all of us to just keep her on her current diet, and to schedule the endoscopy for as soon as possible. If we were just looking at an allergy, I might have made different choices here. But celiac is not something that you grow out of, or that gets better if you don't make the necessary changes and make them permanent. Knowing as much as possible now can only make life healthier and better for her later.
So, that's where we are now. Kind of a strange place to be, honestly. For lack of a better word, it feels a little bit creepy to be feeding her things like pancakes knowing that the gluten in them could be making her sick. But, it would be even crazier to take her off gluten now and risk compromising the test that could tell us what is actually going on and allow us to make informed decisions about the rest of her life. There is, of course, the possibility that the initial blood test was a false positive, but I haven't been able to determine just how likely that is. I suspect it is because no one really knows.
Whatever the outcome of all of this, I'm certainly looking forward to having some answers soon.