, bloating and tiredness,’ says Nicola. ‘Faltering growth and a failure to thrive are other signs.’
Also keep an eye on your tot’s unwillingness to eat. If he is sensitive to gluten then he may associate eating with pain. If the symptoms aren’t that severe – but are present – your tot could have non-coeliac gluten sensitivity. ‘The symptoms of this may be similar to those experienced by many people with coeliac disease,’ says Nicola. ‘But it is not clear how the immune system might be involved and there does not appear to be the typical damage to the lining of the gut.’If you and your GP suspect coeliac disease, your toddler will probably be referred to a specialist who will test for the condition.
‘The first step is to discuss your child’s symptoms with his GP, who will take a simple blood test to check for antibodies,’ says Nicola. ‘In people with coeliac disease, antibodies are produced by the body in response to eating gluten. It is therefore essential that your child continues to eat gluten during the testing.’
If your tot has a positive antibody test, his GP will suggest further testing and probably will refer him to a paediatric gastroenterologist who will do this.Your toddler will also be referred to a dietician to go through the gluten-free diet with you. This diet change can seem overwhelming as there is gluten in lots of common food products such as bread, cakes, cereals and pasta.
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