Well you can do blood allergy testing called RAST to see if he has a true
gluten allergy, however gluten "allergies" are mostly intolerance as far as I
know. Also both RAST and traditional skin prick tests are not considered
definitive, you then have to do an "oral challenge" (which is to say eat it and
see if there is a reaction).
There is testing for celiac disease but I think it involved biopsy.
However before I go any farther I want to make one thing clear, all of the
therapy for autism excluding drugs is SAFE and BENEFICIAL for all children
-autistic or not. Really most "normal" children would become "gifted" if they
received the kinds of attentive physical and mental therapies given to autistic
children. Most of these therapies are presented as play and most children are
quite happy to do them.
Eliminating wheat is pointless unless you eliminate ALL sources of gluten.
http://autism.about.com/od/whatisautism/a/screendx.htm
Because autism cannot be diagnosed with a medical test, screening and diagnosis
involves interviews, observation and evaluations. Even when a professional
provides an opinion, the opinion may be couched in such terms as "it LOOKS like
a pervasive developmental disorder, but your child doesn't have all the symptoms
of autism." While this kind of uncertainty can be extemely frustrating, it's
sometimes unavoidable -- and even clearcut autism diagnoses can change over
time.
-----------
NOTE: This link is having an autism "WEBNAR" (web seminar) tomorrow night. I
don' t know anything about this group or the reliability of the people running
this but it may be helpful:
http://www.autism-pdd.net/diagnosing-autism.html
The diagnosing autism is made when specified number of characteristics listed in
the DSM-IV (Diagnostic And Statistical Manual Of Mental DisordersDSM-IV ) are
present, in ranges inappropriate for the child's age. Autism diagnosis usually
occurs between the ages three and five. The autism prognosis is consistent
across a broad range of studies - about 2% will attain normal functioning, with
perhaps 40% labeled high functioning autistic.
http://www.autism-pdd.net/checklist.html
DIAGNOSTIC CRITERIA FOR 299.00 AUTISTIC DISORDER
A. A total of six (or more) items from (1), (2), and (3), with at
least two from (1), and one each from (2) and (3)
-------------
http://www.autism.ca/whataut.htm
At present, physicians, psychiatrists and psychologists rely on the behavioural
criteria outlined in the Diagnostic and Statistical Manual - Fourth Edition
(DSM-IV) when diagnosing autism. Generally, autistic individuals display the
following:
--------
http://www.yourguidetoautism.com/how-is-autism-diagnosed.html
Researchers have found that early diagnosis of autism is very important. The
earlier a child is diagnosed with autism, the earlier he or she can start
getting help from interventions and therapies.
Unfortunately, there aren’t any medical tests that can be used to diagnose
autism. In order to be diagnosed accurately with autism, a child’s
communication, behavior, and developmental levels have to be observed.
It is important that these observations are made by a medical specialist or
someone who has experience in diagnosing autism.
Ideally, a child should be evaluated by a team of professionals which may
include a neurologist, psychologist, developmental pediatrician, speech and
language therapist, learning consultant, or other professionals knowledgeable
about autism.
Because people with other disorders may have similar behaviors as people with
autism, a doctor may have to do various medical tests to rule out other possible
causes.
In the US, there is a manual called the DSM-IV (Diagnostic and Statistical
Manual of Mental Disorders, 4th edition) that is published by the American
Psychiatric Association that medical professionals can use to help diagnose
autism.
Some other tools that have been developed to help doctors and other
professionals make an accurate diagnosis of autism include: CHAT (Checklist for
Autism in Toddlers), CARS (Childhood Autism Rating Scale), PIA (Parent
Interviews for Autism), GARS (Gilliam Autism Rating Scale) and BRIAC (Behavior
Rating Instrument for Autistic and other Atypical Children).
---------
http://autism.about.com/od/medicalissuesandautis1/a/whodxasd.htm
Why Your Own Pediatrician May Not Be Able to Help in Diagnosing Autism
In theory, your own pediatrician should be able to pinpoint red flag behaviors
or challenges that suggest autism. But your own pediatrician only sees your
child once a year (if you're lucky) -- or when your child is sick. And even now,
with so much awareness of autism spectrum disorders, most pediatricians have
little knowledge of how to screen for subtle developmental concerns. What's
more, since pediatricians see so many children, most of whom do just fine in the
long run, they generally tend to take a "wait and see" approach to issues that
are not medically dangerous.
If you do take your child to your own pediatrician, and that doctor reassures
you that there are no issues of concern, you may decide to stop right there. But
if you continue to have concerns, it can't possibly hurt to take the next step
by asking your pediatrician to refer you to an autism specialist. The best that
could happen is that the specialist finds no issues. The worst that could happen
is that the specialist pinpoints issues that can be addressed right away.
What Is an "Autism Specialist?"
Before about 1990, autism was a rare disorder. Today, it's relatively common.
But there are still very few medical professionals who are specifically trained
to diagnose and/or treat autism. As a result, the people who are best qualified
to diagnose children with autism are those professionals who have had the most
experience in doing so -- and those professionals may have a wide range of
titles. These may include:
* Developmental Pediatrician
* Pediatric Neurologist
* Child Psychologist
* Child Psychiatrist
In addition to these medical professionals, there are many therapists who can
take part in a multidisciplinary evaluation of your child. While these people
are not medically trained, they may know as much or more about autism as a
highly trained doctor -- simply because they spend so much time around autistic
people. These individuals may include:
* Speech Therapist
* Occupational Therapist
* Physical Therapist
* Social Worker
Because there is no medical test for autism, diagnosis is based on a combination
of parent interviews, non-medical tests, observation -- and personal judgement.
That's why experience, as much as training, can be critical in providing a
meaningful diagnosis.
Who Should Diagnose My Child?
With so many possible options, who is the right person to diagnose your child?
The answer depends, to a large degree, upon who is available. Depending upon
where you live, you may find that there is a long wait to see a developmental
pediatrician -- while you can get in to see an experienced child psychologist
almost right away.
Another issue to consider is money. You might also find that, while a
neurologist is covered by insurance, a psychologist is not. In some states,
early intervention programs provide free multidisciplinary evaluations; in other
states, such evaluations may be hard to access.
A word of advice from highly experienced psychologist Dr. Robert Naseef: Even if
your initial diagnosis comes from a psychologist, it may be worth your while to
also consult an M.D. The reason is more political than medical: without an M.D.
behind your child's diagnosis, says Naseef, your local school district may not
provide an appropriate array of services.
----------
http://www.musckids.com/news/autism.htm
The absence of a test for autism further hinders the disorder's diagnosis.
Autism can�t be detected through blood work or an MRI, and many of the
disorder�s symptoms overlap with those of other developmental disorders.
--------------
http://www.health.state.ny.us/community/infants_children/early_intervention/disorders/autism/health.htm
Recommendations
1. Magnetic resonance imaging (MRI) scans may be useful in certain clinical
situations in assessing children with autism when there is heightened concern
about focal neurological problems, such as seizures. [D2]
2. MRI scans may be useful in assessing some children at risk for neurological
problems, such as children with a history of perinatal problems (medical
problems that occurred around the time of birth). [D2]
3. The use of MRI scans is not recommended in the routine assessment of children
with possible autism. [C]
------------
http://www.autismweb.com/diet.htm
Medical tests can determine if your child has a sensitivity or an allergy to
gluten, casein and other foods such as eggs, nuts and soybeans. Any pediatrician
or a physician from the DAN! (Defeat Autism Now!) list can order these tests
before you begin the diet.
Before you consider a change in your child's diet, consult with a physician and
nutritionist to make sure you are providing an adequate diet and nutritional
supplements, if necessary. Also, please read any of the books and web sites
about the diet (listed below).
Some advocates of dietary intervention suggest removing one food from the diet
at a time, so you will know which food was causing a problem. It also is helpful
to ask people who do not know about the dietary change if they see any
improvement after a few weeks.
It's often suggested to remove milk first because the body will clear itself of
milk/casein the quickest. Gluten may be removed a month after the elimination of
milk. It may take up to six months on a gluten-free diet for the body to rid
itself of all gluten. That is why most advocates suggest giving the diet a trial
of six month
--------
http://autism.healingthresholds.com/therapy/gluten-free-diet#work
One well-controlled study focused on children with autism who had abnormally
high protein by-products in their urine, and therefore were more likely to be
sensitive to casein and gluten (see What is the theory behind it?). One group of
these children was fed a strict casein- and gluten-free diet for 12 months. This
group had significantly fewer autistic symptoms than the remaining children, who
were not fed this diet (8). Another well-controlled study of casein- and
gluten-free diets focused on children with autism regardless of the level of
protein by-products in their urine (9). Overall, the study found no significant
differences in behavior between children on the elimination diet and children on
regular diets, although individual parents reported behavioral improvements (9).
This overall lack of effect in the second study could be because the elimination
diet only lasted 6 weeks, or because the children were not pre-selected
according to the level of protein by-products in their urine.
Regardless, in both cases, the tested diets were casein- and gluten-free, so it
is not clear whether it was the elimination of casein, gluten, or both that
resulted in any improvements. A third study that did examine the effect of a
gluten-free diet on the behavior of children with autism did not compare
children on the elimination diet with children not on the diet (10). Therefore,
even though there were improvements seen in the behavior of children on the
diet, these may also have occurred over the 5 months of the study without the
elimination diet.
---------
http://paleodiet.com/autism/#test
Testing
* Antibody Assay Laboratory in Santa Ana, CA had Urinary Polypeptides testing
available in the US for research use for $90. To find the page you have to
select from the combo box at the top of the page. The test must be authorized by
a doctor. This test was developed with the help of Paul Shattock. It is useful
for: autism, ADD, ADHD, dyslexia and obsessive compulsive disorder. Also see
Intestinal Permeability Evaluation which is on "Casein and Gliadin Antibodies: A
novel way to detect intestinal permeability".
* Sage Systems has a Comprehensive ELISA Allergy Test and Treatment for the
Relief of Chronic Illness. See their page on Autism and its relationship to
delayed food allergies.
* The Great Plains Laboratory for Health, Nutrition, and Metabolism is Dr.
William Shaw's site. They specialize in urine organic acid testing. Much
information is at this new site. Another site: The Great Plains Laboratory.
* Alletess Medical Laboratory is the lab used by Dr. Cade. His study
participants get the "gluten and casein screen" test done, which looks for anti-gliaden
and anti-casein antibodies.
* Great Smokies Diagnostic Laboratory has a page on What is Functional Medicine?
which describes laboratory tests that allow practitioners to understand a
patient's functional status.
* BodyBio has tests for Blood Chemistry and Fatty Acid. BodyBio believes in
using nutrition on functions and disorders. Included in each BioCell™ Report
are: what foods to seek, foods to avoid, medication intolerances, vitamins
needed, vitamins not needed, imbalances in major body organs.
* The former medical director of Immuno Labs now has his own business at Dr.
Braly's Allergy Relief, the Natural Way. Test kits from York Nutritional
Laboratories are used. See FoodSCAN which does not require a blood draw.
* The largest outfit that does ELISA testing for food allergy/intolerance is in
Fort Lauderdale. The parent company site Immuno Laboratories is oriented towards
doctors. Then they have a consumer site: Better Health USA Food Allergy Relief
Center.
* And for those in the UK: York Nutritional Laboratory.
-----------
Autism Research Unit Urine Peptide Testing
http://www.healthboards.com/autism/488.html
http://yourtotalhealth.ivillage.com/gluten-intolerance.html?pageNum=7#7
Several diagnostic methods are available when gluten intolerance (celiac
disease) is suspected. Usually a diagnosis is sought when the symptoms of
malabsorption and malnutrition have been observed. There are two major tests
available to physicians for the diagnosis of gluten intolerance:
*
Biopsy of the small intestine. This is considered the best test for diagnosing
gluten intolerance because of its high degree of accuracy. The test involves a
physician obtaining a sample of the intestinal lining through a procedure known
as an esophagogastroduodenoscopy (EGD). The EGD procedure, a type of upper
endoscopy, uses a small camera, inserted down the throat on a flexible tube, to
navigate down to the intestinal lining and remove a small sample. The patient
typically receives general anesthesia or a sedative. A pathologist will then
examine the sample to check for characteristics that indicate gluten
intolerance, such as a loss of villi (protrusions found on the lining of the
small intestine that absorb nutrients into the bloodstream).
*
Antibody test. A blood test for the presence of certain antibodies –
specifically, antibodies to endomysium (bands of connective tissue spread among
muscular fibers) and transglutaminase (a substance that repairs injured or
inflamed tissue). These antibodies form when the immune system reacts to the
presence of substances it views as threatening. When certain specific antibodies
are present in the bloodstream, an individual has a greater than 95 percent
chance of having gluten intolerance.
Though not able to diagnose gluten intolerance directly, there are also several
types of blood tests available for detecting the related malnutrition and
vitamin deficiencies. These tests will usually show some type of a reduction in
blood protein levels or iron-deficiency anemia in gluten-intolerant individuals.
Because gluten intolerance is a hereditary disease, the family members of an
individual who has gluten intolerance may wish to be tested for the disease.
Because of recent research that has shown a close relationship between gluten
intolerance and the development of osteoporosis, some physicians are screening
patients diagnosed with osteoporosis for gluten intolerance as well. And people
who are diagnosed with gluten intolerance may be screened for osteoporosis with
a bone density test such as a DEXA scan, a type of x-ray.