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>I would have to disagree with this advice.  With biopsy as an important part
>of the diagnostic process,  it cannot be dismissed just because it is
>uncomfortable or unpleasant.
 
You are right.  But I was not dismissing it in this case because of its
unpleasantness.  The letter suggested that Shashi was sensitive to gluten and
was aware of it already.  An adult who is aware ought not to need a biopsy to
verify that they ought to refrain from eating gluten.  In the case of a child
who cannot control their own diet, it is a different situation.
 
>For those who must deal with the real problem
>of gluten intolerance,  a "partial" diet is not the answer.  My daughter
>cannot "not sweat" a little bit of gluten in her diet, and neither can anyone
>else with this diagnosis.
 
I don't think in Shashi's case things are as cut and dry as you imply.
 
>It may be that some people are sensitive to gluten
>and not actually have celiac disease, but for people with celiac disease,
>going off the diet results in worse symptoms (over time) than gas and
>bloating.
 
This from what I have read is no doubt true.  I got the impression you
thought I was trivializing this mans condition and my own condition.  I am
very careful with my diet now and I am not a celiac.  I have an entirely
different situation. I sympathize with you and your daughter and I wish you
well.
 
John Wynhausen