<<Disclaimer: Verify this information before applying it to your situation.>> Oral iron therapy resistant anemia and elevated liver enzymes can be the first manifestations of celiac disease. It is well known and we try to teach this features of CD to the medical students and residents here at the University of Maryland. An other post concerning the diarrhea, negative serology testing suggests that this child may have celiac disease. There are lot of causes of diarrhea. Furthermore, after a diarrheal disease certain children have a postenteritis syndrome with loose stools for occasionally several weeks. This is generally a self-resolving condition. The disappearence of diarrhea on a gluten-free diet can be a coincidence and would not confirm celiac disease and does not justify a life-time gluten-free diet. If there is any doubt regarding the serology test it is best to do an intestinal biopsy now (and not on a gluten-free diet). This not a medical advice. Karoly Horvath Baltimore