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Testing and Treatment of Coeliac Disease

How common is Coeliac Disease?

Common in adults and children

• Age of onset from 6 months to 90+ years
• Affects up to 1% of the population, mostly Caucasians, Middle Eastern and West Asians
• Long-term risks include osteoporosis, poor growth, infertility, miscarriage, iron deficiency, twice the overall mortality rate, and twice the risk if GI tumours.

Consider Coeliac Disease

• Iron, folate, or B12 deficiency ± anaemia
• Tired all the time
• Diarrhoea, constipation or combination
• Abdominal pain, indigestion, bloating, wind
• Unexplained gastrointestinal symptoms.

Particularly if the patient also has:

• Coeliac disease in the family
• Thyroid disease
• Type 1 diabetes mellitus
• Down Syndrome
• Abnormal liver tests
• Osteoporosis
• Undefined neurological disorder/epilepsy
• Infertility/recurrent miscarriage