DIGESTIVE CARE

Symptoms of Celiac Disease

By Temma Ehrenfeld @temmaehrenfeld
 | 
June 29, 2023
Symptoms of Celiac Disease

Symptoms of celiac disease can seem unrelated to digestion, including joint pain and balance problems, along with the usual signs, diarrhea and fatigue.

The symptoms of celiac disease can vary. In adults, the most common signs of celiac disease are diarrhea and fatigue. You may also experience abdominal pain, nausea, constipation, and vomiting.

But more than half of celiac patients have symptoms that aren’t so easily linked to celiac, like headaches, joint pain, skin rashes, and problems with balance.

In children, the symptoms can include being short or having a delayed puberty, or even learning disabilities.

 

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What is celiac disease?

In this condition, your body's immune system overreacts to a protein in food called gluten, damaging the vili, tiny, hair-like projections that line your small intestine and absorb vitamins and other nutrients in food.

A combination of some gene variations and environmental factors may be linked to the disease but don’t trigger symptoms in everyone. You’re more at risk if you have a family member with celiac disease, if you have type 1 diabetes, Down syndrome, autoimmune thyroid disease, Addison's disease, or rheumatoid arthritis.

Sometimes a shock to your body trigger your first symptoms of celiac disease — possibly surgery, pregnancy, childbirth, viral infection, or severe emotional stress.

Untreated, celiac disease can lead to malnutrition, which in turn triggers more problems.

  • Malabsorption of calcium and vitamin D may lead to softer bones in children and loss of bone density in adults.
  • Damage to your small intestine may make you suffer pain and diarrhea after eating lactose in dairy products.
  • The risk of small bowel cancer and other cancers increases.
  • You might develop seizures or problems with the nerves in your hands and feet.

The main treatment for celiac disease is to steer clear of gluten in your diet, checking all labels before buying or eating anything. (A dietitian or nutritionist can help you plan a diet.)

Yet as many as 30 percent of patients don’t respond well to a gluten-free diet, either because they fail to avoid all gluten or they have other problems, such as an overgrowth of bacteria in their small intestine.

 

 

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Updated:  

June 29, 2023

Reviewed By:  

Christopher Nystuen, MD, MBA