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Celiacs Helping Celiacs

Symptoms of Celiac Disease

What are the symptoms of Celiac Disease?

The symptoms of celiac disease (CD) vary so widely among patients that there is no such thing as a "typical celiac." The amount of intestinal damage that has occurred and the length of time nutrient absorption has been abnormal seem to be the factors that determine the type and severity of symptoms experienced. It is interesting to note that some people with CD report no symptoms at all.

"Celiac disease is one of the great mimics in gastroenterology in particular and medicine in general. Of 100 patients with CD, just over 10 percent present with classical overt symptoms of malabsorption such as weight loss, diarrhea and nutritional deficiencies. About 10 percent are incorrectly diagnosed for some length of time, in some cases years. Forty percent present in an atypical manner, which leads to lengthy delay in diagnosis. About 33 percent of patients have clinically silent disease and 7 percent have latent CD (no symptoms or small bowel lesion but will develop CD later, or had disease at an early age and resolved)." C. Robert Dahl, MD, "Celiac Disease: The Great Mimic Presentation," CSA Annual Conference, September 2000.

 
 

A.   The Patient's Physical State

What are the symptoms? How long have they been present? How often do they occur?

  • Abdominal cramping/bloating
 
  • Feet (Reduced fat padding)
  • Abdominal distention
 
  • Flatus (Passing gas)
  • Acidosis
 
  • Gluten ataxia
  • Appetite (Increased to the point of craving)
 
  • Mouth sores or cracks in the corners
  • Back pain (Such as a result of collapsed lumbar vertebrae)
 
  • Muscle cramping (Especially in the hands and legs)
  • Constipation
 
  • Night blindness
  • Decreased ability to clot blood
 
  • Skin (Very dry)
  • Dehydration
 
  • Stools (Loose? Hard? Small? Large? Foul smelling? Floating? Clay, Light tan or Gray-colored? Highly rancid? Frothy?)
  • Diarrhea (See Stools below)
 
  • Tongue (Smooth or geographic - looks like different continents)
  • Edema
 
  • Tooth enamel defects
  • Electrolyte depletion
 
  • Weakness
  • Energy loss
 
  • Weight loss
  • Fatigue
   
 
 

B.   The Patient's Emotional State

What is the patient's emotional state? Is it consistent throughout the day? When and for how long do the symptoms occur?

  • Depression
  • Disinterested in normal activities
  • Irritable
  • Mood changes
  • Unable to concentrate
 
 

C.   Additional Conditions

What else is involved? Other diseases? Other organs?

  • Amenorrhea
  • Iron-deficiency anemia
  • Bone disease
  • Hyperparathyroidism
 
 

D.   Symptoms in Children

How is the child developing?

  • Slowly
  • Not gaining weight
  • Losing weight
 

Under age three:

  • Growth failure
  • Diarrhea
  • Projectile vomiting
  • Abdominal bloating/distention
 

Older children:

  • Crankiness
  • Difficulty concentrating
  • Irritability
  • Personality changes
  • Poor memory
 
 

Return to

Celiac Disease

 


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