The clinical picture of coeliac disease has changed over recent years and symptoms are now known to be extremely diverse.
Experts Area
Are you a healthcare professional working in the area of gluten-related disorders and IBS?
Typical symptoms of coeliac disease include altered bowel habit, weight loss, fatigue, abdominal pain and bloating, nausea and faltering growth (in children). However, a range of additional symptoms or medical complications may also indicate the presence of the disease – including; iron deficiency anaemia, osteoporosis, amenorrhoea, vitamin and mineral deficiencies, unexplained infertility, neurological disturbances, thyroid and liver diseases.
Presenting features
Gastrointestinal symptoms
- Abdominal bloating
- Abdominal pain
- Flatulence
- Diarrhoea
- Vomiting
- Constipation
Extraintestinal symptoms
- Anaemia (iron, vitamin B12, folic acid)
- Anorexia
- Weight loss
- Short stature/growth failure
- Irritability (children)
- Alopecia
- Osteoporosis and tooth enamel defects
- Recurrent aphthous stomatitis
- Amenorrhoea
- Fertility disorders
- Abnormal liver biochemistry
- Chronic fatigue
Reference
- NICE Guideline NG20: Recognition, Assessment & Management of Coeliac Disease. National Institute of Clinical Excellence 2015.