Symptoms of Celiac Disease | Celiac Disease Foundation (2024)

Symptoms of Celiac Disease | Celiac Disease Foundation (1)

Some people with celiac disease have no symptoms at all, but still test positive on the celiac disease blood test. Others may have a negative blood test, but have a positive intestinal biopsy. However, all people with celiac disease are at risk for long-term complications, whether or not they display any symptoms.

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Classical, Non-classical, and Silent Celiac Disease

According to the World Gastroenterology Organization, celiac disease may be divided into two types: classical and non-classical.

In classical celiac disease, patients have signs and symptoms of malabsorption, including diarrhea, steatorrhea (pale, foul-smelling, fatty stools), and weight loss or growth failure in children.

In non-classical celiac disease, patients may have mild gastrointestinal symptoms without clear signs of malabsorption or may have seemingly unrelated symptoms. They may suffer from abdominal distention and pain, and/or other symptoms such as: iron-deficiency anemia, chronic fatigue, chronic migraine, peripheral neuropathy (tingling, numbness, or pain in hands or feet), unexplained chronic hypertransaminasemia (elevated liver enzymes), reduced bone mass and bone fractures, and vitamin deficiency (folic acid and B12), difficulty losing weight, late menarche/early menopause and unexplained infertility, dental enamel defects, depression and anxiety, dermatitis herpetiformis (itchy skin rash), etc.

First-degree relatives should always be screened, since there is a 1 in 10 risk of developing celiac disease.

Silent celiac disease is also known as asymptomatic celiac disease. Patients do not complain of any symptoms, but still experience villous atrophy damage to their small intestine. Studies show that even though patients thought they had no symptoms, after going on a strict gluten-free diet, they report better health and a reduction in acid reflux, abdominal bloating, and distention and flatulence.

First-degree relatives, whether or not experiencing symptoms, should always be screened, since there is a 1 in 10 risk of developing celiac disease. Second-degree relatives also have an increased risk of developing the disease.

The number of ways celiac disease can affect patients, combined with a lack of training in medical schools and primary care residency programs, contributes to the poor diagnosis rate in the United States. Currently, it is estimated that 80% of the celiac disease population remains undiagnosed.

Symptoms of Celiac Disease | Celiac Disease Foundation (2024)

FAQs

Symptoms of Celiac Disease | Celiac Disease Foundation? ›

Of course, stage four is the most advanced stage and is not seen too often. In this stage, Orlando Gastroenterology Consultants of Central Florida see the villi are completely flattened, or atrophied. The crypts, or depressions, between them are shrunken too.

What are 4 common signs & symptoms of celiac disease? ›

Common signs of celiac disease include:
  • Constant (chronic) diarrhea or constipation.
  • Weight loss.
  • Gas.
  • Pale, bad-smelling stool.
  • Unexplained low blood count that makes you feel tired (anemia)
  • Tingling, numb feeling in the legs.
  • Missed menstrual periods (linked to too much weight loss)
  • Infertility.

What is stage 4 celiac disease? ›

Of course, stage four is the most advanced stage and is not seen too often. In this stage, Orlando Gastroenterology Consultants of Central Florida see the villi are completely flattened, or atrophied. The crypts, or depressions, between them are shrunken too.

What happens if celiac disease is left untreated? ›

Left untreated, celiac disease can lead to serious long-term health problems such as other autoimmune disorders, early onset osteoporosis, infertility and miscarriage, vitamin and mineral deficiencies, nervous system disorders, intestinal cancer and gall bladder malfunction.

What is the average life expectancy of someone with celiac disease? ›

A total of 828 patients (8.3%) died, with few deaths before the age of 40 years, more than half after the age of 60 years, and an average age at death of 68.6 years. Overall, mortality risk was 2-fold increased in patients with celiac disease compared with that in the general Swedish population (Table 1).

What can be mistaken for celiac disease? ›

Despite awareness efforts, celiac disease is often confused with other gluten-related disorders — like non-celiac gluten sensitivity (NCGS) or a wheat allergy. Both seem similar to celiac disease, but are different conditions.

What do celiac stools look like? ›

Diarrhea caused by celiac disease is due to the maldigestion and malabsorption of nutrients. The stools might be watery or semiformed, light tan or gray, and oily or frothy. The stools have a characteristic foul odor.

What are the four markers for celiac disease? ›

Celiac Disease Tests
  • tissue transglutaminase (tTG) immunoglobulin A (IgA) and tTG immunoglobulin G (IgG) tests.
  • endomysial antibody (EMA) -IgA test.
  • deamidated gliadin peptide (DGP) -IgA and DGP-IgG tests.

What triggers celiac disease later in life? ›

Celiac disease is caused by specific genes, eating gluten, and possibly by some other triggers such as childbirth, surgery, stress, or other autoimmune disorders. However, medical science is still working to understand the roles of these potential causal factors.

Does celiac get progressively worse? ›

Over time, a range of problems may develop as a result of the body's reaction to gluten — from skin rashes and lactose intolerance to infertility, bone weakness and nerve damage. These can often happen even in the absence of digestive symptoms.

What does a celiac belly look like? ›

The intestines make up most of the middle and lower abdomen, so “gluten belly” will look like any other type of lower digestive tract bloating. However, if bloating seems to be a regular or constant problem, that's a possible sign that it may be due to gluten intolerance.

What happens if you have celiac and keep eating gluten? ›

For people with coeliac disease, even small amounts of gluten can damage the lining of the small intestine (bowel), which prevents the proper absorption of food nutrients. Inflammation also occurs elsewhere in the body. If you have coeliac disease, inflammation and damage can occur even if you have no symptoms.

What are the first signs of being gluten intolerant? ›

What are the symptoms of gluten intolerance?
  • Abdominal pain.
  • Anemia.
  • Anxiety.
  • Bloating or gas.
  • Brain fog, or trouble concentrating.
  • Depression.
  • Diarrhea or constipation.
  • Fatigue.

What are the hidden symptoms of celiac disease? ›

However, celiac disease is much more than a digestive problem. Some of the top atypical symptoms are anemia, bones disease, elevated liver enzymes, neurological problems like migraines, short stature and reproductive problems. Learn more about each on below.

Do celiac symptoms get worse with age? ›

The risk of autoimmune disorders and cancers particularly increase in older celiac patients and is shown to be associated with both the age and the duration of gluten exposure.

Is celiac considered a disability? ›

Individuals with celiac disease have different needs at different times in their life. Because of these special needs, celiac disease is considered a disability under the Americans with Disabilities Act.

What does your stomach look like when you have celiac disease? ›

Symptoms of celiac disease include: Gas, a swollen belly, and bloating. This happens because the small intestine can't absorb nutrients from food. You may also have mild stomach pain, but it usually isn't severe.

What are the 5 stages of celiac disease? ›

Celiac disease is clinically defined as classic, non-classic, subclinical, potential, and refractory.

What does a celiac episode feel like? ›

The intestinal damage often causes symptoms such as diarrhea, fatigue, weight loss, bloating or anemia. It also can lead to serious complications if it is not managed or treated. In children, malabsorption can affect growth and development in addition to gastrointestinal symptoms.

How can a doctor tell if you have celiac disease? ›

Doctors use information from your medical and family history, a physical exam, a dental exam link, and medical test results to look for signs that you might have celiac disease and should be tested. Doctors typically diagnose celiac disease with blood tests and biopsies of the small intestine.

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