What is coeliac disease?
Coeliac disease (pronounced see-liac) is an autoimmune disease. Gluten, which is found in wheat, barley and rye triggers an immune reaction in people with coeliac disease. This means that eating gluten damages the lining of the small intestine. Other parts of the body may be affected.
What are the symptoms?
The symptoms of coeliac diseaseA condition where a person is unable to eat gluten as it makes their body attack itself. vary from person to person and can range from very mild to severe.
Possible symptoms may include:
- bloating, pains in the stomach, nausea, diarrhoea, excessive wind, heartburn, indigestion, and/or constipation
- any combination of iron, vitamin B12 or folic acid deficiency
- tiredness and/or headaches
- weight loss (but not in all cases)
- mouth ulcers
- hair loss (alopecia)
- skin rash (dermatitis herpetiformisUsually shortened to DH, this is a form of coeliac disease where the skin is affected with small blisters. (DH))
- tooth enamel problems
- osteoporosisA condition where your bones lose bone mass and become brittle.
- depression
- infertility
- repeated miscarriages
- joint and/or bone pain
- neurological (nerve) problems such as ataxia (poor muscle co-ordination) and neuropathy (numbness and tingling in the hands and feet).
Common confusion
Some symptoms may be mistaken as Irritable bowel syndrome (IBS) or wheat intoleranceFood intolerance is generally not life threatening but affects digestion, including symptoms of digestive discomfort, diarrhoea and bloating. Coeliac disease is not an intolerance to gluten. . Stress or getting older can also be a cause of confusion.
Contrary to popular belief, you do not need to be underweight or have lost weight to have coeliac disease. Most people are of normal weight or even overweight at diagnosis.
What about children?
In babies, symptoms may develop after weaning onto cereals which contain glutenA protein that is found in the cereals wheat, barley and rye. .
Other symptoms in young children include:
- muscle wasting in the arms and legs
- bloated tummy
- irritability
- failure to gain weight or lose weight after previously growing well
Symptoms in older children vary as they do in adults.
What should I do if I think I have coeliac disease?
If you think you or your child has coeliac disease, you must keep eating gluten and speak to your/their GPYour local doctor or General Practitioner. for advice. Steps to diagnosis are on our How to get diagnosed page.
You can also contact one of our dietitians by email through our contact form, or on our HelplineOur Helpline is staffed by dietitians and food experts. You can call them on 0845 305 2060.; 0845 305 2060 (Open 10am-4pm Monday, Tuesday, Thursday, Friday and 11am-4pm on Wednesday).
If you, or your child, are medically diagnosed with coeliac disease or DH, you can join Coeliac UK as a Member. A parent/carer of a child under 16 with coeliac disease can join as a Member on their behalf. As a Member you can receive invaluable help and information about managing a gluten-free diet. Read more about how to join Coeliac UK and the services we provide.




