Celiac disease

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Common-

Celiac disease is a chronic disease of the digestive tract characterized by a permanent intolerance to gluten. 

The cause of celiac disease is unknown, although environmental, genetic and immune factors seem to contribute to its development. 

It affects each person differently, from the total absence of symptoms to various clinical manifestations, the most frequent being the presence of diarrhea, weight loss, anemia, frequent stools (soft, greasy, pale and smelly), abdominal pain, bloating, gas, indigestion and change of character. 

Diagnosis is made by clinical history, physical examination, specific laboratory tests (assessment of certain antibodies) and biopsy of the small intestine. 

Treatment is based on the complete and lifelong elimination of gluten from the diet. 

Bibliographic references
  1. Detlef Schuppan, Walburga Dieterich. Pathogenesis, epidemiology, and clinical manifestations of celiac disease in adults. UpToDate. Jun 18, 2015
  2. Ciarán P Kelly. Diagnosis of celiac disease in adults. UpToDate. Jun 18, 2015
  3. Paul J Ciclitira. Management of celiac disease in adults. UpToDate. Jun 01, 2015
  4. Rubio-Tapia A, Hill ID, Kelly CP, et al. ACG clinical guidelines: diagnosis and management of celiac disease. Am J Gastroenterol 2013; 108:656.
  5. Rostom A, Dube C, Cranney A, et al. Celiac disease. Summary, evidence report/technology assessment No 104 (Prepared by the University of Ottawa Evidence-based Practice Center, under Contract, No. 290-02-0021), AHRQ publication No 04-E)29-1, Agency for Healthcare Research and Quality, Rockville, MD 2004.
  6. Henry J. Binder. Trastornos de la absorción. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 1933:1946
  7. S. Navarro Colás. Diarrea y malabsorción. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición. 157:161
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Increase in abdominal size


    Weight loss over the last 4-8 weeks


    Diarrhea


    Belching


    Greasy diarrhea

Symptoms to watch out for

Diarrhea or discomfort for more than two weeks
Vomiting
White, gaseous, bulky, foul-smelling stool
Fluid-filled, intensely itchy areas of skin on the elbows, knees, buttocks, face, neck, trunk and occasionally inside the mouth
If it is accompanied by seizures

Self-care

Gluten-free diet.
Avoid dairy products such as milk and cheese.
Take vitamin supplements to make up for the nutrients that you are not getting from your diet.