Celiac disease is an autoimmune gastrointestinal disease. It’s permanent, meaning your child will be living with it their whole life.
In celiac disease, the immune system reacts to gluten as if it’s a germ invader. Gluten is a common protein in wheat, rye and barley. Celiac disease often develops after age 1, once a baby starts eating more solid foods that contain gluten.
This reaction causes damage to the small intestine’s villi. Villi are tiny fingerlike projections that help digest and absorb nutrients from food. When they’re damaged, it interferes with the body’s ability to digest and absorb nutrients.
Symptoms of celiac disease can develop at any time. Some kids don’t have short-term symptoms but can still develop damage in their small intestines. Even small amounts of gluten can damage their intestinal tract and can put them at higher risk for other diseases, whether they feel the symptoms or not.
Common GI symptoms of celiac disease include:
- Abdominal pain
- Constipation
- Diarrhea
- Poor weight gain or weight loss
- Vomiting
- Bloating
Celiac also causes non-GI symptoms, including:
- Iron-deficiency anemia
- Bone or joint pain
- Headaches or migraines
- Fatigue
- Poor height gain
- Delay in puberty
Our clinic also treats other gluten sensitivity conditions, including:
- Non-celiac gluten sensitivity: Gluten sensitivity is not the same as celiac disease. It can cause similar symptoms — such as bloating, stomach pain or fatigue — but it is not caused by an autoimmune reaction to gluten. Doctors aren't sure what causes it. Blood tests are negative and biopsies of the small intestine don’t show the damage seen in celiac disease.
- Wheat allergy: This is a classic food allergy, like an allergy to eggs, nuts or milk. It involves the immune system but in a different way than celiac disease. Wheat allergy can cause itching, swelling, hives, breathing trouble, stomach cramps or even anaphylaxis. It does not damage the small intestine.
There are no tests for non-celiac gluten sensitivity. If your child has a wheat allergy, they’ll need allergy testing by an allergist.
To find out if your child has celiac disease, they may need:
- Blood tests: To look for certain antibodies linked to celiac disease
- Endoscopy: To take samples and check for damage in the small intestine