GIG of North Texas
Do I have Celiac? Questionaire

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Short Term Symptoms

I have -

  • a first degree relative (parent, child, sibling) with Celiac Disease.
  • a second degree relative (aunt, uncle, cousin) with Celiac Disease.
  • lactose intolerance
  • excessive gas
  • fatigue (tired all the time)
  • indigestion (dyspepsia)
  • reflux (GERD)
  • frequent diarrhea or foamy diarrhea
  • constipation
  • alternating diarrhea and constipation
  • stearorrhea (oily or greasy stools)
  • pale, foul-smelling, bulky stools
  • abdominal pain
  • abdominal distention/bloating
  • an inability to concentrate
  • fuzzy-minded
  • bleed easily
  • nose bleeds
  • persistent itchy rash
  • mouth sores or cracks in the corners of the mouth
  • dry mouth or dry eyes
  • muscle cramping
  • night blindness
  • tooth enamel defects (discoloration, tooth enamel loss)
  • lack the desire to eat
  • vitamin deficiencies
  • iron deficiency anemia, unexplained
  • a decreased ability for my blood to clot
  • generalized weakness
  • weight loss
  • under weight
  • bone pain
  • joint pain
  • easily fractured bones (osteoporosis, osteopenia)
  • abnormal or impaired skin sensation (parasthesia), including burning, prickling, itching or tingling
  • unexplained edema
  • pale
  • wasted buttocks (decreased muscle mass in buttocks)
  • short stature/growth retardation
  • amenorrhea (missed menstrual periods)
  • bone disease
  • unable to conceive/impregnate
  • chronic fatigue syndrome
  • fibromyalgia
  • irritable bowel syndrome (IBS)
  • depression

Diseases Linked to Celiac Disease

People with celiac disease tend to have other autoimmune diseases as well.


  • rheumatiod arthritis

  • dermatitis herpetiformis

  • autoimmune thyroid disease (such as Graves' disease or Hashimoto's thyroiditis)

  • inflammatory bowel disease (IBD) (such as Crohn's disease, or ulcerativitis hepatitis)

  • systemic lupus erythematosus

  • insulin-dependent diabetes mellitus (type 1 or juvenile diabetes)

  • autoimmune liver disease (such as primary biliary cirrhosis or autoimmune hepatitis)

  • collagen vascular disease (examples: periarteritis nodosa, scleroderma, dermatomyositis, polyarteritis nodosa)

  • Sjogren's syndrome

No Symptoms - some people have mild celiac disease without noticeable symptoms.  Non-specific symptoms - some people get mild but unclear symptoms.


Celiac Disease in Children


My child has/is -

  • diarrhea

  • oily or greasy stools (steatorrhea)

  • constipation

  • not gaining height or weight as expected

  • losing weight

  • lacks the desire to eat

  • a distended abdomen

  • poor muscle tone

  • irritable

  • dental disorders such as lack of enamel formation; ridges and changes in pigmentation in secondary teeth

  • listless

  • short stature

  • delayed onset of puberty

  • nutritional deficiencies (especially iron and calcium)

  • rickets or osteopenia/osteoporosis (decreased bone density)

  • attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD)

  • autistic-type behaviors/Asperger syndrome

  • Down syndrome