Coeliac disease

Coeliac disease is a common condition. It’s caused by an adverse reaction to gluten in the small bowel, causing it to become inflamed and unable to absorb nutrients. It isn't an allergy or an intolerance to gluten. It can cause a range of symptoms, including diarrhoea, abdominal pain and bloating.

About coeliac disease 

Coeliac disease is caused by an adverse reaction by the immune system to gluten. Gluten is a dietary protein found in three types of cereal:

  • wheat
  • barley
  • rye

Gluten is found in any food that contains the above cereals, including:

  • pasta
  • cakes
  • breakfast cereals
  • most types of bread
  • certain types of sauces
  • some types of ready meals

In addition, most beers are made from barley.

Symptoms of coeliac disease 

Eating foods containing gluten can trigger a range of gut-related symptoms, such as:

Coeliac disease can also cause a number of more general symptoms, including:

Children with coeliac disease may not grow at the expected rate and may have delayed puberty

Causes of coeliac disease 

Coeliac disease is an autoimmune condition. This is where the immune system – the body's defence against infection – mistakenly attacks healthy tissue.

In coeliac disease, the immune system mistakes substances found inside gluten as a threat to the body and attacks them.

It's not entirely clear what causes the immune system to act in this way. But a combination of genetics and the environment appear to play a part.

Coeliac disease isn't an allergy or an intolerance to gluten.

Treating coeliac disease 

There's no cure for coeliac disease. Switching to a gluten-free diet should help control symptoms and prevent the long-term consequences of the condition.

Even if you have no symptoms, or mild symptoms, changing your diet is still recommended. This is because continuing to eat gluten can lead to serious complications.

It's important to make sure that your gluten-free diet is healthy and balanced, see help and support below.

Complications of coeliac disease 

Complications of coeliac disease only tend to affect people who continue to eat gluten, or those who've yet to be diagnosed with the condition, which can be a common problem in milder cases.

Potential long-term complications include:

Less common and more serious complications include those affecting pregnancy, such as having a low-birth weight baby, and some types of cancers, such as bowel cancer.

Who's affected 

Coeliac disease is a common condition. In the UK, about one in every hundred people has the condition.

Reported cases of coeliac disease are two to three times higher in women than men. It can develop at any age.  People with certain conditions, including type 1 diabetes, autoimmune thyroid disease, have an increased risk of getting coeliac disease.

Relatives (parents, brothers, sisters and children) of people with coeliac disease are also at increased risk of developing the condition.

Diagnosing coeliac disease 

Routine testing for coeliac disease isn't recommended unless you have symptoms or an increased risk of developing them.

Testing for coeliac disease involves having:

  • blood tests – to help identify people who may have coeliac disease
  • a biopsy – to confirm the diagnosis

While being tested for coeliac disease, you'll need to eat foods containing gluten to make sure the tests are accurate.

You should also not start a gluten-free diet until the diagnosis is confirmed by a specialist, even if the results of blood tests are positive.

Help and support 

Coeliac UK is a charity for people with coeliac disease.

Its website contains a range of useful resources, including information about the gluten-free diet, as well as the details of local groups, volunteering and ongoing campaigns.

 

The information on this page has been adapted from original content from the NHS website.

For further information see terms and conditions.

This page was published February 2018

This page is due for review March 2020

Health conditions A to Z

Search by health condition or symptoms

Or find conditions beginning with …

Share this page

Feedback

Your comments are anonymous and can’t be responded to - if you would like a reply, use the feedback form.

Your comments
Plain text only, 750 characters maximum. Don't include personal or financial information.