Coeliac disease is a common digestive condition. It is where the small intestine becomes inflamed and can't absorb nutrients.
It can cause a range of symptoms. These include diarrhoea, abdominal pain and bloating.
Coeliac disease is due to a bad reaction to gluten. Gluten is a dietary protein.
Gluten is found in 3 types of cereal grains:
Gluten is in any food that contains these grains, for example:
- breakfast cereals
- most types of bread
- certain types of sauces
- some types of ready meals
Most beers are also made from barley.
Symptoms of coeliac disease
Eating foods that contain gluten can trigger a range of gut-related symptoms, such as:
- abdominal pain
- bloating and farting
Coeliac disease can also cause other symptoms, including:
- tiredness, due to not getting enough nutrients from food (malnutrition)
- unexpected weight loss
- an itchy rash
- problems getting pregnant
- nerve damage
- disorders that affect co-ordination, balance and speech
Children with coeliac disease may not grow at the expected rate. They may have delayed puberty.
Causes of coeliac disease
Coeliac disease is an autoimmune condition. An autoimmune condition is when your immune system mistakenly attacks your body. Your immune system is your body's defence against infection.
In coeliac disease, the immune system mistakes substances found in gluten as a threat to the body. So it attacks them.
This damages our intestines and affects your body's ability to absorb nutrients from food.
It's not clear what causes the immune system to act in this way. But your genes and environment may play a part.
Coeliac disease is not an allergy or an intolerance to gluten.
Treating coeliac disease
There's no cure for coeliac disease. But switching to a gluten-free diet should help control your symptoms. It can also help prevent the long-term effects of the condition.
Even if you have no symptoms or mild symptoms, you'll be advised to change your diet. This is because continuing to eat gluten can lead to serious complications.
It's important to ensure that your gluten-free diet is healthy and balanced.
More gluten-free foods are now available in local supermarkets and menus. This has made it possible to eat both a healthy and varied gluten-free diet.
Complications of coeliac disease
Complications of coeliac disease usually only affect people who:
- continue to eat gluten
- have yet to be diagnosed – this can be a common problem in milder cases
Long-term complications can include:
- weakening of the bones (osteoporosis)
- iron deficiency anaemia
- vitamin B12 and folate deficiency anaemia
More serious complications are less common.
But they can include:
- complications affecting pregnancy, such as having a low birth weight baby
- some types of cancers, such as bowel cancer
Who is affected
Coeliac disease is a common condition. It affects around 1 in every 100 people in Ireland.
But some experts think this may be underestimated. Milder cases may go undiagnosed. Some cases may also be misdiagnosed as other digestive conditions, such as irritable bowel syndrome (IBS).
Reported cases of coeliac disease are 2 to 3 times higher in women than men.
It can develop at any age, although symptoms are most likely to develop:
- during early childhood – between 8 and 12 months old
- in later adulthood – between 40 and 60 years of age
People with certain conditions have an increased risk of getting coeliac disease.
This includes people with:
- type 1 diabetes
- autoimmune thyroid disease
- Down's syndrome
- Turner syndrome
You're also more likely to develop the condition if your parents or siblings have it.
Diagnosing coeliac disease
Routine testing for coeliac disease is not done in Ireland.
Testing is usually only recommended for people most at risk of developing it. For example, if you have a family history of the condition.
Help and support
The Coeliac Society of Ireland is a charity for people with coeliac disease.
They have useful resources including:
- information about the gluten-free diet
- details of local groups
- ongoing campaigns
Content supplied by the NHS and adapted for Ireland by the HSE