Celiac Disease Symptoms Checklist.

Celiac disease is more common than you think:

•      It is estimated that about 1-2% of the population have it

•      Globally the rates vary from about 1 in 40 to about 1 in 300

The problem is that it is estimated that 25 -80% of celiacs are NOT yet diagnosed.  This is the group of people I would like to reach because it is critical that they are properly diagnosed and a gluten free diet started.

If you suspect that you may have celiac disease it is important to get a proper diagnosis. If you are not sure about what symptoms you may be looking for, print off this sheet, fill it in and take it to your doctor.

Celiac Disease Checklist (1)

Fill in the following form for yourself or your child and take it to your doctor.

Frequently experiencing one or more of the symptoms listed may indicate that you have celiac disease.  

Click on the box to indicate if you have the symptom.

Name of the person:__________________________________

bloating, gas and/or abdominal pain	hard to flush, bulky or loose stools
diarrhea or constipation	fatigue
itchy skin rash	tingling or numbness in hands and feet
discolored teeth or loss of enamel	canker sores
joint pain	irritability or behavior changes
unexplained weight loss	poor weight gain
delayed growth (children)	missed menstrual periods
frequent fractures excessive urination (a sign diabetes)	extreme hunger unusual thirst (a sign of diabetes)

Note: Some individuals with celiac disease do not have any outward symptoms. Individuals with certain risk factors, like having a family member with celiac disease, should be tested even if symptoms are not present.

An immediate family member has been diagnosed celiac disease.

An immediate family member has been diagnosed with diabetes type 1

An immediate family member has been diagnosed with an autoimmune condition

Name of autoimmune disease _______________________________________

Celiac Disease Checklist (2)

Being diagnosed with any one of the diseases or conditions listed below may mean you have an increased chance of having celiac disease.

It is a good idea to be tested for celiac disease if you or your child have been diagnosed with any of the following illnesses or conditions.

Click on the box  

Iron deficiency/ anemia	Infertility
Depression	Osteoporosis or osteopenia
Type 1 diabetes	Thyroid disease
Sjogren’s disease	Juvenile idiopathic arthritis
Irritable bowel syndrome	Intestinal cancer
Peripheral neuropathy	Down Syndrome
Turner Syndrome	Williams Syndrome
Dermatitis herpetiformis

.

Remember DO NOT start on your gluten free diet until AFTER you have consulted your doctor and a diagnosis of celiac disease has be confirmed. 

If you need to go a gluten free diet because you have celiac disease here is a free report to help you get started: "Top Ten Tips to Follow a Gluten Free Diet Successfully"