Gluten Free Works Symptom Guide
How can I tell if I have a problem with gluten?
This is a common question people ask in the face of a bewildering array
of possible symptoms. We have developed a Symptom Guide below to
help you identify possible symptoms and health problems that you can
present to your doctor.
Here is the list of over 300 Signs, Symptoms, Associated Disorders and
Complications directly or indirectly resulting from celiac disease.
We were the first to present this information in our comprehensive book,
"Recognizing Celiac Disease." This list is now being used by celiac disease
centers, national celiac organizations and health organizations worldwide.
1. BLOOD SYSTEM PROBLEMS
Abnormal levels of blood components and quality of blood cells and
plasma, detected by blood studies ordered by a doctor.
Anemia, Folic acid deficiency
Anemia, Iron deficiency
Anemia, Vitamin B12 deficiency
Anti-endomysium (EMA) antibodies present
Anti-gliadin antibodies (AGA) present
Anti-tissue transglutaminase antibodies (tTG) present
Associated auto-immune antibodies present
Bone alkaline phosphatase, elevated level
Calcium, low
Cholesterol, too low - below 156
Coagulation factors, low
Copper, low
Hemochromatosis
Homocysteine, elevated
Hyperprolactinemia
Hypoprothrombinemia
Hypertransaminasemia
Hypoglycemia
Idiopathic thrombocytopenic purpura
Macroamylasemia
Macrocytosis
Macrolipasemia
Magnesium, low
Neutropenia
Phosphorous, low
Plasma proteins, low
Potassium, low
Prolonged prothrombin time
Transient erythroblastopenia
Zinc, low
2. BODY COMPOSITION PROBLEMS
Disorders of the body as a whole.
Anorexia
Appetite, increased
Cachexia
Obesity
Vitality, loss of
Weight gain, unexplained
Weight loss, unexplained
3. CARDIOVASCULAR SYSTEM PROBLEMS
Disorders of the heart and blood vessels.
Angina pectoris
Aortic vasculitis
Atherosclerosis
Cardiomegaly
Cardiomyopathy, idiopathic dilated
Coronary artery disease
Easy bruising (ecchymosis)
Hypertension, reversible
Nosebleeds, unexplained
4. DIGESTIVE SYSTEM PROBLEMS
The following symptoms in this section may be present alone or in any
combination in celiac disease. They result from inflammation, damage,
and interference with normal function caused by gluten exposure in the
digestive tract itself. As you see, problems can develop not only in the
small intestine where inflammation can be intense, but also in other
areas such as mucosal tissues of the mouth, esophagus, stomach and
colon.
Abdominal distention (bloating)
Abdominal pain
Abnormal appetite
Autoimmune cholangitis
Bacterial overgrowth (small intestine)
Bleeding unexplained
Cancer - adenocarcinoma of the small intestine
Cancer - esophagus
Cancer - esophageal small cell
Cancer - pharynx
Cancer - post-cricoid
Candida infections
Canker sores (aphthous ulcers) in mouth
Carbohydrate malabsorption
Cheilosis - (red lips, cracking/ oozing at corners of mouth)
Colitis - collagenous
Colitis - lymphocytic
Colitis - ulcerative
Colonic volvulus - (loop of bowel twists so as to strangulate it)
Constipation
Constipation alternating with diarrhea
Crohn's Disease
Delayed gastric emptying- (early fullness after eating)
Diarrhea, acute
Diarrhea, chronic
Duodenal erosions in the second part of duodenum
Dysphagia - (difficulty swallowing)
Edema of intestines
Esophageal motor abnormalities - (poor propelling of food)
Food allergies, IgE and non-IgE
Gas
Gastric ulcer - (stomach ulcers)
Gastric ulcerations, multiple
Gastritis, collagenous
Gastritis, lymphocytic
Gastro-esophageal reflux disease (GERD)
Gastro-intestinal bleeding, occult - (blood not visible)
Gluten sensitive enteritis
Gums, bleeding/ swollen - (purplish in adults/ red in children)
Heartburn
H. Pylori Bacter infection of stomach
Impaired gall bladder motility
Intestinal edema
Irritable bowel syndrome
Jejunitis, chronic
Lactose intolerance - (gas, bloating, loose stools from milk)
Laryngospasm
Leaky gut syndrome
Lymphoma
Malabsorption of nutrients (see below)
Maltose intolerance - (gas, bloating, loose stools from starch)
Milk intolerance, cow - (similar to gluten enteropathy)
Nausea
Non-alcoholic fatty liver disease
Oral mucosal lesions
Pale, smelly, floating stool - (hard to flush or sticks to toilet)
Plummer-Vinson syndrome
Primary biliary cirrhosis - (bile backs up in liver)
Primary sclerosing cholangitis - (scarring of bile ducts in liver)
Small bowel intussusception - (loop of bowel slips into another)
Sucrose intolerance - (gas, bloating, mucous in stool from sugar)
Swallowing - difficulty (dysphagia)
Tongue - beefy, red, smooth, burning
Tongue - fiery red, smooth, swollen, sore
Tongue - magenta, swollen
Tongue - pale, smooth, burning
Tooth defects - yellowing, white spots, missing enamel
Vomiting
5. GLANDULAR SYSTEM PROBLEMS
Disorders of the glands.
Addison's Disease - (adrenal gland failure)
Autoimmune hepatitis
Autoimmune thyroiditis - (hypothyroidism)
Diabetes mellitus type I - (pancreatic failure)
Diabetic instability
Gastro-intestinal complications of type 1 diabetes
Grave's Disease - (hyperthyroidism)
Hepatic granulomatous disease
Hyperparathroidism, Primary
Hypoparathyroidism, Idiopathic
Hypoparathyroidism, Secondary
Non-alcoholic fatty liver disease
Pancreatic insufficiency
Parathyroid carcinoma
Steatorrhea
6. IMMUNE SYSTEM PROBLEMS
Disorders of antibody production.
Allergic rhinitis
Antiphospholipid syndrome
Asthma
Autoimmune disorders in CD
Autoimmune disorders in dermatitis herpetiformis
Autoimmune polyglandular syndromes
Common variable immunodeficiency
IgA deficiency
Sarcoidosis
Sjogrens syndrome
Systemic lupus erythematosus
Urticaria, chronic - (hives)
7. INTEGUMENTARY SYSTEM PROBLEMS
Disorders of skin, hair, and nails.
Alopecea areata - (patches of hair loss)
Alopecia, diffuse - (balding)
Cutaneous vasculitis
Cutis laxa, generalized acquired
Dermatitis herpetiformis
Dermatomyositis
Eczema
Edema
Eythema elevatum diutinuum
Erythema nodosum
Follicular hyperkeratosis - (dry rough skin/ plugs on arms)
Ichthyosis, acquired
Itchy skin rash
Hangnail
Koilonychia - (thin nails that flatten then turn up or spoon)
Melanoma
Nails - dry and brittle that chip, peel, crack or break easily
Nails - horizontal and vertical ridges; fragile
Nail - rounded and curved down ends, dark, dry
Nails - white spots
Nails with splinter hemorrhages
Pityriasis rubra pilaris
Prurigo nodularis (Hyde's Prurigo)
Psoriasis
Scleroderma
Seborrhea
Thin hair
Vitiligo
8. LYMPATIC SYSTEM PROBLEMS
Disorders of the lymphocytes (white blood cells), lymph nodes
and spleen.
B-cell non-Hodgkin's Lymphoma
Cryptic intestinal T-cell lymphoma (refractory sprue)
Enteropathy associated T-cell Lymphoma (EATL)
Extraintestinal Lymphomas
Intraepithelial lymphocytosis in small bowel samples
Lymphadenopathy
Mesenteric lymph node cavitation
Hyposplenism - (atrophy of spleen leads to failure)
9. MUSCULAR SYSTEM PROBLEMS
Disorders of muscle structure and function.
Hypkalemic rhabdomyolysis - (acute, severe
potassium deficiency)
Muscle pain and tenderness
Muscle spasm and cramps
Muscle wasting
Muscle weakness
Osteomalcic myopathy
Polymyositis
Tetany
10. NERVOUS SYSTEM PROBLEMS
Disorders of nerves, brain and spinal cord structure and function.
Anxiety
Apathy
Ataxia, gait disturbance
Ataxia, gluten
Ataxia, progressive myoclonic
Brain atrophy
Cerebral perfusion abnormalities - (poor blood flow)
Chonic fatigue syndrome
Chorea
Cortical calcifying angiomatosis
Dementia
Depression
Epilepsy
Fatigue/ lassitude, chronic
Headache
Inability to concentrate
Insomnia
Irritability
Migraine
Multiple sclerosis
Nervous system disorders
Peripheral neuropathy
Progressive multifocal leukoencephalopathy
Schizophrenic spectrum disorders
Tremors
Vasculitis of the central nervous system
11. PULMONARY SYSTEM PROBLEMS
Disorders of lung tissue and broncheal tree structure and function.
Bronchiectasis
Bronchoalveolitis, Lymphocytic (bronchial pneumonia)
Idiopathic pulmonary hemosiderosis
Increased pulmonary permeability
Increasee susceptibility to tuberculosis
Lung cavities or abcess
Pneumococcal septicemia
Tuberculosis, non-response to treatment
12. SENSORY SYSTEM PROBLEMS
Disorders of sense organ structure and function.
Bitot's spots - (foamy patches on whites of eye)
Blepharitis, unexplained
Bloodshot eyes, chronic
Blurred vision, unexplaines
Cataracts
Keratoconjunctivitis sicca
Keratomalacia
Night blindness
Ocular myopathy
Uveitis, bilateral
Xerophthalmia
Loss of smell
Dysgeusia (loss of taste)
13. SKELETAL SYSTEM PROBLEMS
Disorders of bone, joints and teeth.
Bone fracture
Bone pain
Osteitis fibrosa
osteomalacia
Osteonecrosis
Osteoporosis
Arthritis, enteropathic
Arthritis, psoriatic
Arthritis, recurrent monoarthritis
14. URINARY SYSTEM PROBLEMS
Disorders of kidneys and urinaty tract structure and function.
Hypocalciuria
IgA nephropathy
Kidney stones
Urinary tract infection
15. REPRODUCTIVE SYSTEM PROBLEMS IN FEMALES
Disorders of organ structure and function.
Amenorrhea, secondary
Infertility
Late menache - (start of periods)
Menopause, early
Premenstrual syndrome
Dysmenorrhea (painful periods)
Dyspareunia - (painful intercouse)
Vaginitis
REPRODUCTIVE SYSTEM PROBLEMS IN MALES
Disorders of organ structure and function.
Hypogonadism, unexplained in adults
Impotence
Infertility
Sperm abnormalities
16. REPRODUCTION: PREGNANCY, LABOR & DELIVERY AND
PUERPERIUM PROBLEMS
Disorders of childbearing.
Severe iron deficiency anemia in pregnancy
Short duration of breast feeding
Miscarriages, spontaneous
Complications during pregnancy, labor and delivery
Complications after child birth
17. ZYGOTE DEVELOPMENT PROBLEMS
Disorders of chromosomes.
Down syndrome
Turner's syndrome
18. FETUS DEVELOPMENT PROBLEMS
Disorders of that occur before birth of the child.
Congenital anomalies
Intrauterine growth retardation
Cystic fibrosis
Spina bifida
19. CHILD DEVELOPMENT PROBLEMS
Disorders of children that occur after birth.
Autism and learning disorders
Attention deficit hyperactive disorder (ADHD)
Cancer predisposition in children
Chronic bullous dermatosis
Delayed puberty in boys
Delayed pubety in girls
Dermatitis herpetiformis
Developmental delay
Failure to thrive and growth retardation
Fecal occult blood in stool - (hidden)
Glycogenic acanthosis
Hypotonia
Juvenile autoimmune thyroid disease
Juvenile diabetes type 1
Juvenile idiopathic arthritis
Abnormal blood studies
Latent anemia in enzymopthies of small intestine - (lack
of enzymes that finish digestion of protein/ sugars)
Penicilllin V impaired absorption
Refractory anemia ( does not respond to iron therapy)
Osteopenia
Rickets
Short staure
Stroke in childhood
This ends the listing from "Recognizing Celiac Disease."
__________________________
Here are some other ways to look at problems:
BEHAVIOR PROBLEMS
Aloofness
Hyperactivity
Irritability is an early symptom. It is common in children.
Impatience
Lack of desire to get things done
Lack of feeling
Restlessness
Timid behavior
Violent behavior
NEUROLOGICAL ISSUES
Anxiety
Apathy
Bipolar disorder
Depression
Difficulty making friendships
Easy frustration and anger
Nervousness
Panic attacks
Sense of worthlessness
Overly self-criticism
Hysteria
Hypochondria
THINKING PROBLEMS
Confused/ faulty thinking
Confabulation
Delusional
Dementia
Disorientation
Faulty learning
Hallucination
Inability to concentrate
Inattentiveness
Loss of memory
Loss of immediate memory
Poor memory
Psychiatric disorders
Reduced learning
Slow thinking
Scattered thinking
ASSOCIATED DISORDERS IN CD
Addison's Disease
Allergic Rhinitis
Alopecia Areata
Angina Pectoris
Antiphospholipid Syndrome
Arthritis
Asthma
Ataxia
Autoimmune Hepatitis
Autoimmune Polyglandular Syndromes
Bitot's Spots (eyes)
Blepheritis (eyelids)
Bloodshot eyes
Bronchiectasis
Cardiomegaly
Chronic Bullous Dermatosis of Childhood
Chronic Hives
Chorea
Common Variable Immunodeficiency
Coronary Artery Disease (CAD)
Cortical Calcifying Angiomatosis
Dermatomyositis
Diabetes
Diabetic instability
Eczema
Erthema Elevatum Diutinum
Erythema Nodosum
Graves's Disease (hyperthyroidism
Hepatic granulomatous disease
Hypertension
Hypogonadism
Hypokalemic Rhabdomyolysis
Icthyosis, acquired
Idiopathic dilated cardiomyopathy
Idiopathic hypoparathyroidism
Idiopathic thrompbcytopenic purpura
IgA deficiency
IgA Nephropathy
Impotence
Kidney Stones
Loss of vitality
Multiple Sclerosis
Neutropenia
Osteomylacic Myopathy
Peripheral Neuropathy
Pityriasis Rubra Pilaris
Polymyositis
Primary hyperparathyroidism
Psoriasis
Sarcoidosis
Scleroderma
Seborrhea
Sjogren's syndrome
Systemic Lupus Erythomatosus
Tremors
Urinary Tract Infection
Vitiligo
COMPLICATIONS OF CD
Aortic vasculitis
Atherosclerosis
B-cell non-Hodgkin's lymphoma
Bone Fractures
Bone Pain
Brain Atrophy
Bronchial Pneumonia
Cancer Predisposition in Children
Cataracts
Chronic Fatigue Syndrome
Congenital Anomalies
Cystic Fibrosis
Dementia
Down Syndrome
Enteropathy associated T-cell Lymphoma (EATL)
Epilepsy
Extraintestinal Lymphomas
Hyposplenism
Infertillity, Female
Infertility, Male
I told you this is a long list! and I am sure there are even more things that could be added!
1 comment:
Wow - it mus be overwhelming. No wonder it's hard to diagnose.
Post a Comment