Understanding Coeliac Disease
Coeliac disease is an autoimmune disease that occurs when the body reacts to a protein in gluten, requiring specialised diagnosis and lifelong management.
Autoimmune Condition
Coeliac disease is an autoimmune disease that occurs when the body reacts to a protein in gluten, causing damage to the small intestine.
Diagnostic Process
To make the diagnosis requires first an antibody blood test. Some children may then require a gastroscopy or more blood tests to further check for the presence of antibodies.
Treatment Approach
If the diagnosis is made by your specialist, it is important to adhere to a strict gluten free diet. Seeing a dietitian can be helpful to clarify queries.
Autoimmune
Body reacts to gluten
Blood Tests
Antibody testing
Diagnostic Process
A comprehensive approach to diagnosing coeliac disease, starting with blood tests and progressing to more specialised investigations when needed.
Antibody Blood Test
First step in diagnosis - testing for specific antibodies that indicate coeliac disease.
Gastroscopy
Some children may require gastroscopy to examine the small intestine and take biopsies.
Additional Tests
More blood tests may be needed to further check for the presence of antibodies.
Treatment & Management
Once diagnosed, strict adherence to a gluten-free diet is essential for managing coeliac disease effectively.
Strict Gluten-Free Diet
Essential for managing coeliac disease
Dietitian Support
Professional dietary guidance
Common Symptoms
Recognizing the signs of coeliac disease in children is crucial for early diagnosis and treatment.
Digestive Issues
Diarrhoea, constipation, bloating, and abdominal pain after eating gluten.
Poor Growth
Failure to thrive, delayed puberty, or slow growth in children.
Fatigue
Persistent tiredness and lack of energy due to poor nutrient absorption.
Anemia
Iron deficiency anemia due to poor absorption of nutrients.
Skin Rash
Dermatitis herpetiformis - itchy, blistering skin rash.
Behavioral Changes
Irritability, mood changes, or difficulty concentrating.
Support & Resources
Access to valuable resources and support networks for families managing coeliac disease.
Coeliac Australia
A useful resource for information, support, and guidance on managing coeliac disease.
Visit www.coeliac.org.auProfessional Support
Seeing a dietitian can be helpful to clarify queries and provide personalised dietary guidance.
Signs That May Indicate Coeliac Disease
Coeliac disease presents differently in children than adults. Seek evaluation if your child has:
- ✓Chronic diarrhoea, constipation, or alternating bowel habits
- ✓Abdominal bloating and pain
- ✓Poor weight gain or unexplained weight loss
- ✓Short stature or delayed puberty
- ✓Iron deficiency anaemia not responding to treatment
- ✓Fatigue, irritability, or behavioural changes
- ✓Dermatitis herpetiformis (itchy skin rash)
- ✓First-degree relative with confirmed coeliac disease
What to Expect at Your First Appointment
- →Detailed dietary and symptom history
- →Review of any existing coeliac blood tests (tTG-IgA, total IgA)
- →Physical examination and growth assessment
- →Confirmation of whether a gastroscopy with biopsies is required
- →Guidance on maintaining a gluten-containing diet BEFORE testing
- →Referral to a paediatric dietitian for gluten-free diet education after diagnosis
Important: Do not start a gluten-free diet before testing. Removing gluten can give false-negative results and delay diagnosis.
Referral & Medicare: A current GP or paediatrician referral is required for Medicare rebates.