Coeliac disease results from abnormal immune reactions to dietary gluten - found in wheat, barley, rye and possibly oats. The disease causes diarrhoea, flatulence, bloating and fatigue. In women it can cause infertility, or repeated miscarriage. Children with coeliac disease can become irritable and do poorly at school. Diagnosis requires small bowel biopsy.
Blood tests can be unreliable.
If the diagnosis is confirmed, the patient needs to follow a gluten-free diet. For further information people with coeliac disease can contact the Coeliac Society in their state. The Coeliac Society promotes the clear labelling of food. Australian Prescriber is a national independent review of therapeutic topics is designed to assist health professionals in their duties. The journal provides independent comment - no advertising is accepted.