Celiac Symptoms

This feels a little like a PSA, but I thought this was a really nice list that one can go through and then take to their doctor because it covers some things not everyone would think of to talk about with their GI doctor.

Here’s the link where you can actually submit your answers and (I believe) then print out the symptoms in a handy take-to-your-doc sheet: Celiac Checklist

And here’s the checklist if you just want to browse through it:

Anemia

• Fatigue or Chronic Fatigue Syndrome
  YesNo
• Failure to Thrive
  YesNo
• IgA Deficiency
  YesNo
• Malnutriton or Vitamin Deficiency
  YesNo

 

 

• ADHD
  YesNo
• Anxiety
  YesNo
• Brain Fog or Foggy Mind
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Depression
  YesNo
• Developmental Delay
  YesNo
• Headache or Migraine
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Irritability
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Lack of Muscle Coordination (Ataxia)
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Seizure
  YesNo

• Abdominal Pain
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Acid Reflux (Heartburn)
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Bloating
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Constipation
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Diarrhea
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Gas
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Lactose Intolerance
  YesNo
• Lymphoma or Intestinal Cancer
  YesNo
• Pale, Foul-Smelling Stool
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Unexplained Liver Problem
  YesNo
• Vomiting
  NeverDailyWeeklyMonthlyOnce in a WhileUnsure
• Weight Loss or Weight Gain
  YesNo

• Arthritis
  YesNo
• Bone or Joint Pain
  YesNo
• Fibromyalgia or Muscle Pain
  YesNo
• Numbness or Pain in Hands and Feet (Peripheral Neuropathy)
  YesNo
• Osteopenia or Osteoporosis
  YesNo
• Short Stature
  YesNo

• Delayed Puberty
  YesNo
• Infertility
  YesNo
• Menstrual Irregularities or Missed Periods
  YesNo
• Miscarriage
  YesNo

• Discolored Teeth or Enamel Loss
  YesNo
• Eczema
  YesNo
• Itchy Skin Rash (Dermatitis Herpetiformis)
  YesNo
• Loss of Hair from your Head or Body (Alopecia)
  YesNo
• Recurrent Mouth Canker Sores/Oral Ulcers (Aphthous Stomatitis)
  YesNo

• Please mark any conditions that apply:
  Autoimmune HepatitisAddison’s DiseaseCrohn’s Disease; Inflammatory Bowel DiseaseChronic PancreatitisDown SyndromeIdiopathic Dilated CardiomyopathyIgA NephropathyIrrtitable Bowel Syndrome (IBS)Juvenile Idiopathic ArthritisMultiple SclerosisPrimary Biliary CirrhosisPrimary Sclerosing CholangitisPsoriasisRheumatoid ArthritisSclerodermaSjogren’s DiseaseThyroid DiseaseTurner SyndromeType I DiabetesUlcerative Colitis; Inflammatory Bowel DiseaseWilliams Syndrome

• 1st Degree Relative with Celiac Disease (Parent, Sibling, Child)
  YesNo
• 2nd Degree Relative with Celiac Disease (Aunt, Uncle, Grandparent, Niece, Nephew, Cousin or Half-Sibling)
  YesNo

• Currently Eating a Diet Containing Gluten (Wheat, Rye, Barley)
  YesNo