The variety of symptoms shared by celiac disease and so many other illnesses, make its diagnosis to be very difficult. This is one of the reasons why so many celiac people are not diagnosed yet…
Gluten intolerance can appear in different ways on people, at any age and not always ad diarrhea… even without symptoms:
The patient shows clear signs of being celiac: positive serological markers; clear digestive (especially in kids) and non digestive (especially in adults) symptoms; intestinal mucosa damaged; and genetic predisposition compatible with gluten intolerance.
The patient can present gastrointestinal symptoms (vomiting, pain, constipation, diarrhea…) or other symptoms related with bad nutrition (bad absorption of vitamins, iron, calcium…).
The patient has very soft symptoms, only recognizable under a conducted interview and/or after starting the gluten free diet. Because of soft symptoms, Doctor has not suspected of celiac disease.
The patient does not show symptoms, but has positive serological results and the mucosa of the intestine damaged. This type can be detected thanks to endoscopy and blood test, getting positive results to gluten intolerance.
The patient gets positive results on blood tests, has genetic predisposition but the intestinal mucosa is not damaged. In this case, it is not sure if they will develop gluten intolerance or not. It is not known yet how celiac disease evolves from this stage to a clearer medical chart.
Happens when the patient still presents symptoms after 1 year eating gluten free. It is not common.
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