Coeliac disease

Abstract

Coeliac disease is a common autoimmune inflammatory condition of the small intestine that is triggered by dietary gluten. Symptoms include fatigue, diarrhoea, bloating, and abdominal pain, as well as extra-intestinal symptoms. The only treatment is a strict life-long gluten-free diet. Despite affecting 1% of the UK population, only 36% of those living with the condition are diagnosed. Undiagnosed coeliac disease can lead to complications, including digestive symptoms, malabsorption, osteoporosis and higher risk of small bowel malignancy. This article aims to raise awareness about the condition and highlight common presentations, investigations, management, and follow-up.