Fill out this screening questionnaire to find out!
This
survey is based solely on the current medical guidelines, which
you can access online for further information or to take to your
doctor
(see references below).
If
you check even one of these
items, you are at increased risk for having Celiac Disease,
and it would be a good idea to ask your doctor for the screening
blood tests.
The
treatment for CD is to remove gluten from your diet. However, it
is recommended that you not exclude gluten before you are tested
as this will lower the chances of getting accurate results.
Questionnaire
Do you have a family history of Celiac Disease or Dermatitis Herpetiformis?
Have
you had recurring problems with:
Diarrhea
Constipation
Joint pain
Fatigue
Tingling or numbness in hands or feet
Abdominal pain
Bloating
Loss of appetite
Vomiting
Unintended weight loss
An itchy skin rash occurring on both sides of the body, such as
on both elbows or knees
Unexplained infertility or fetal loss
Elevated liver function tests (AST, ALT)
In childhood: poor weight gain or failure to thrive
In childhood: short stature or delayed puberty
Have
you been diagnosed with:
Irritable bowel syndrome
Anemia (iron, folic acid or B-12 deficiency)
Arthritis
Migraines
Colitis (microscopic, lymphocytic or collagenous)
Osteoporosis or Osteopenia (low bone density)
Osteomalacia (softening of bones)
Dental enamel defects in permanent teeth
Peripheral neuropathy
Autoimmune thyroid disease (Hashimoto's Thyroiditis or Graves Disease)
Type 1 Diabetes
Sjogren's Syndrome (causes dry eyes and dry mouth)