Celiac disease manifests itself with different symptoms in children and adults. Developmental and growth retardation in children, short stature, may be early signs of celiac disease. Abdominal pain, nausea, vomiting, diarrhea, moodiness, behavioral disorders and failure in school are other symptoms that can be seen.
It can take years for symptoms to appear and become severe. Generally, there is a partial decrease in the severity of the symptoms during adolescence. Celiac disease in adults usually appears around the age of 30-40, but it can also be seen at older ages.
Diarrhea, especially after the intake of fatty foods, feeling of gas and discomfort in the abdomen, abdominal pain, inability to gain weight despite a good appetite, weight loss, fatigue, fatigue and joint pain, osteoporosis, neuropathy, ataxia (imbalance), depression, adulthood These are the main symptoms of celiac disease.
Some celiac patients may have no symptoms other than intermittent diarrhea and indigestion for years. Some patients may have been followed for many years with the diagnosis of irritable bowel disease. Menstrual disorders in women, inability to get pregnant, decrease in sexual power in men are other symptoms that can be seen rarely in celiac disease.
Diarrhea, etc. in some patients. Without any signs of a digestive system such as a digestive system, the disease may only manifest itself with iron deficiency and a related anemia.
Women with severe anemia during pregnancy should be investigated for celiac disease. Some patients may experience deterioration in liver function tests.
celiac disease should also be considered in liver function test disorders of unknown cause. In 3-5% of cases the disease is discovered incidentally during a scan (silent celiac disease).
The disease in cases with positive blood tests but normal or slight changes in small intestinal biopsies is called ‘potential celiac disease’.
These cases should be followed up due to the possibility of developing typical disease in the following years.
When celiac disease is not treated, deficiency of vitamins, minerals and other nutrients in the body occurs over time due to malabsorption in the small intestine.
Among these, anemia (anemia), which can be of varying severity as a result of especially iron, folic acid and vitamin B12 deficiency, is one of the most common findings.
In addition, as a result of impaired absorption of vitamin D and calcium, calcium levels decrease, osteoporosis and fractures, visual disorders and skin problems due to vitamin A deficiency, nervous system problems such as balance disorder and sensation defects due to deficiency of vitamin B derivatives, coagulation disorders due to vitamin K deficiency. and bleeding, muscle weakness due to lack of electrolytes such as sodium, potassium and magnesium, leg edema due to protein (albumin and other proteins) deficiency and weakening of the immune system are other findings that may occur.
Another condition that can be seen in celiac disease is a skin disease called dermatitis herpetiformis, which has a similar appearance to chickenpox, mostly presenting with itchy, rash and blistering lesions on the back, lower and upper extremities and buttocks.
In addition, some rheumatic diseases, thyroid gland diseases (Hashimato’s disease) and adrenal gland diseases (Addison’s disease), skin diseases such as psoriasis (psoriasis), intestinal diseases such as microscopic colitis can be found together with celiac disease.