Common signs

What parents may notice

  • Poor weight gain or slowed growth
  • Chronic diarrhoea or constipation
  • Abdominal pain or bloating
  • Persistent iron-deficiency anaemia
  • Tiredness or irritability
  • Mouth ulcers
  • Delayed puberty
  • Family history of coeliac disease
Possible reasons

What can cause it?

Gluten in wheat, barley and rye triggers the immune response in a susceptible child. Coeliac disease is not the same as wheat allergy or non-coeliac gluten sensitivity.

When to book

When should your child be assessed?

  • Symptoms are persistent
  • Growth or iron levels are affected
  • A first-degree relative has coeliac disease
  • Screening blood tests are abnormal
  • The child has an associated autoimmune condition
Urgent warning signs

When to seek immediate care

  • Severe dehydration
  • Persistent vomiting with inability to drink
  • Marked weakness or collapse
  • Severe abdominal distension or pain
  • A child who appears acutely unwell
At the specialist visit

How the concern may be evaluated

  • Coeliac antibody blood tests
  • Total immunoglobulin assessment
  • Growth and nutrition review
  • Endoscopy and biopsy when required
  • Dietitian-supported gluten-free plan after diagnosis
Prepare

What to do before the visit

  • Do not remove gluten before discussing testing
  • Bring growth and blood reports
  • List symptoms and family history
  • Bring any prior antibody or biopsy results
Questions parents ask

The real questions, answered.

Not what we wish you'd ask. What you're actually thinking when you find this page.

Book a consultation
Should gluten be stopped before testing?

Usually no. Removing gluten can make blood tests and biopsy less reliable. Discuss the plan with the specialist first.

Is coeliac disease a wheat allergy?

No. It is an autoimmune condition, while wheat allergy involves a different immune mechanism.

Does every child need an endoscopy?

The pathway depends on test results, symptoms and current clinical guidelines.

Is the gluten-free diet lifelong?

For confirmed coeliac disease, strict lifelong gluten avoidance is generally required.

Can coeliac disease cause anaemia?

Yes. Reduced iron absorption can cause persistent iron-deficiency anaemia.

Persistent symptoms deserve a clear next step.

Speak with Paediatric Gastroenterology and Nutrition or contact our team to organise the right starting point.