Celiac.com 02/08/2007 - There are no signs or symptoms typical for all people with celiac disease. Signs and symptoms and can vary greatly from person to person.

People with celiac disease often have general gastric complaints, such as intermittent diarrhea, abdominal pain and bloating. Some people with celiac disease, however, suffer no gastrointestinal discomfort at all.

To make matters of diagnosing celiac disease even more challenging, celiac symptoms can also mimic symptoms of other conditions, such as anemia, Crohns disease, gastric ulcers, irritable bowel, parasitic infection, even various skin disorders or nervous conditions.

It is not uncommon for celiac disease to present itself with symptoms that are far more vague. Such symptoms can include: dental and bone disorders (such as osteoporosis), depression, irritability, joint pain, mouth sores, muscle cramps, skin rash, stomach discomfort, and even tingling in the legs and feet (neuropathy).

Celiac disease results in malabsorption of nutrients.

Depending on the degree of malabsorption, the signs and symptoms of celiac disease vary among individuals, ranging from no symptoms, few or mild signs and symptoms, to many or severe signs and symptoms. There are two categories of signs and symptoms:

Signs and symptoms due to malabsorption. Some signs of malabsorption associated with from celiac disease include:

• Abdominal cramps, gas and bloating
• Diarrhea
• Fatigue or general weakness
• Foul-smelling or grayish stools that are often fatty or oily
• Osteoporosis
• Stunted growth in children
• Weight loss

Signs and symptoms of malnutrition and vitamin or mineral deficiencies:

Anemia
• Easy bruising
• Fluid retention
Infertility
• Muscle weakness
Osteoporosis
Peripheral neuropathy (nerve damage)
• Weight loss

Lastly, Dermatitis herpetiformis is an itchy, blistering skin disease that also associated with gluten intolerance. Rashes usually occurs on the elbows, knees and buttocks. dermatitis herpetiformis can also cause significant intestinal damage identical to that of celiac disease. However, people who suffer from dermatitis herpetiformis may also be entirely free of noticeable digestive symptoms. Treatment with a gluten-free diet, in addition to medication to control the rash, usually brings about significant improvement.

health writer who lives in San Francisco and is a frequent author of articles for Celiac.com.

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