It is important to have a clear view of the celiac damage We would not want someone to wait before getting tested. There are supposedly 2,910.000 people who have this, according to the estimates. A trauma can cause an escalation or flare up of celiac. A trauma "kicks things up a notch"... But generally celiac is something has been going in, unnoticed. The doctors may not have noticed before a trauma creates major symptoms, but unnoticed celiac is still damaging. That is why celiac screening is very important. Celiac is a good example of how we should be thinking of future medical care. Prevention is preferable to treatment. And we should think that way about celiac this way! Even if current testing is not perfect - which it is not - to diagnose celiac before other damage has occurred is far better than waiting for a trauma to occur.