Screening Tool for Celiac Disease

Check if you have experienced any of these symptoms at least once a week during the past three months:
• Bloating
• Gas and/or stomach cramps
• Diarrhoea or runny stools
• Constipation
• Joint pains
• Numbness or tingling in the extremities
• Itchy skin lesions
• Constant unexplained fatigue
• Frequent headaches or migraines.

2. Check if you have been diagnosed with any of these illnesses:
• Irritable bowel syndrome
• Eczema or unexplained contact dermatitis
• Fibromyalgia
• Chronic fatigue syndrome
• Nervous stomach (non-ulcer dyspepsia).
3. Check if you have any of the following:
• Lactose intolerance
• Osteopenia or osteoporosis
• Autoimmune disorders

o Thyroid disease (hypo/hyper)
o Diabetes mellitus (type 1)
o Sjögren’s syndrome
o Chronic liver disease
• An immediate family member with an autoimmune condition
• Peripheral neuropathy
• Non-Hodgkin’s lymphoma
• Small intestinal cancer
• Psychiatric disorders or depression
• Anaemia (iron deficiency)
• Infertility

Scoring: All the symptoms in Section 1, diagnoses in Section 2, and associated illnesses in Section 3 are intimately related to celiac disease.
If you have checked one or more options in either Section 1 or 2, or any of those in Section 3, you and your doctor(s) should definitely explore a diagnosis for celiac disease. Men or women under the age of forty-five with osteopenia and/or osteoporosis should consider testing for celiac disease.

Suggested Follow-Up Protocol

Source: Peter H.R. Green, M.D., and Rory Jones, Celiac Disease—A Hidden Epidemic (Collins).  FSSAI Guidance