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Coeliac diagnosis pathway (Adults)
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Eradication of Helicobacter pylori
Acute Severe Ulcerative Colitis
Acute Upper GI Bleeding (AUGIB)
Iron Deficiency Anaemia
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Coeliac diagnosis pathway (Adults)
Last updated 22nd April 2022
When to test
Offer serological coeliac (tTG) testing to patients with any of the following:
- Persistent unexplained GI symptoms,
- Prolonged fatigue,
- Unexplained iron, B12 or Folate deficiency anaemia,
- Faltering growth,
- Unexplained weight loss,
- Severe or persistent mouth ulcers,
- Type 1 diabetes (as diagnosis),
- Autoimmune thyroid disease (at diagnosis),
- First degree relatives of people with coeliac disease.
Consider serological coeliac testing to patients with any of the following:
- Unexplained neurological symptoms (ataxia/peripheral neuropathy),
- Reduced bone mineral density (e.g. osteoporosis),
- Unexplained subfertility or recurrent miscarriage,
- Persistently raised LFTs with no apparent cause,
- Down’s Syndrome,
- Turner Syndrome,
- Dental enamel defects.
Ensure patient has been eating gluten for at least 6 weeks prior to this test-direct patient to the following website for more information:
Useful resources