The National (Scotland)

Charity on mission to ensure Scots with coeliac disease get diagnosis

- BY LUCY GARCIA

SOME 32,000 people in Scotland unknowingl­y living with an undiagnose­d autoimmune disease, a charity says. May is Coeliac Awareness Month and a campaign from Coeliac UK aims to highlight the importance of knowing the symptoms and risk factors and encouragin­g people who recognise the symptoms in themselves or their child to get tested.

It says a simple blood test is the first step, and the earlier a diagnosis can be made, the more likely people are to prevent possible future health complicati­ons that could include osteoporos­is, recurrent miscarriag­e and small bowel cancer or intestinal lymphoma.

Coeliac UK says the serious autoimmune condition affects one in 100 people, yet only 41% of those affected in Scotland are medically diagnosed. When people with the condition eat gluten – a protein found in wheat, barley and rye – their body attacks its own tissues. If left untreated, it can cause gut damage and serious health complicati­ons but those who get diagnosed often see a swift improvemen­t in physical and mental wellbeing.

In its campaign, Coeliac UK highlights that coeliac disease can be “different for everyone” – with symptoms ranging from gut issues to neurologic­al complicati­ons.

The British Society of Paediatric Gastroente­rology, Hepatology and Nutrition and the National Institute for Health and Care Excellence report that certain groups are more likely than the general population to have coeliac disease.

They include people with Type 1 diabetes, those with Down’s syndrome and people with autoimmune thyroid disease (ATD)

At the age of four, Joshua, 17 from

Edinburgh, began experienci­ng severe stomach problems following a family holiday. Born with Down’s syndrome and diagnosed with ATD, Joshua’s medical history added layers of complexity to his symptoms.

His mother, Dawn, said: “It all started when we came back from a family holiday in Ibiza. Joshua’s stomach problems were so bad. I took him to the doctors, but they just said that he’d picked up some kind of infection while we were away.”

Dawn became increasing­ly concerned when Joshua’s symptoms did not improve.

In the end, Joshua was diagnosed quickly thanks to an endocrinol­ogy team. It helped him get seen early for blood tests as part of one of his appointmen­ts for his thyroid condition.

Dawn continued: “I really want to encourage other people to get tested and raise awareness of the fact that

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