Does coeliac disease cause abdominal pain?

In coeliac disease, eating gluten triggers an immune reaction that injures the lining of the small intestine. The resulting inflammation can alter digestion and the movement of food through the bowel. Pain may be cramping, aching, or linked with bloating, and symptoms may follow meals containing wheat, barley, or rye.

Digestive symptoms vary, and abdominal pain has many possible causes. A symptom pattern can raise the question of coeliac disease but cannot confirm it. Assessment usually considers the history, examination, blood testing, and sometimes further investigation.

Arrange a medical appointment if pain keeps returning, is linked with persistent bloating or bowel changes, or occurs with tiredness, weight loss, or an itchy blistering rash. Keep a food and symptom record, including whether symptoms follow gluten-containing foods.

If coeliac disease is being investigated, ask before removing gluten from your diet because changing intake can affect the accuracy of testing. A clinician or dietitian can explain a safe plan and help protect nutrition if a gluten-free diet is eventually advised.

Seek urgent help for severe or rapidly worsening pain, a hard or swollen abdomen, repeated vomiting, fainting, black or bloody stools, or inability to pass stool or gas. A high fever with abdominal pain also needs prompt medical advice.

Could coeliac disease explain my pain and bowel symptoms? Should I continue eating gluten while tests are arranged? Which blood tests are appropriate, and how can I maintain balanced nutrition during assessment?