Donate Today

Celiac Disease Symptom Checklist

Think you or your child may be having issues with gluten? Take our symptom checker to learn if you should get tested for celiac disease.

Here are the next steps we recommend:

 

If you have a positive diagnosis, consider the CCA a reliable, evidence-based resource for you and your family. Sign up for our newsletters, updates and latest news on celiac disease to help empower your life and stay as healthy as possible.

Step 1: Take the Symptom Checklist

*Be sure to check your email after submitting this form.

Upon submitting this form, you will receive an email you can print or forward to share with your doctor.

Brought to you by Schär

    Personal Information

    First name

    Last name

    Email

    Postal Code

    Gender
    MaleFemalePrefer not to say

    Privacy

    Do you consent to share your contact information with our sponsor Schar, for marketing and profiling purposes of receiving news and special offers tailored to your interests? (Only your contact information will be shared, the results of your quiz will not be shared)
    YesNo

    Do you consent to share your contact information with the Canadian Celiac Association for the purposes of contacting you regarding the results of this symptom checklist?
    YesNo

    Symptom Checker

    I (or my child) have one or more of the following problems:
    Abdominal distensionAbdominal painChronic diarrheaPoor appetiteIrritabilityWeight lossPoor growth in childrenMuscle wastingChronic itchy skin rashUnexplained iron or folate deficiency anemiaOral canker soresDental enamel defectsRecurrent vomitingChronic constipationAbnormal liver enzymesJoint pain or swellingBone pain or fractures (osteoporosis)Short statureDelayed pubertyInfertility or repeated miscarriagesUnsteady gait (ataxia)Numbness in arms and legs (peripheral neuropathy)Epilepsy (seizures)DepressionExtreme Fatigue

    Do you have a parent, sibling or child who has been diagnosed with celiac disease?
    YesNo

    Which of the following best describes you?
    IndividualParent of a child with the above symptomsCaregiver of a person with the above symptoms

    How did you hear about the Canadian Celiac Association?
    Web SearchPhysicianDietitianFriend or Family MemberSocial MediaOther / Not listed

    2021 Platinum Partner 2021 Platinum Partner 2021 Gold Partner More sponsors

    Could It Be Celiac? Take the Symptom Checklist

    Help us change
    the lives of Gluten-Free Canadians.

    thumb Donate thumb Volunteer thumb Partner thumb Work with Us

    Stay up to date on the latest news.

    Sign up for ongoing information from Celiac Canada.

    Help us by
    spreading the word.

    Have a question? Ask CCA!

      X
      QUESTIONS?