Coeliac disease

Written by Dr Claudia Pastides, 7th June 2019

Coeliac disease is an autoimmune reaction to a protein called gluten.

Gluten is found in:

  • Wheat based foods such as bread, flour, biscuits, cakes and pastries
  • Food that uses wheat, barley or rye as fillers or flavouring, such as ready-meals, sausages and sauces
  • Malt containing products (such as beer)
  • Food contaminated with gluten during the manufacturing process
Risk factors

Coeliac disease is more common in:

  • Caucasians
  • People with a family history of coeliac disease
  • Those with medical conditions that damage the gut lining
  • People with autoimmune conditions, such as type 1 diabetes or autoimmune thyroid disease
Typical Symptoms
  • Abdominal pain and bloating
  • Indigestion
  • Diarrhoea or constipation
  • Fatigue
  • Weight loss
  • Severe mouth ulcers or mouth ulcers that don’t go away


Common Treatment
  • Over the counter or prescribed pain relievers, including ice packs and bunion pads
  • Wide shoes with soft soles and low heels
  • Supports for the toe
  • Surgery to correct the deformity

When to speak to a doctor

Bunions that are painful and interfering with day to day life can often be initially managed via a digital consultation. If the GP decides you need a face to face appointment, x-ray or referral to a specialist, they will discuss what steps you can take next.

To speak to one of our Babylon GPs, download the app and create an account today.

It is important to speak more urgently to a doctor if you have:

  • A hot, red, painful toe
  • A fever
  • A history of diabetes or any condition where your immune system could be low


More information

NHS - https://www.nhs.uk/conditions/bunions/

References

Cks.nice.org.uk. (2019). Bunions - NICE CKS. [online] Available at: https://cks.nice.org.uk/bunions [Accessed 24 Jun. 2019].

Please note that this material is for general information only and should never be used as a substitute for personalised medical advice provided during a consultation with a doctor.