Sarah Keogh

And what I would see is a lot of people who'd say, I have no symptoms.

And then a year after when we're reviewing them, they're like, I didn't realise it wasn't normal to be bloated.

I didn't realise it wasn't normal to have diarrhoea twice a month.

You know, stuff that they had just taken as normal.

Yeah, so and that's a thing we see a lot with children is you'll see low iron, they're not growing.

And it actually often takes a long time for that to be spotted, because what happens for a lot of celiac kids is they stop growing up, but they don't actually lose weight.

So if you look at them, they look perfectly healthy.

And it's only when you do the growth chart.

And what I'd always say to parents, when was the last time did you have to buy them shoes?

Because I've two kids, when they were five, six, seven, you know, 13, you were buying them two pairs of shoes a year because they were just growing out of them.

If a parent says to me, do you know what, they haven't grown out of shoes in a year, 18 months, two years, that's a child who's not growing.

And that's where you have to go to the doctor and ask for the growth chart, not just an eyeball of do they look okay.

Are they actually tracking on their height and their weight for their age is really important to do.

And celiac, I mean, literally it's a simple blood test, but it's not a standard blood test.

People will tell me, oh, my doctor did bloods.

Just did they check?

Did they actually check for celiac?

It's not a standard one that's done.

That's the beginning.

So in children, if the blood test is high enough, if it's 10 times over normal, that's pretty much diagnostic, although with kind of with a gastroenterologist to see it.