Last medically reviewed by Dr Venkat Mahesh on 2026-03-01
Coeliac Disease Treatment
Coeliac disease is an autoimmune condition triggered by gluten. Dr Mahesh provides diagnosis via endoscopy and ongoing management including dietary guidance.
Book Consultation1 in 100
UK Prevalence
100%
Respond to GF Diet
£225
Initial Consultation
12,000+
Procedures by Dr Mahesh
Symptoms
Treatment Options
Gluten-free diet education
Nutritional support
Endoscopic monitoring
Bone density assessment
Vitamin supplementation
Frequently Asked Questions
How is coeliac disease diagnosed?
Diagnosis requires blood tests (tTG antibodies) followed by gastroscopy with duodenal biopsies while you're still eating gluten. Dr Mahesh performs the endoscopy and takes multiple biopsies for accurate diagnosis.
Is a gluten-free diet really necessary?
Yes, strict lifelong gluten-free diet is essential even if you feel well. Continued gluten exposure causes intestinal damage and increases risk of complications including osteoporosis and lymphoma.
What if my symptoms don't improve on a gluten-free diet?
Ongoing symptoms may indicate hidden gluten exposure, associated conditions (microscopic colitis, lactose intolerance), or rarely refractory coeliac disease. Dr Mahesh can investigate further.
Do I need follow-up after diagnosis?
Yes, regular monitoring ensures adherence to diet and checks for complications. Dr Mahesh recommends annual blood tests and periodic review. Repeat endoscopy may be needed if symptoms persist.
Can coeliac disease cause other health problems?
Untreated coeliac disease increases risk of osteoporosis, anaemia, infertility, and certain cancers. Strict gluten-free diet reduces these risks. Dr Mahesh may recommend bone density scans and vitamin checks.
How much does coeliac diagnosis cost privately?
Initial consultation £225, gastroscopy from £1,500. This includes biopsies and histology. Many patients prefer private diagnosis to avoid NHS waiting times.
Get Expert Help for Coeliac Disease
Book a consultation with Dr Mahesh to develop a personalised treatment plan.
Book ConsultationMedical Review: This page was written and reviewed by Dr Venkat Mahesh, Consultant Gastroenterologist (GMC: 6036279), MBBS, MRCP, FEBGH, PGDip Clinical Nutrition. Last updated 2026-03-01.