 [ Symptoms ] how can i tell if my child is depressed [ Disease ] diagnosis of celiac disease should be firmly established before commencing treatment with a gluten free diet for several reasons the gluten free diet is a lifelong and tedious commitment that should not be taken lightly it is more costly than a normal diet and has significant social implications for dining out patients with irritable bowel syndrome may experience improvements in bloating abdominal pain and diarrhea with a gluten free diet these patients may be misdiagnosed as having celiac disease without confirmation of celiac disease by small intestinal biopsy they may be unnecessarily committed to lifelong gluten restriction a gluten free diet can lower blood antibody levels and allow the small intestine to lose the typical appearance of celiac disease complicating subsequent efforts at making a firm diagnosis of celiac disease