The onset of celiac disease can happen at any stage of life. And I don't think wheat is any less a part of the typical American diet than it is in India. But it may be true that we probably introduce wheat later into the diet after birth in the West than is common in India. I'm not sure it is accurate to say that having Asian genes affects the diagnostic process. Celiac disease is not uncommon in India. We have lots of Indian celiacs who have participated in our forum. It probably is true that the recognition of celiac disease in India by the medical profession happened later than it did in the West but I think it has become just as common in India as it has here. 

Thank you. Constipation is not a big problem, but have irritable bowel issues, more diarrhea. The burning chronic pain in my bladder is unbearable.  I also have increased pressure in my pelvis. 

@Wheatwackedcan you elaborate your systems and after how many years of eating gluten you and your family get dignos with celiac,  did you do endoscopy? What was the state of you small intestines or lining, it casued any major damage is long run? In india dr don't even test for celiac as whaet is part of indian food and we have been eating since birth. Hence I don't trust doctors here.

@trents i m just confused as his billirubin is high 1.4 and EVB virus detected. Not sure if that's causing his Igg Iga numbers high or hr has celiac.  This whole process made us stress. Not dr is good enough here to get to the conclusion,  definitely i will consult in india, as here medical is very poor,  only cure is good, diagnosis process is pathetic! They should guide is better way, why his billi is high, why EVB VIRUS test detected positive,  how it's different from being Asian and American genes, eating habits and overall. 

That's a shame, but on another tack - if you are coeliac with digestive issues, such as constipation, you may find that as they settle that might help somewhat.  I've just had a quick read online and I see, for example, that constipation can exacerbate IC pain. https://www.healthline.com/health/constipation/interstitial-cystitis-and-constipation I suffer from pelvic pain and any digestive issues can greatly affect that.   It is like the extra pressure aggravates the nerves.