MDforever
Back to Gastroenterology

Celiac Disease Symptom and Diet Tracking Journal

Daily Monitoring Tool for Celiac Disease Management

Gastroenterology

Create Your Video Presentation

This template doesn't have any video presentations yet. Be the first to create one!

Create Your Own AI Avatar Video

Record yourself for just 2 minutes to generate a professional AI video for your patients.

Get Started

Create Your AI Avatar

Be the first to create a video version of this content featuring your own AI avatar - just submit a quick 2-minute recording.

Create My AI Avatar Login

Template Content

Last updated: Mar 24, 2025

Personal Information

Name: _______________ Date: _______________

Daily Symptom Tracker

Rate severity (0-5, 0=none, 5=severe)

Gastrointestinal Symptoms

  • Abdominal Pain: ___
  • Bloating: ___
  • Diarrhea: ___
  • Constipation: ___
  • Nausea: ___

Other Symptoms

  • Fatigue: ___
  • Joint Pain: ___
  • Skin Rash: ___
  • Headache: ___
  • Brain Fog: ___

Food Diary

Breakfast

Time: ___________ Foods Consumed:

Lunch

Time: ___________ Foods Consumed:

Dinner

Time: ___________ Foods Consumed:

Snacks

Time: ___________ Foods Consumed:

Cross-Contamination Check

  • □ Used separate cooking utensils
  • □ Checked ingredient labels
  • □ Used clean preparation surfaces
  • □ Ate at home
  • □ Ate out (Restaurant name: ______________)

Notes

Stress Level (1-5): ___ Medications Taken: ________________ Other Observations: ________________

Weekly Summary

Total Gluten Exposures: ___ Worst Symptoms: ________________ Best Days: ________________

Bring this tracking sheet to your next gastroenterologist appointment

Create Your AI Avatar

Be the first to create a video version of this content featuring your own AI avatar - just submit a quick 2-minute recording.

Create My AI Avatar Login & Customize

Features

  • Create a professional AI avatar with just a 2-minute recording
  • AI-powered personalization
  • Editable content
  • Ready to share with patients