Nonspecific gastrointestinal symptoms and other nonmalabsorptive presentations

Patients with celiac disease can present with altered bowel habits, bloating, dyspepsia and abdominal discomfort [5].

Some studies suggest a subset of patients diagnosed as having irritable bowel syndrome (IBS) may have celiac disease [6, 7]. The mean prevalence of celiac disease was 3.4% in published series of IBS patients, and celiac disease is seven times more common in IBS patients than in age-matched controls.

A recent decision analysis study suggests that there is an acceptable cost of testing for celiac disease in diarrhea predominant IBS patients when the prevalence of celiac disease is greater than 1% [8], and another study suggests celiac screening is more worthwhile than searching for infections, malignancies and inflammatory bowel disease in IBS subjects with diarrhea [9].

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Gluten Free Living Secrets

Gluten Free Living Secrets

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