#95: Food allergy, food intolerance and celiac disease

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Separate the wheat from the chaff when it comes to food allergy, food intolerance, and celiac disease. Featuring renowned gastroenterologist and current president of the American Gastroenterological Association, Dr. Sheila Crowe MD FRCPC FACP FACG AGAF, we discuss how to differentiate a food allergy from an intolerance, what diagnostic testing is appropriate, and why fructans might be the real culprit in patients with ‘gluten sensitivity’.

Full show notes available at http://thecurbsiders.com/podcast

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Credits:

  • Written by: Sarah P. Roberts, MPH
  • Guest: Sheila Crowe, MD
  • Hosts: Matthew Watto, MD; Stuart Brigham, MD; Paul Williams, MD
  • Producers: Sarah P. Roberts, MPH and Chris Chiu, MD
  • Editor: Matthew Watto, MD

Time Stamps:

  • 00:00 Disclaimer
  • 03:35 Getting to know our guest, book recs, and career advice
  • 10:35 Clinical case
  • 11:40 Defining allergy, intolerance
  • 14:05 Food intolerance and FODMAP
  • 18:02 Taking a history in patient with potential food allergy vs intolerance
  • 21:34 Dermatitis herpetiformis, gluten ataxia, and extraintestinal manifestations of celiac
  • 26:12 Diagnosing celiac disease
  • 30:53 Next steps if celiac testing is negative; lactose, fructose intolerance, IBS
  • 33:48 Non-celiac gluten sensitivity (NCGS)
  • 37:48 Study of NCGS
  • 40:41 Olmesartan and drug-induced enteropathy
  • 43:38 Dieticians, dietary recs, elimination diets
  • 48:10 “Voodoo” testing
  • 52:36 Counseling patients on diet
  • 54:35 Take home points
  • 55:50 Outro

Tags: food, allergy, intolerance, sensitivity, celiac, disease, diarrhea, diet, fodmap, paleolithic, paleo, weight, loss, lactose, olmesartan, refractory, protein, gluten, fructan, wheat, anaphylaxis, tTG, genetic, gene, testing, assistant, care, doctor, education, family, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

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