#95 Food allergy, food intolerance and celiac disease

The Curbsiders Internal Medicine Podcast

Education, Medicine, Higher Education, Science, Health & Fitness

4.8 • 3.3K Ratings

🗓️ 14 May 2018

⏱️ 58 minutes

🔗️ Recording | iTunes | RSS

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Summary

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’.

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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

Transcript

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0:00.0	The first Irish podcast is for entertainment education and information purposes only.
0:09.2	At the top of this discussion, it should not be used only by industry,
0:10.7	your orbit and industry is more in conditions.
0:12.0	For more of the views and success on this podcast,
0:13.2	or so-it-all those, it should not be interpreted perfectly
0:14.4	for official post-evaluation of the agency, the psychrompossil,
0:16.0	cash-like morons will end up in the outreach programs.
0:17.4	Indeed, there are any in fact there are none.
0:18.9	Pretty much we are responsible for this discussion,
0:20.0	but we do our homework and let's know when we're done.
0:21.4	Welcome back to the Curbsider.
0:27.4	Oh hi! How are you doing?
0:29.4	Good. I'm actually sitting next to you guys. This is really weird.
0:33.4	And awkward.
0:35.4	I don't feel awkward at all.
0:37.4	I don't care for this. It's somehow weirder than what we're apart.
0:41.4	I'm not sure if I'm right.
0:43.4	I'm not sure if I'm right or wrong.
0:45.4	I'm not sure if I'm right or wrong.
0:47.4	I don't care for this. It's somehow weirder than what we're apart.
0:51.4	I realize that both of my co-hosts do not like to be in the same room as me when we are recording.
0:59.4	We're just all anti-social. It's the problem.
	...

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