#95 Food allergy, food intolerance and celiac disease

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