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

#95 Food allergy, food intolerance and celiac disease

The Curbsiders Internal Medicine Podcast