Moderators TakeHome Points Helen M' Shields, MD, AGAF

1
Moderators Take-Home PointsHelen M. Shields,
MD, AGAF

• Test for celiac disease in a patient with iron
  deficiency, elevated transaminases or an
  autoimmune disorder.
• Use symptom criteria to identify the patient with
  irritable bowel probe for warning signs.
  Consider the possibility of symptoms due to
  poorly absorbed sugars or celiac disease.
• Give a cholestyramine trial in a chronic diarrhea
  patient since defects in the ileal bile acid
  transporter may be present.

2
Moderators Take-Home PointsHelen M. Shields,
MD, AGAF

• Treat severe C. Difficile colitis with oral
  vancomycin use a prolonged taper of vancomycin
  a pulsed dose vancomycin regimen for multiple
  recurrences.
• Diminish flatulence and bloating in irritable
  bowel patients by elimination diets and/or single
  species or combination probiotics.