Question

A 29-year-old with coeliac disease has persistent symptoms despite adherence to a gluten-free diet. What is the recommended next step in investigation?

Accepted Answer

Repeat endoscopic biopsy

Answer

Video capsule endoscopy

Answer

Stool culture for pathogens

Answer

Test for small intestinal bacterial overgrowth (SIBO)

Answer

Empirical steroid trial

Practice question

A 29-year-old with coeliac disease has persistent symptoms despite adherence to a gluten-free diet. What is the recommended next step in investigation?