A 34-year-old woman with chronic diarrhoea and bloating is suspected of having coeliac disease. She has been avoiding gluten for several weeks. Which ...

Question

A 34-year-old woman with chronic diarrhoea and bloating is suspected of having coeliac disease. She has been avoiding gluten for several weeks. Which is the most appropriate next step in investigation?

Accepted Answer

Reintroduce gluten into her diet and arrange coeliac serology (tissue transglutaminase IgA) while she is consuming gluten

Answer

Perform coeliac serology while she continues on a strict gluten-free diet

Answer

Start a gluten-free diet permanently without further testing

Answer

Order HLA typing alone and base diagnosis on HLA result

Answer

Arrange colonoscopy only

au-racgp MCQ (SBA): Coeliac disease diagnosis

A 34-year-old woman with chronic diarrhoea and bloating is suspected of having coeliac disease. She has been avoiding gluten for several weeks. Which is the most appropriate next step in investigation?