Question

A 34-year-old woman presents with chronic diarrhoea, crampy abdominal pain and weight loss. She has iron-deficiency anaemia and positive anti-tissue transglutaminase antibodies. What is the most appropriate next step?

Accepted Answer

Start a gluten-free diet and refer to dietitian

Answer

Start steroids immediately for presumed IBD

Answer

Order colonoscopy only

Answer

Reassure and repeat antibodies in 1 year

Answer

Avoid gluten challenge and treat empirically

Practice question

A 34-year-old woman presents with chronic diarrhoea, crampy abdominal pain and weight loss. She has iron-deficiency anaemia and positive anti-tissue transglutaminase antibodies. What is the most appropriate next step?