Table 1. Differential diagnoses of bile acid diarrhea.
Disorder/disease | Diagnosis and disease management |
---|---|
Food allergy (e.g., gluten/intolerance) | Dietary exclusion |
Sugar maldigestion | Sugar-breath H2 test; exclusion diet |
Celiac disease | IgA tissue transglutaminase serology + duodenal biopsy gluten-free diet |
Gluten intolerance, not Crohn’s disease | HLA-DQ2/8; trial of gluten-free diet |
Microscopic/lymphocytic colitis | Fecal calprotectin; colon biopsy; bismuth subsalicylate, budesonide |
Small bowel bacterial overgrowth | Duodenal aspirate and culture; glucose or lactulose-breath H2 test; find the cause for example, diverticula; treat with antibiotics |
Reproduced with permission from [80].