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. Author manuscript; available in PMC: 2015 Jan 1.
Published in final edited form as: Expert Rev Gastroenterol Hepatol. 2013 Nov 25;8(1):49–61. doi: 10.1586/17474124.2014.851599

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].