4min chapter

The Curbsiders Internal Medicine Podcast cover image

#267 Diarrhea Disemboweled Part 2: Chronic Diarrhea with Dr. Iris Wang

The Curbsiders Internal Medicine Podcast

CHAPTER

The Benefits of a Full Elimination of FODMAPs

With the most chronic conditions, giving a patient a menu of options helps. In chronic diarrhea, remember that osmotic diarrhea improves with fasting. Your fecal calprotectin is a really good measure to distinguish inflammatory versus noninflammatory diarrhea. Remember that fecal fats are elevated in rapid transit. And then your workup for when you're considering a functional diarrhea, think about ruling out celiac disease and doing biolacid testing if it's possible. You can't just hang your hat on a mild positive and a fecal fat analysis.

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