What to do if your patient has coeliac disease

When a diagnosis of coeliac disease is confirmed it is important to screen and treat nutrient deficiencies and any associated conditions, say gastroenterologists Dr Diana Lewis and colleagues in this month’s Australian Prescriber.

In addition to clinical assessment and checking for resolution of symptoms, tests are used for assessing the response to a gluten-free diet:

The authors advise GPs perform the following as a matter of course:

  1. Check antibody concentrations — these should start to fall by 3-6 months but can remain elevated (despite adequate