Good morning, Maria. What brings you in today?, I’ve been having abdominal pain and feeling very bloated after meals for the past few months., I see. How long have you been experiencing this abdominal pain?, Around four months now, on and off, but more frequent lately., Have you noticed any changes in your bowel habits recently?, Yes, I’ve been having loose stools more often, especially after eating., Have you had any episodes of vomiting or nausea?, I feel nauseous sometimes but haven’t vomited., And how long have you been feeling bloated after meals?, Almost every day for a few weeks now., Your blood tests showed low hemoglobin and positive celiac antibodies. Have you been taking any medications for your symptoms?, Just some over-the-counter antacids occasionally., That’s helpful. I suspect celiac disease. We’ll need to confirm with an endoscopy and start a gluten-free diet if it's positive.

CASE STUDY 1, MARIA

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