celiac disease, lactose intolerance, irritable bowel syndrome, diarrhea
The purpose of this paper is to assist nurse practitioners (NPs) and other primary care providers in differentiating between celiac disease (CD), lactose intolerance (LI), and irritable bowel syndrome (IBS) in adults. The Health Source: Nursing/Academic Edition, CINAHL, MEDLINE (EBSCO) search engines were utilized to access systematic reviews and primary research articles published between 2009–2016. Current literature supports that a thorough history and physical must be conducted and alarming symptoms must be investigated to rule out worrisome diagnoses. Based on subtle characteristics gathered from the history and physical, the NP’s examination and testing will help distinguish CD, LI, and IBS. Nurse practitioners should use a sequential process of examination and testing (see Figure-1) to distinguish gastrointestinal disorders that share common symptoms.
The College of Nursing showcases some of our best evidence based scholarly papers from graduate students in the Family Nurse Practitioner Program. The papers address relevant clinical problems for advance practice nurses and are based on the best evidence available. Using a systematic approach students critically analyze and synthesize the research studies to determine the strength of the evidence regarding the clinical problem. Based on the findings, recommendations are made for clinical practice. The papers are published in professional journals and presented at professional meetings.
BYU ScholarsArchive Citation
Larimer, Sophia M.; Freeborn, Donna; and Luthy, Karlen E., "Differentiating Celiac Disease, Lactose Intolerance, and Irritable Bowel Syndrome in the Primary Care Setting" (2016). All Student Publications. 182.
Copyright © 2016 Sophia Larimer All Rights Reserved
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