To the Editor: In their Rational Clinical Examination article, Dr Ford and colleagues1 considered history and physical examination in establishing irritable bowel syndrome (IBS) as a cause of a patient's lower gastrointestinal symptoms. In their discussion, they stated that current guidelines for the management of IBS do not recommend routine screening for celiac disease.
Kittisupamongkol W. Testing for Celiac Disease in Patients With Symptoms of Irritable Bowel Syndrome. JAMA. 2009;301(11):1126. doi:10.1001/jama.2009.272