C oeliac disease is an autoimmune condition where there is damage to the small intestine triggered by exposure to dietary gluten. Gluten is the collective name for proteins contained in wheat, barley and rye. This article aims to inform readers on the current guidance on when and how to investigate patients for possible coeliac disease, and how to manage patients with the condition. The GP curriculum and coeliac disease Clinical example 3.13: Digestive health lists the learning objectives required for a GP to manage coeliac disease in the community. In particular, GPs are expected to be able to:. Understand the epidemiology of digestive problems as they present in primary care and their often complex aetiology. Demonstrate a systematic approach to investigating common digestive symptoms, taking into account the prevalence of these symptoms in primary care and the likelihood of conditions. Understand dietary factors associated with various gastrointestinal conditions and offer appropriate dietary advice. Have a good understanding of the impact of gastrointestinal symptoms and illness on patients, their families and their wider networks. Support people to self-care, particularly those with chronic symptoms
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