The full episode of this podcast can be found on all major podcast players. Click here to listen to the full episode.

Have you ever faced a medical issue that remained unresolved despite numerous tests and consultations? This is the story of a patient who experienced just that and how a second opinion changed everything.

In a recent episode of The Real GI Doc Show, Dr. Gandolfo discusses the case of a 51-year-old man with three months of unexplained abdominal pain, excess burping, and severe fatigue. Despite a series of negative tests and evaluations, including an upper endoscopy and CT scans, the patient’s symptoms persisted, leading him to seek a second opinion. The patient’s journey underscores the importance of a broad differential diagnosis and the value of a second opinion.

Dr. Gandolfo emphasizes the need to consider a wide range of potential diagnoses. He walks us through his thought process, considering conditions from peptic ulcers to gastroparesis. The patient’s lack of improvement on acid-suppressing medications suggested that the initial diagnosis of acid reflux might have been incorrect.

Dr. Gandolfo discusses a critical oversight in the patient’s initial endoscopy – a biopsy for celiac disease was not performed. After reevaluating and testing for celiac disease, the diagnosis became clear. The patient’s symptoms were caused by celiac disease, where the immune system attacks the small intestine in response to gluten.

The patient’s dramatic improvement on a gluten-free diet highlights the message: common symptoms can have uncommon causes. Dr. Gandolfo also provides information on celiac disease, including its symptoms, diagnosis, treatment, and dietary management.

This episode is more than a clinical case study; it’s a narrative about perseverance, patient advocacy, and the need for healthcare professionals to avoid cognitive biases like the anchoring fallacy.

Whether you are a healthcare professional, a patient with unresolved symptoms, or someone interested in medical mysteries, this episode offers valuable insights. Dr. Gandolfo’s expert commentary and the patient’s story provide a deeper understanding of the complexities of diagnosis and the impact of medical expertise.

For those curious about how a straightforward case of abdominal discomfort turned into a lesson on thorough medical evaluation, this episode is a compelling listen. It reminds us that in medicine, as in life, we must look beyond the surface to uncover the truth.

Never miss an episode! Subscribe to our monthly podcast newsletter here.

Categories: Podcast

View All Posts

Patient Newsletter

If you enjoyed this article, please sign up for our free patient newsletter to stay informed about gastrointestinal health and other related topics!