*the podcast will be changing to every other week during the COVID-19 outbreak due to my interviewees busy schedules*

Today I have Kara Siedman here to chat with us about sucrase isomaltase deficiency (CSID) and discuss overlap with IBS presentation. Once thought of as extremely rare and only diagnosed in paediatrics, CSID is being found to be more prevalent than we once thought. With symptoms overlapping with IBS, learn how the conditions are similar, and how to move through helping patients find the right diagnosis.

Nutrition Pearls for CSID

  • Once thought to be predominantly diagnosed in pediatrics, we are now finding CSID to be diagnosed in more adults
  • Symptoms often present similarly to IBS – bloating, abdominal pain and diarrhea are the most predominant symptoms
  • CSID is something that can be considered if traditional IBS management therapies fail as patients often present with similar symptoms
  • It’s not uncommon that diagnoses overlap – a patient with CSID may also have elements of IBS that require attention to those interventions (like FODMAP)
  • Small bowel biopsy, 13C sucrose breath test, or a dietary trial may be indicated in patients dependant on access to testing

Kara Siedman is a Registered Dietitian Nutritionist, Certified Diabetes Educator, and the Manager of a well-established nutrition practice within a large gastroenterology clinic in Colorado. Kara is also a certified yoga teacher whose nutrition philosophy embraces real food, integrative medicine and mindfulness. Kara’s goal is to help patients reach their maximum potential in health and wellness through a whole foods, individual and functional approach. In her spare time, you can find Kara on the yoga mat or kickboxing at home and playing in the woods with her husband and fur baby.

Kara and I chat about:

  • What sucrose intolerance (congenital sucrase isomaltase deficiency or CSID) is
  • What are the symptoms?
  • Who is at risk?
  • How is it diagnosed?
  • What sorts of foods do people have to avoid or limit?
  • How diet plays a role in managing symptoms, and considerations with overlap in IBS patients
  • What medication options are there? 

You can learn more about Kara’s practice at www.rmgnutrition.com

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