11th May 2024

A 7-year-old boy with a history of intermittent abdominal pain and chronic diarrhoea is referred to a paediatrician.

A 7-year-old boy with a history of intermittent abdominal pain and chronic diarrhoea is referred to a paediatrician. His mother mentions that the symptoms worsen after meals, particularly when he consumes bread and pasta. After extensive evaluation, including serological testing and duodenal biopsy, he is diagnosed with coeliac disease. The paediatrician discusses the management of coeliac disease with the family.

Which is the most appropriate initial management for this child?