What is the primary therapeutic approach for suspected food-responsive enteropathy?

• A. Diet modification
• B. Steroids
• C. Surgery
• D. Antibiotics

Answer: (A)

Diet modification is the primary therapeutic approach because suspected food-responsive enteropathy is driven by dietary antigens. The idea is to remove exposure to those antigens by starting an elimination diet—either a novel protein or a hydrolyzed protein formula—for about 6–8 weeks, while monitoring stool quality, appetite, weight, and overall signs. A positive response during this trial supports the diagnosis and allows ongoing dietary management as the main therapy. If there’s little to no improvement, reconsider other causes of chronic enteropathy and pursue different treatments as needed; steroids or antibiotics aren’t first-line in this scenario, though they may be used later if the diet trial fails or if other indications arise.