id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-013212-lx614fy4	Nobel, Yael R.	Reply to GASTRO-D-20-01179	2020-10-14		.txt	text/plain	588	37	55	1 In their letter titled "Focusing on gastrointestinal symptoms in COVID-19 is far from enough", the authors suggest that in patients with COVID-19, stool-based testing for leukocytes and erythrocytes/occult blood, rather than patient-reported gastrointestinal symptoms, should be considered. We reviewed their data with interest but remain unconvinced that stool-based testing adds value to the clinical diagnosis of diarrhea among patients with known or suspected COVID-19. In our study, conducted among outpatients with respiratory symptoms being evaluated for COVID-19 during the height of the pandemic, the presence of gastrointestinal symptoms (diarrhea or nausea/vomiting) was associated with a 70% increased risk of testing positive for SARS-CoV-2. In sum, our study found that the presence of gastrointestinal symptoms (diarrhea with or without nausea/vomiting) predicted a positive test for SARS-CoV-2 among patients with respiratory symptoms at the height of the COVID-19 pandemic.	./cache/cord-013212-lx614fy4.txt	./txt/cord-013212-lx614fy4.txt