Doctor insights on:
Can small cell lung cancer cause malabsorption through zolinger Ellison syndrome. Would this be a presenting sign of sclc before it shows on ct scan?
Uncommon: Most Zollinger-Ellison / gastrinoma are from islet cell tumors of the foregut. Oat cell carcinoma can produce other paraneoplastic syndromes, famously the anti-nerve cell ones, before being visible on chest ray, but it announces itself fast enough. And what are you going to without a localized tumor? Take out both lungs? Look for some other cause for any suggestive symptoms. Good question Gill. ...Read more
Is the primary tumor in sclc hard to find and does this mean it isn't diagnosed until spread to lymphs even if symptomatic before lymphs enlarge?
Small cell lung CA: It's not so much that it's small; it's that it's extremely aggressive. At autopsy, I've found folks with ten or twenty pounds of metastases around the body, and the lung primary (easy to spot as it's got a typical apperance) is the size of my fingernail. Rarely, a paraneoplsatic syndrome like Ehlers-Danlos can prompt imaging that spots a tiny tumor early. So I think you're right. Best wishes. ...Read more
Gas, bloat, diarrhea: Fructose is a sugar that can be malabsorbed, just like lactose (milk sugar); bacteria in the gut will ferment the undigested sugar; fermentation products cause gas, bloat, cramps, diarrhea-depending on the "dose" of fructose. Fructose is found in fruits, e.g. Pears, apples. High fructose corn syrup is not high fructose, but is compared to cs (all glucose). High fruct cs is similar to sucrose. ...Read more
Fructose intolerance: Describes 2 possible conditions: hereditary fructose intolerance, a rare genetic disorder, is lack of an enzyme that breaks down fructose; it is serious and can lead to liver and kidney damage. Fructose malabsorption is difficulty digesting fructose and is less serious but can cause abdominal pain, gas, bloating and diarrhea. Restricting dietary fructose can help. ...Read more
Simple choice: The patients with congenital or acquired fructose intolerance need only to avoid foods with this sugar in it. This is the sugar of all fruits and fruit juices. Sometimes a person with the problem can tolerate small amounts that may be contained in other foods without symptoms. Read labels of canned or processed foods to check for fructose content. ...Read more
Not absorbing well: Malabsorption is the diminished absorption of dietary nutrients from the intestine. The primary symptom is diarrhea. There are multiple causes of diarrhea and a large number of causes of malaborption. For example, there is carbhohydrate, fat, Amino Acid and vitamin malabsorption. It is important to identify the cause so that treatment can be initiated to prevent malnutrition. ...Read more
i suspect that you have chronic diarrhea and want to know about all the digestive disorder that can be thought of. We need to worry about the common ones: lactose intolerance for carbohydrate absorption, fat malabsorption causing steatorrhea, global malabsorption from diseases of mucosal lining of intestines, celiac disease due to allergic inflammation, and cystic fibrosis, etc.... ...Read more
See below: Diarrhea, increased gas, cramping, alterations in gastrointestinal motility, changes in bacterial flora. ...Read more
I have fructose malabsorption. What are some safe low fructose vegetables to eat? Please help me.
Most vegies OK: Of the common vegies, artichokes, asparigas and sugar snap peas are the ones with enough fructose to be avoided. Most vegies are ok. As long as you avoid most fruits you should do ok. Bananas, blueberries and strawberries may be tolerated to some degree. Depending on your level of sensitivity, a visit with a registered dietition may be worthwhile. ...Read more
How common is fructose malabsorption and what are the symptoms? Which foods should be avoided with it?
Be sure of diagosis: Malabsorption is complex and may reflect bacterial fermentation from sibo, small bowel inflammation or mucosal disease (lots of causes), GI transit issues, pancreatic enzyme activity and sufficiency, etc. A fructose re-trial on your part after sibo eradication may be worthwhile. ...Read more
Could gastroparesis cause a malabsorption issues with meds? Is there a solution for meds to be more effective?
Gastroparesis: Erratic absorption of medication may occur because of delayed emptying of the stomach ...Read more
What caises malabsorption? What tests should I do to find out what is causing it to? Is food intolerance one of? What foods to avoid?
I have fructose malabsorption. What are some safe low fructose vegetables to eat? Please mention specific vegetables. Thank you so much
Here's a whole list (with specifics) from the univ. Of virginia:
http://uvahealth. Com/services/digestive-health/images-and-docs/low-fructose-diet. Pdf. ...Read more
If a person with fructose malabsorption continues eating offending foods what are the consequences? Are there any long-term/serious consequences?
Cramps, loose poo, gas: Different from some food issues, consumption of this material by those who do not digest it prfoduces limited side effects. Similar to eating saw dust, it will go through you, but it will feed gut bacteria that can digest it, creating gas and draw water along. You will cramp and have gas and loose poo. Most affected people learn how much of these materials they can eat without feeling too bad. ...Read more
Depends on what: Milk can be malabsorbed if there is a lactose intolerance from insuffucient lactase to digest it (common). Gluten, if there is a gluten intolerance. Vitamin B12 if there are disorders like pernicious anemia, atrophic gastritis. Various products may not be absorbed properly after gastric bypass surgery, recurrent pancreatitis, bowel resection, some parasite infestation. The message: check it out. ...Read more
Wording issue: If you have an illness that injures the absorptive surface of your gut, all foods will not be as well absorbed. This can be transient, as a gut virus or long term, as an immune/allergy/intolerance to a number of ingested items. Red #40 is a food dye that causes problems for some, gluten in grains does for others, there are many more. Individual testing can identify specifics when needed. ...Read more
Many issues: The functioning gut will absorb the foods it processes when it is healthy. Af you have injury to the gut, from disease (cystic fibrosis, crohn's), surgical loss, food allergies, food intolerances, poor absorption will occur.Gluten sensitivity is a timely topic. No 40 red food dye & lactose intolerance, the list goes on. Some malabsorption is transient, like after diarrhea, some is long term. ...Read more