Doctor insights on:
How Is Eosinophilic Enteropathy Diagnosed
Interesting disorder: Eosinophilic enteropathy (& perhaps a related condition, eosinophilic esophagitis) is an autoimmune condition in which eosinophils (1 of the types of white blood cells, normally used to fend off parasitic infections) start attacking the gastrointestinal tract instead. It is sort of like an allergy (which cause eosinophil release) affecting the small intestines ("enteropathy"). Symptoms r variable. ...Read moreSee 1 more doctor answer
Varies with location: Uncommon disorder. Xs eosinophils (type of wbc) in parts of gut, esophagus, stomach, small bowel, colon. Symptoms can vary with layer of gut involved: pain, nausea, cramps, diarrhea, swallowing issues, anemia. Diagnosis needs endoscopy and biopsy. Rx varies; can include diet changes, meds. ...Read more
I will tell you: The symptoms of eosinophilic gastroenteritis vary depending on where the eosinophils build up in the gastrointestinal system and which “layers” of the intestinal wall are involved. Symptoms often include pain, skin rash, acid reflux, anemia (http://www.Nlm.Nih.Gov/medlineplus/anemia.Html) , diarrhea, stomach cramps, bleeding, nausea. ...Read more
Many tests.: Doctors have at their disposal many tests to diagnose small intestinal diseases. Which test they choose depends on what they think may be wrong. Some of the available tests include small bowel series, small bowel pill can, CT scan, upper endoscopy,and many others. See your doctor to figure out the best approach in your situation. Good luck. ...Read more
Is there potentially significant systemic absorption of oral budesonide in the setting of coeliac sprue enteropathy?
What would be likely first line treatment for severe presumed non-coeliac enteropathy in an adult? Budesonide ?
The cause: One needs to know what the cause is followed up by avoidance and treatment measures. Do you know the diagnosis on your enteropathy ? ...Read more
What is autoimmune enteropathy? My protein levels has improved to 5.4 from 4.9 and albumin is 3.4 from 2.8. Could CVID cause this? I have high eosinop
Yes it could: Autoimmune enteropathy is a rare disorder characterized by sever and protracted diarrhea,weight loss from malabsorption and immune -mediated damage to the intestinal tract. Subjects with autoimmune enteropathy may be affected by other autoimmune disorders. CVID common variablble immune deficiency is a disorder that impairs the immune system People with CVID are highly susceptible to infections ...Read more
Protein-Losing Enteropathy in the intestine. Protein levels slowly improving. What is best treatment options for me? Is lymphoma a cause or concern?
Enteropathy: Protein loss from the gastrointestinal tract is usually due to the massive overexcretion of mucous from areas of overgrowth of normal lining. The classic is Menetriere's Disease which is an overgrowth of the normal lining in the stomach. Lymphoma can cause protein loss from the gi tract. If you have not seen a GI MD do so. ...Read more
Immune mediated enteropathy.Gluten free. Ongoing bowel issues. Not coeliac.any other possible food causes? Corn possible irritant? GF food ubiquitous
???????: There are many possibilities with gut sensitivities.A variety of food additives (#40 red or others) can trigger Irritable bowel symptoms. One GS patient I follow has test positive cross reactions to milk, casein,egg, corn chocolate and others but can handle small amounts. There are labs that test for IgG, IgA and IgE food reactions that might be available to you. ...Read more
What is the pathogenesis of villous atrophy induced by bacterial overgrowth ? How does it cause the atrophy? sprue-like enteropathy uknown aetiology
I know: that you have been waiting for an answer and the problem is that there is none. You ask what the pathogensis of sprue like enteropathy of UNKNOWN etiology is.....the answer is its UNKNOWN...Bacterial overgrowth can be treated ..AND THAT'S WHAT IS IMPORTANT HERE!!!!! Your bowel symptoms helped with the use of certain ANTIBIOTICS! I hope this helps and that you have a healthier New Year! Dr Z ...Read more
My GI doc thinks intestinal inflammation is causing my protein-enteropathy. How do I cure this problem? I am 6'1 224. My protein total is 4.9/albu-2.9
"Leaky gut"?: Often, patients complain of altered stool pattern (diarrhea) abdominal pain, bloating, gassiness, fullness, distension, nausea, cramps. Similar symptoms may present with IBS versus leaky gut (which by comparison is a disease process caused by many etiologies). We can be of more help if we know what tests have been accomplished & with what results. Has inflammatory bowel disease been ruled out? ...Read more
I have Wastebasket dX of an immune mediated enteropathy. Aza & budesonide. Any potentially useful adjuvants? Nutritional strategies/supplements ?
In 400 characters!: Consider: IBD (Crohn's/Ulcerative colitis), microscopic colitis (collagenous, lymphocytic), IBS, dysmotilities, diverticular diseases, infiltrative processes, polyps, autoimmune, parasites, viral & bacterial infections, drug-induced diseases, ischemic gut, hernias (internal & external), trauma, rupture/perforation, leaky gut, surgical issues/repair, dysbiosis, cancer, appendicitis, lots more. ...Read more
Tough question: It depends what is available. Video capsules have been used. From an imaging perspective some form of enteroclysis is best. Probably ct or mr enteroclysis is the best test, but these procedures are not widely available. Even traditional enteroclysis is not widely available. Routine imaging is usually done with ct and conventional small bowel follow through. ...Read more
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