Doctor insights on:
How Might Eosinophilic Enteropathy Be Treated
Diarrhea bloating: Bloating and gas and even diarrhea are symptoms of lactose intolerance- seen more commonly with milk than with yogurt, since yogurt has live cultures that digests some of the milk sugar. A Gastroenterologist specialist can do a breath hydrogen test to see if your breath hydrogen rises in response to a lactose drink. That is one way to confirm lactose intolerance. ...Read more
See details: Treatment depends of the area of the body involved and the severity of the involvement. If it is due to an underling disease such as myeloma or hepatitis c, it is often most effective to treat that disease first. Primary cryoglobulinemia is often treated with Prednisone and/or immunosuppressives and occasionally with plasma exchange. ...Read more
Ulcerative colitis: Initial treatment of ulcerative colitis involves medications similar to Aspirin which work to reduce the inflammation of the colon. For acute episodes steroids may also be used. For patients who do not respond to medical treatment or develop intestinal obstruction, rupture, uncontrollable bleeding, or severe infection, surgery may be needed. ...Read moreSee 2 more doctor answers
Ascariasis: Because of the risk of complications, patients with ascariasis should always undergo treatment for ascariasis first. Medical therapy is usually not indicated during active pulmonary infection because dying larvae are considered a higher risk for significant pneumonitis. Albendazole 400 mg one dose orally is the drug of choice. Albendazole is not recommended during pregnancy. ...Read more
Peanut allergy: The only treatment for true peanut allergy (ige to peanut) is strict avoidance. Playing russian roulette with any peanut (or tree nut) allergy is dangerous. Periodic exposures tend to become more vigorous and rapid with each event. On the bright side, several centers are researching oral desensitization in the highly allergic. Epinephrine should be carried for treating anaphylactic emergencies. ...Read moreSee 1 more doctor answer
Misdiagnosis: Patients with chronic kidney disease (ckd)should see a nephrologist. To determine their stage, they need a 24 hour urine collection (24 uc) for creatinine clearance and protein. Once that is done, the stage of ckd the patient has is readily determined and therapy can commence. Did the patient in question have a 24 uc? Was the patient seen by a nephrologist? ...Read more
How can h.pylori can be killed..? Can peptic ulcers be completely cured? Along with esophagus..How?
ANTI-BIOTICS: plus BISMUTH containing liquid (eg: Pepto-Bismol) Can in most cases CURE..(Acid control may also be used) Speak with your PCP (Primary Care Provider) Hope this helps! Z ...Read more
I doubt it: With ulcerative colitis you really need to be having diarrhea with blood in it. Most lyme disease doesn't do this. I think the main connection would be fever and joint pain, which you can see with both. But I would imagine that UC would not commonly be mistaken for lyme disease. ...Read more
Gluten: In all practical terms, there is no such thing as Gordon poisoning. In the rear patients who have true celiac disease, it is vital to avoid all gluten because of reactions to it. In people who feel that they have intolerance to gluten, there are very in degrees as to how aggressively they need to avoid them. They are not poisoned by them, however. Hope this helps. ...Read more
Multiple fashions: It varies by stage (spread). It can be treated via chemotherapy or radiation therapy. Some use total skin radiation in some cases. In my practice, even when widespread and felt to be "incurable" focal radiation a small number of worst problemsites (say 2 or 3) can make it a long term issue when other methods of treatment fail. It is best to find a team of local md's who treat it often. ...Read more
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
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
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
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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