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Doctor insights on: Medicine For Tropical Sprue

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Are the symptoms of tropical sprue severe?

Are the symptoms of tropical sprue severe?

Tropical sprue: It can be. The symptoms of tropical sprue -- not to be confused with celiac sprue -- can be severe, which can include severe diarrhea, ongoing fluid losses, malabsorption of nutrients, and profound weight loss. If left untreated, it can lead to death. The lining of the intestines is inflamed and damaged. Interestingly, the cause is still unknown but thought to be related to an infectious trigger. ...Read more

Dr. John Chiu
635 doctors shared insights

Celiac Disease (Definition)

An immune reaction to eating gluten, a protein found in ...Read more


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How to distinguish CELIAC SPRUE and TROPICAL SPRUE??

Infection vs allergy: Celiac sprue occurs when your body develops IGA antibodies to a components of wheat (gluten,gliaden). These antibodies then attack your intestinal absorptive surfaces and injure them.Poor nutrient absorption then occurs, and continues to occur as long as your diet includes the foods that contain gluten.Tropical sprue describes the same poor absorption, but the cause is an infection of the bowel. ...Read more

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Are there any new treatments for tropical sprue?

Not aware of: Treatment with frolic acid and antibiotics.
For a complete info please read: http://www.Nlm.Nih.Gov/medlineplus/ency/article/000275.Htm. ...Read more

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How to take tetracycline tablets 250mg four times a day for tropical sprue?? And any special precautions??

Tetracycline/sprue: Tetracycline sensitizes skin to sun exposure so that sunscreen is very important to prevent sunburn and skin damage. Drinking milk with it impairs absorption. It is best taken one hour before meals or 2 hours after meals. Bactim 2Xs a day is easier. Schedule doses.

http://www.webmd.com/drugs/mono-73-TETRACYCLINE+-+ORAL.aspx?drugid=5919&drugname=Tetracycline+Oral ...Read more

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Which tests are needed to be positive for proper diagnosis of TROPICAL SPRUE in INDIA?As I have chronic inflammation in duodenum but cause is unknown.

Which tests are needed to be positive for proper diagnosis of TROPICAL SPRUE in INDIA?As I have chronic inflammation in duodenum but cause is unknown.

H Pylori: Get tested for H Pylori first. If negative then other things. Basic food and water and sanitary conditios are more responsible for your symptoms. More likely you have chr amebiasis/giardiasis/parasites. ...Read more

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How to take tetracycline 500mg(2 times a day) for tropical sprue for best outcome?? I mean before meal or after meal??

Tetracycline: Do not take tetracycline with food, especially dairy products such as milk, yogurt, cheese, and ice cream.
Drink a full glass of water with each dose of tetracycline and take it two hours after eating or two hours before eating. ...Read more

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My celiac test came negative but i had lymphoplasmacytic infiltrate in lamina propria (Duodenum). Can it be tropical sprue as i am from India???

My celiac test came negative but i had lymphoplasmacytic infiltrate in lamina propria (Duodenum). Can it be tropical sprue as i am from India???

Maybe, or...: ...its clinical significance may be as yet undefined. Try this reference: http://www.ncbi.nlm.nih.gov/pubmed/?term=lymphoplasmacytic+infiltrate ...Read more

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I had inflammation in small intestine but celiac and chron's result are negative. As i live in india so is it possible that it could be tropical sprue?

Tropical sprue : Could be tropical sprue - but need to know how celiac and crohn's was ruled out. If you had a colonoscopy plus biopsy, they wshould have seen signs of trpical sprue. ...Read more

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I have ulcerative colitis but also have chronic inflammation in duodenum. So can ulcerative colitis and tropical sprue occur together as I am INDIAN.

Yes!: This requires really careful consideration by your GI doctor. Because the other possibility is that you DONT have ulcerative colitis but that you have Crohn's disease. So make sure your doctor has a chance to sort through all of your clinical data before making a game plan. ...Read more

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I am suffering from TROPICAL SPRUE but my doc tretas me with folic acid only, no tetracycline. So is it alone capable of treating it or not??

I am suffering from TROPICAL SPRUE but my doc tretas me with folic acid only, no tetracycline. So is it alone capable of treating it or not??

Not sure.: Once diagnosed, tropical sprue can be treated by a course of the antibiotic tetracycline or Sulfamethoxazole/Trimethoprim (Co-trimoxazole) for 3 to 6 months, as well as supplementation of vitamins B12 and folic acid.if you are concerned as to why he is not giving you antibiotics ask him. ...Read more

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Chronic non-specific inflamation in duodenum. Could this be tropical sprue as celiac blood test came negative and I am from India?? Very confused.

Chronic non-specific inflamation in duodenum. Could this be tropical sprue as celiac blood test came negative and I am from India?? Very confused.

Correlation required: This could be anything from medication effect (aspirin, motrin, others) to spicy food. Your physician will use this information as one piece of the puzzle. ...Read more

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Can ulcerative colitis and tropical sprue sometimes occur Together.Diagnosed with ulcerative colitis and inflammation in small intestine due to e.coli?

Can ulcerative colitis and tropical sprue sometimes occur Together.Diagnosed with ulcerative colitis and inflammation in small intestine due to e.coli?

Depends: Ulcerative colitis can affect the terminal ileum and if that is the only part of small intestine affected, there is no need to invoke a second disease. This should best be discussed with your doctor who has more information about your health. ...Read more

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Doe vitamin B12 deficiency (due to tropical sprue) can cause hair loss at hairline??? And is this type of hair loss is reversible???

Doe vitamin B12 deficiency (due to tropical sprue) can cause hair loss at hairline??? And is this type of hair loss is reversible???

Hairloss: Since the growth of hair requires several things including nutrition, vitamins and hormones, having tropical sprue would definitely cause your body to be stressed thus possibly lead to some hair loss. This type of hair loss is known as telogen effluvium. Usually will resolve when the underlying problem is taken care of. ...Read more

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Is soriatane (acitretin) gluten free? I have celiac disease is this drug contraindicated for celiacs?

Is soriatane (acitretin) gluten free? I have celiac disease is this drug contraindicated for celiacs?

Soritane: Soritane is related to vitamin a. Excess vitamin a can cause an increase in intracranial pressure. Tetracycline can also cause an increase in intracranial pressure, so the two medicines should not be used together without careful monitoring. Soritane is not related to gluten. ...Read more

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I often get sprue how to heal it?

I often get sprue how to heal it?

No Gluten: Sprue is also called celiac disease. When you eat foods with gluten (ex wheat), your body attacks your small intestine's absorptive cells and you cannot absorb important nutrients. This leads to diarrhea, weight loss & nutrient deficiency. Avoid all foods, vitamins, etc that contain gluten and see your doctor. ...Read more

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Dose anyone know about celiac sprue?

Dose anyone know about celiac sprue?

Sure...: Gluten-sensitive enteropathy (celiac disease) is much less common than gluten intolerance. Like lactose intolerance, caffeine intolerance, sorbitol intolerance (with regard to needing to restrict each respective substance), people who are gluten intolerant do better to avoid gluten-containing foods. Only about 10% of the population are gluten intolerant--an inflammatory condition of small bowel. ...Read more

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What are the symptoms of celiac sprue?

What are the symptoms of celiac sprue?

Many different ones: When patients with celiac disease eats gluten, they get "villious atrophy", the finger-like projections in their small intestine shrink and fail to properly absorb nutrients. This can result in symptoms of: "1) those due to malabsorption, and (2) those due to malnutrition including vitamin and mineral defiencies". http://www.webmd.com/digestive-disorders/celiac-disease/celiac-disease-symptoms. ...Read more

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How can one die from celiac sprue disease?

How can one die from celiac sprue disease?

Rare complications: Long-term untreated celiac sprue can rarely be associated with lymphomas of the bowel-these can be fatal (also can be treated, cured sometimes), increased risk for esophageal cancer (bad disease); other conditions associated which uncommonly can lead to complications. Recognized and treated celiac patients can live long, full, healthy lives. ...Read more

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What is best diet with celiac sprue -help!?

What is best diet with celiac sprue -help!?

Gluten: Exclude foods containing gluten. Gluten is a protein found in wheat (including kamut and spelt), barley, rye, malts and triticale. It occasionally can contaminate oats so use gluten free oats. ...Read more

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How do you diagnosea and treat celiac sprue?

How do you diagnosea and treat celiac sprue?

Blood and biopsy: There are good blood tests to diagnose celiac disease, but the gold standard test is an endoscopic biopsy. ...Read more

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What does it mean if my wife has celiac sprue?

Sprue: Celiac disease is a condition that damages the lining of the small intestine and prevents it from absorbing parts of food that are important for staying healthy. The damage is due to a reaction to eating gluten, which is found in wheat, barley, rye, and possibly oats. ...Read more

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Positive celiac sprue test - what can I do next?

Positive celiac sprue test - what can I do next?

Avoid gluten: No wheat, no barley, no oats. Remember refined white flour - used to bake bread, cake and to make pasta - is wheat. Another thing to remember - you are not alone. ...Read more

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How does celiac sprue affect your health, organs?

How does celiac sprue affect your health, organs?

Celiac sprue risks: With celiac disease, exposure of the intestine to any gluten causes inflammation of affected gut lining, with a decrease in absorptive surface of that gut, & resulting malabsorption of food. The best & most enduring fix is to avoid eating any gluten. Otherwise, untreated /undertreated celiac disease can result in anemia, weight changes, bone thinning, & even a higher risk of intestinal cancer. ...Read more