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Doctor insights on: Treatment Of Gluten Enteropathy

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What would be likely first line treatment for severe presumed non-coeliac enteropathy in an adult? Budesonide ?

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

Gluten (Definition)

Wheat barley rye contains gluten, a protein molecule that in susceptible people can cause reactions and long term illness. There is celiac, the most well known and severe gluten disease. There is gluten sensitivity, affecting more people, but usually milder. There is wheat allergy, less common than the others. The treatment, for now, is to avoid all gluten in ...Read more


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Protein-Losing Enteropathy in the intestine. Protein levels slowly improving. What is best treatment options for me? Is lymphoma a cause or concern?

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

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Immune mediated enteropathy.Gluten free. Ongoing bowel issues. Not coeliac.any other possible food causes? Corn possible irritant? GF food ubiquitous

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

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What's the treatment for gluten insensitivity?

What's the treatment for gluten insensitivity?

Avoid gluten: 6 percent of the u.S population has gluten sensitivity. 1 percent has celiac. There is no objective test to prove gluten sensitivity. If one cuts out gluten, they should feel fine if he or she is gluten sensitive. Celiac on the other hand can be confirmed by endoscopy and/or blood tests. If you have any suspicion of this you should see a doctor. ...Read more

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What is the typical treatment plan for someone just diagnosed with celiac disease, aside from avoiding gluten?

What is the typical treatment plan for someone just diagnosed with celiac disease, aside from avoiding gluten?

That's it: There is research ongoing to find a treatment but currently avoidance is the only answer. For the neuropathy, be sure to check for vit B12 def. ...Read more

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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

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

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Can treatments for autism like gluten-free diets really work?

Can treatments for autism like gluten-free diets really work?

No: Not really.But kids with varying degrees of autism do have other comorbid conditions such as allergies or gluten sensitivity. So they feel better with the gluten free diet.But it does not seem to help the umderlying autistic problem.There is certainly no positive evidence. ...Read more

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How is eosinophilic enteropathy diagnosed?

How is eosinophilic enteropathy diagnosed?

Biopsy: It is a diagnosis established after your doctor has performed endoscopy with biopsy. The biopsies from gastrointestinal tract show increase eosinophils. Usual presentation is diarrhea of unknown etiology. ...Read more

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What is eosinophilic enteropathy?

What is eosinophilic enteropathy?

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 more

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What is the disease course for eosinophilic enteropathy?

What is the disease course for eosinophilic enteropathy?

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

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What are the signs and symptoms of eosinophilic enteropathy?

What are the signs and symptoms of eosinophilic enteropathy?

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

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Is VSL#3 safe to take with entocort? Enteropathy. Is there a risk of bacteraemia?

Is VSL#3 safe to take with entocort? Enteropathy. Is there a risk of bacteraemia?

VSL#3: VSL #3 is a fairly well studied and respected probiotic. The Entocort is a corticosteroid. The two should be fine together, but check with your Gastoenterologist, and make sure you always list supplements like VSL #3 when you review your medications with your doctors. ...Read more

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Could steroid diabetes attenuate potential (desired) weight gain in an enteropathy?

Could steroid diabetes attenuate potential (desired) weight gain in an enteropathy?

"Steroid": diabetes is usually a simple elevation or blood sugars and is seldom very "symptomatic" What sugar is lost via the urine is "balanced" by the weight gain associated with the steroids themselves!

Hope this is helpful!
Dr Z ...Read more

Dr. Ihor Zakaluzny
420 doctors shared insights

Intestinal Diseases (Definition)

Intestinal diseases = disorders of the alimentary canal (from end ...Read more