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Doctor insights on: Tropical Sprue In Children

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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 DON'T 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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How common is celiac disease in children?

How common is celiac disease in children?

Maybe 1% (1 in 100): Celiac disease affects about 1 in 100 people, to about 1 in 150 people. The exact numbers are not certain, but it affects a little less than 1% of the population. ...Read more

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What are some more subtle symptoms of celiac disease in children?

What are some more subtle symptoms of celiac disease in children?

Belly aches: There are many. .. Abdominal pain, cramping, diarrhea, bloated feeling. The more subtle sign might be growth delay - not growing as quickly as other kids. Also, certain kinds of rashes are subtle signs of celiac (look-up dermatitis herpetiformis). The trigger is wheat containing foods and other products. ...Read more

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What are the chances of passing my celiac disease to my children?

What are the chances of passing my celiac disease to my children?

5-10%: There are genetic influences in celiac disease but these increase susceptibility rather than predict outcome. Even identical twins do not always share the disorder. ...Read more

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Can my children get celiac disease if a adult has it is it hereditrty?

Can my children get celiac disease if a adult has it is it hereditrty?

Increased risk: There are heritable predispositions but it is still more likely the child will NOT develop the disease (4 to 1). ...Read more

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Does celiac disease cause nutrient absorption in children?

Does celiac disease cause nutrient absorption in children?

It Can: Only if you restrict the diet too significantly can there be nutritional issues. Substitute with an appropriate food or multivitamin. Please discuss with your doctor or request a dietitian consult. ...Read more

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Do the children of two parents who both have celiac disease always have the disease?

Do the children of two parents who both have celiac disease always have the disease?

Usually yes: Celiac disease is inherited mainly in an autosomal recessive way, meaning that two parents with celiac disease are both likely to have 2 celiac disease genes each. Their child gets one celiac disease gene from each parent, so he also is born with 2 celiac disease genes. That means the child is at high risk for getting the disease, but if he is very very lucky, it might not happen. ...Read more

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What is celiac disease in children vs wheat allergy?

What is celiac disease in children vs wheat allergy?

Probably same: An allergy may give you more symptoms but celiac usually attacks the digestive tract. ...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