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    A Simple Guide to Celiac Disease and Malabsorption Diseases
    A Simple Guide to Celiac Disease and Malabsorption Diseases
    A Simple Guide to Celiac Disease and Malabsorption Diseases
    Ebook42 pages21 minutes

    A Simple Guide to Celiac Disease and Malabsorption Diseases

    By Kenneth Kee

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    About this ebook

    What is Malabsorption syndrome?

    Malabsorption syndrome is a disease resulting from impaired intestinal absorption of nutrients.

    What are the causes of Malabsorption syndrome?

    Malabsorption syndrome is usually caused by the following:

    A. Intraluminal defects

    1. Pancreatic enzymes or bile salt deficiencies

    2. Gastric or intestinal resection as a result of cancer or obstruction

    3. Bacterial overgrowth in the intestine resulting in less nutrient absorption

    4. Acid hypersecretion (Zollinger-Ellison) syndrome

    B. Intestinal Mucosal Defects

    1. Tropical or non tropical sprue characterized by abnormalities of the intestinal villi resulting in poor absorption of food

    2. Parasitic disease of the intestinal such as tape-worms which feeds through the mucosa of the intestine

    3. Tuberculosis of the intestine can cause damage to inner lining of intestine impeding absorption of food

    4. Chemotherapy, drug abuse, radiation can damage the mucosa of the intestines

    C. Intestinal lymphatic abnormalities

    1. Lymphanigiectasia

    2. Congestive heart failure

    3. Constrictive pericarditis

    What are the symptoms of Malabsorption syndrome?

    A person who has Malabsorption syndrome has the following symptoms:

    1. Weight loss

    2. Anorexia or loss of appetite

    3. Abdominal distension and bloating

    4. Muscle wasting

    5. Steatorrhea (pale bulky frothy stools) usually frequent

    Signs:

    1. Vitamin deficiency especially vitamin B12 and K and folic acid

    2. Mineral deficiencies and anemia

    How is the Diagnosis of Malabsorption syndrome made?

    Diagnosis can usually be made by:

    1. History of weight loss

    2. Steatorrhea - measurement of fecal fat is low

    3. D-xylose test is abnormal indicating poor carbohydrate absorption

    4. Pancreatic function tests by duodenal aspiration

    5. Tests for bacterial overgrowth such as:

    a. bile acid breath test

    b. jejunal cultures

    c. urinary tryptophan metabolites

    6. Intestinal biopsy

    What is the treatment of Malabsorption syndrome?

    Treatment depends on the cause:

    Non-medicinal:

    1. Intravenous fluids, electrolytes, minerals, vitamins

    2. Intravenous nutrients and feeding

    3. Gluten free diet

    4. Restriction of dietary fat

    5. Medium chain triglycerides

    6. Lactose free diet

    Medicinal:

    1. Symptomatic treatment of abdominal pain (anticholinrgics) and diarrhea (Imodium)

    2. Pancreatic enzymes for pancreatic deficiency

    3. Folic acid, vitamins and minerals replacements

    4. Antibiotics and antiparasitics for intestinal infections

    What is the prognosis of Malabsorption syndrome?

    Prognosis depends on the underlying cause.

    Most patients usually recover if appropriately treated

    Recurrence is quite common.

    What are the preventive measures for Malabsorption syndrome?

    Avoid Chemotherapy and drugs which affect the mucosa of the intestine

    Avoid food in the tropics

    Avoid gastritis or excessive acid in the stomach

    TABLE OF CONTENT

    Chapter 1 Malabsorption

    Chapter 2 Celiac Disease

    Chapter 3 Crohn’s Disease

    Chapter 4 Giardiasis

    Chapter 5 Pancreatic Cancer

    Chapter 6 , Tropical Sprue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateNov 16, 2012
    ISBN9781301594306
    A Simple Guide to Celiac Disease and Malabsorption Diseases
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      A Simple Guide to Celiac Disease and Malabsorption Diseases - Kenneth Kee

      A

      Simple

      Guide

      to

      Celiac Disease

      And

      Malabsorption Diseases

      by

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2012 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      to my wife Dorothy

      and my children

      Carolyn, Grace

      and Kelvin

      This book describes the Malabsorption Diseases such as Celiac Disease, Crohn’s Disease, Giardiasis, Pancreatic Cancer and Tropical Sprue which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Chapter 1

      Malabsorption

      What is Malabsorption syndrome?

      Malabsorption syndrome is a disease resulting from impaired intestinal absorption of nutrients.

      What are the causes of Malabsorption syndrome?

      Malabsorption syndrome is usually caused by the following:

      A. Intraluminal defects

      1. Pancreatic enzymes or bile salt deficiencies

      2. Gastric or intestinal resection as a result of cancer or obstruction

      3. Bacterial overgrowth in the intestine resulting in less nutrient absorption

      4. Acid hypersecretion (Zollinger-Ellison) syndrome

      B. Intestinal Mucosal Defects

      1. Tropical or non tropical sprue characterized

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