Malabsorption

Question 1

What are some causes of malabsorption

Answer 1

Coeliac disease
IBD
Pancreatic insufficiency
Short bowel syndrome
Bacterial overgrowth
Tropical sprue
Whipples disease
Zollinger -ellison syndrome

Question 2

What may someone with malabsorption present with

Answer 2

Diarrhoea
weight loss
abdominal pain and bloating
nutritional deficiencies
steatorrhoea
weak bones
skin rash
delayed growth and development

Question 3

What investigations are required

Answer 3

find underlying cause

Question 4

How do you manage malabsorption

Answer 4

dietary modifications
nutritional supplements
treat underlying cause

Question 5

What is bile acid malabsorption

Answer 5

a cause of chronic diarrhoea

Question 6

What is primary bile acid malabsorption

Answer 6

simply jsut excessive production of bile acid

Question 7

What are secondary causes of bile acid malabsorption

Answer 7

Crohns
Cholecystectomy
coeliac disease
small intestinal bacterial overgrowth

Question 8

What can bile acid malabsorption lead to

Answer 8

steatorrhoea
Vitamin A, D, E and K malabsorption

Question 9

How may someone with bile acid malabsorption present with

Answer 9

abdominal pain/distension

diarrhoea

steatorrhoea

vitamin deficiency

Question 10

What is the investigation for bile acid malabsorption

Answer 10

SeHCAT
-nuclear medicine test

scans are done 7 days apart

Question 11

How do you manage bile acid malabsorption

Answer 11

bile acid sequestrants-
CHOLESTYRAMINE