Patients with severe sprue. Medical search. Frequent questions

The medical problems associated with Benicar may cause some patients to be needlessly tested for celiac disease, which requires blood tests and an invasive colonoscopy, or to start a gluten-free diet of their own accord. (injurylawyer-news.com)
The condition is called sprue-like enteropathy because of its similarity to sprue or celiac disease - a gastrointestinal illness triggered by gluten ingestion. (citizen.org)
However, unlike with celiac disease, sprue-like enteropathy does not improve with a gluten-free diet. (citizen.org)
To assess current knowledge of mucin expression in the small bowel of celiac disease (CD) patients and to determine possible associations between mucin profile and gluten-free diet. (ima.org.il)
Among the causes of malabsorption, tropical sprue is one of the leading cause.Several reports indicating that celiac disease, now being recognised more frequently. (bvsalud.org)
MATERIAL: 94 patients, aged more than 12 years, presenting with Chronic diarrhoea and malabsorption syndrome were analyzed by clinical presentation, endoscopic and histopathological examination.The spectrum of disease in these patients and features differentiating celiac disease and tropical sprue are reported here. (bvsalud.org)
Sprue-like enteropathy can mimic the same symptoms as celiac disease, and, in fact, many doctors misdiagnosed their patients taking Benicar with celiac. (golomblegal.com)
Benicar - a prescription medication used to treat high blood pressure - has been linked to sprue-like enteropathy, a severe gastrointestinal disorder that causes symptoms like Celiac disease and can result in permanent intestinal damage. (rodenlaw.com)
This is a severe disorder in the intestines that causes symptoms similar to Celiac disease, which affects people who are allergic to gluten. (rodenlaw.com)
In May 2013, the American Journal of Gastroenterology published an article about patients who were suffering from villous atrophy even though they did not have Celiac disease. (rodenlaw.com)
Duodenal biopsies in patients with olmesartan-associated enteropathy have shown elevated CD8+ T cell counts and overexpression of interleukin-15 by epithelial cells, biomarkers similar to those seen after gluten exposure in patients with celiac disease. (medicalletter.org)
In July 2013, the FDA issued a safety communication announcing a link between Benicar and sprue-like enteropathy, a condition that mimics celiac disease. (classaction.org)
According to the FAERS, patients who were diagnosed with sprue-like enteropathy suffered chronic diarrhea and substantial weight loss, symptoms commonly associated with celiac disease. (classaction.org)
These patients experienced chronic diarrhea, significant weight loss, and a symptom of celiac disease known as intestinal villous atrophy. (classaction.org)
Patients with celiac disease have problems absorbing nutrients from food and may develop villous atrophy, facing permanent erosion of the the absorption-aiding tissues (villi) in the small intestine. (classaction.org)
The FDA also found that patients exposed to Benicar for at least two years displayed higher rates of celiac disease - a marker for enteropathy and other GI conditions - than patients who took a different ARB drug, according to data from the Mini-Sentinel pilot of the Sentinel Initiative. (classaction.org)
In 2012, the Mayo Clinic alerted the FDA about a link between Benicar and sprue-like enteropathy, a condition causing symptoms similar to Celiac disease. (jjsjustice.com)
Patients were tested for Celiac disease but the results were negative. (jjsjustice.com)
Also referred to as celiac sprue or gluten-sensitive enteropathy (Grossman & Porth), celiac disease appears to be on the rise (Coutts, 2013). (vanessamarsden.com)
The aim of this review is to provide a valuable and focused source of information for understanding and evaluating pancreatic manifestations of patients with celiac disease (CD). (pancreapedia.org)
1. In patients believed to have celiac disease who have persistent or recurrent symptoms or signs, the initial diagnosis of celiac disease should be confirmed by review of prior diagnostic testing, including serologies, endoscopies and histologic findings. (gastro.org)
2. In patients with confirmed celiac disease with persistent or recurrent symptoms or signs (nonresponsive celiac disease), ongoing gluten ingestion should be excluded as a cause of these symptoms with serologic testing, dietitian review and detection of immunogenic peptides in stool or urine. (gastro.org)
If villous atrophy persists or the initial diagnosis of celiac disease was not confirmed, consider other causes of villous atrophy, including common variable immunodeficiency, autoimmune enteropathy, tropical sprue and medication-induced enteropathy. (gastro.org)
3. For patients with nonresponsive celiac disease, after exclusion of gluten ingestion, perform a systematic evaluation for other potential causes of symptoms, including functional bowel disorders, microscopic colitis, pancreatic insufficiency, inflammatory bowel disease, lactose or fructose intolerance and small intestinal bacterial overgrowth. (gastro.org)
6. Complete a detailed nutritional assessment with investigation of micronutrient and macronutrient deficiencies in patients diagnosed with refractory celiac disease. (gastro.org)
Since Dickie first described the benefits of a gluten-free diet in the 1940s and 1950s, this diet is the standard of care for all patients with celiac disease [ 1 , 2 ]. (springer.com)
While dietary modifications are likely to remain the treatment of choice in celiac disease, the use of adjuvant corticosteroids in newly diagnosed patients is a topic that has been addressed previously. (springer.com)
Their objective was to identify whether adjuvant treatment with corticosteroids can help expedite clinical and histological recovery in patients with newly diagnosed celiac disease. (springer.com)
The use of systemic corticosteroids for severe celiac disease is not new. (springer.com)
8 ] examined intestinal enzyme activity in patients with celiac disease following in vitro exposure to gluten. (springer.com)
Celiac Sprue (Celiac Disease) is a lifelong digestive disorder that affects genetically susceptible individuals. (gipractice.com)
Because the symptoms of Celiac disease are so non-specific it often takes patients several years to get a positive diagnosis. (gipractice.com)
It can be very difficult to adapt to a gluten-free diet, but thankfully there are many new resources available to patients with Celiac Disease. (gipractice.com)
The most common small bowel disease in the U.S. is celiac disease, also called celiac sprue. (gi.org)
In its' severest form, it is known as Celiac Sprue, Celiac Disease (CD), non-tropical Sprue, and less commonly as Gee-Herter Disease, Gee-Thaysen Disease or Heubner-Herter Disease. (suzycohen.com)
All the usual causes of iron deficiency anemia were ruled out and patient was diagnosed with celiac disease. (omicsonline.org)
This case illustrates that when a patient with common complaints of dyspnea and anemia is evaluated celiac disease should always be considered in the differential. (omicsonline.org)

Researchers from Taiwan recently released a study in the medical journal Cardiovascular Diabetology that warns patients of the potential for serious Benicar side effects . (injurylawyer-news.com)
The FDA released a drug safety announcement to patients and healthcare providers that stated Benicar was linked to sprue-like enteropathy . (injurylawyer-news.com)
The FDA has warned that sprue-like enteropathy may occur months or even years after beginning treatment with Benicar. (injurylawyer-news.com)
Patients who develop these symptoms and discontinue Benicar under the guidance of their healthcare providers typically see the resolution of their symptoms. (injurylawyer-news.com)
The reaction in the small intestine produces a wide range of symptoms, including severe diarrhea, weight loss, bloating, and other gastrointestinal problems that can mimic sprue-like enteropathy caused by Benicar. (injurylawyer-news.com)
Public Citizen is petitioning the FDA to stop the sale of olmesartan medoxomil - an angiotensin II receptor blocker (ARB) found in the widely prescribed hypertension medications marketed under the brand names Azor, Benicar, Benicar HCT and Tribenzor, as well as in other generic versions - because it can cause a severe gastrointestinal disorder that leads to severe and chronic diarrhea, vomiting, abdominal pain and weight loss. (citizen.org)
The U.S. Food and Drug Administration (FDA) is warning that the blood pressure drug olmesartan medoxomil (marketed as Benicar, Benicar HCT, Azor, Tribenzor, and generics) can cause intestinal problems known as sprue-like enteropathy. (gruber-law.com)
If you were prescribed Olmesartan Medoxomil (marketed as Benicar, Benicar HCT, Azor, Tribenzor and generics) and suffered an adverse event, such as sprue-like enteropathy, diarrhea, severe dehydration, malnutrition and/or severe weight loss, it is important that you receive legal help immediately. (gruber-law.com)
sprue-like enteropathy associated with Benicar has not been linked to other medications in the angiotensin II receptor-blocker class. (golomblegal.com)
The Mayo Clinic conducted a study in 2012, concluding Benicar could be responsible for sprue-like enteropathy. (golomblegal.com)
Once the patients discontinued Benicar, the adverse symptoms related to Benicar quickly improved. (golomblegal.com)
In 2013, the FDA warned consumers about the potential link between Benicar and sprue-like enteropathy. (golomblegal.com)
Among some taking Benicar, the diarrhea attacks number more than 20 in a single day, and some patients have lost as much as 100 pounds. (golomblegal.com)
If you have been diagnosed with sprue-like enteropathy or have suffered GI complications like chronic diarrhea and/or significant weight loss after using Benicar, your injuries may be the result of a drug manufacturer's negligence. (golomblegal.com)
If you dealt with symptoms of sprue-like enteropathy while taking Benicar, you could be entitled to compensation from the manufacturer through a Benicar lawsuit. (rodenlaw.com)
Since coming onto the market, many patients have been diagnosed with sprue-like enteropathy while taking Benicar. (rodenlaw.com)
If you experienced any symptoms of sprue-like enteropathy while taking Benicar, you could be entitled to compensation for medical bills and other expenses. (rodenlaw.com)
The manufacturer could potentially be held liable for damages suffered by patients who had symptoms of sprue-like enteropathy while taking Benicar. (rodenlaw.com)
A reader asked whether healthcare providers should avoid prescribing the angiotensin receptor blocker (ARB) olmesartan medoxomil (Benicar, and others) because it can cause severe GI adverse effects.In 2013, the. (medicalletter.org)
Patients who took Benicar (generic: olmesartan medoxomil) and developed gastrointestinal problems. (classaction.org)
In July 2013, the FDA issued a safety communication to warn the public that an evaluation of medical reports submitted to its Adverse Event Reporting System (FAERS) showed "clear evidence of an association" between Benicar and a gastrointestinal (GI) condition known as sprue-like enteropathy . (classaction.org)
Because patients may have not been properly warned about the side effects of Benicar, users who suffered intestinal problems may be able to sue the manufacturer and recover compensation for their injuries. (classaction.org)
According to the FDA, patients in all of the reports submitted to FAERS saw their symptoms improve after stopping use of Benicar. (classaction.org)
Nearly half of the patients reported a positive rechallenge (where symptoms reappeared when the drug was re-administered), which further supported the link between Benicar and GI problems. (classaction.org)
The agency also warned patients to seek different treatment if they experience GI side effects without any other apparent cause than Benicar. (classaction.org)
The FDA reported that Benicar is the only ARB drug that has been linked to these intestinal problems and warned that symptoms of GI illnesses may not develop until months or years after patients have started the drug. (classaction.org)
The U.S. Food and Drug Administration (FDA) has issued multiple warnings about severe side effects from the blood pressure medication Benicar. (jjsjustice.com)
Benicar is an Angiotensin II type 1 receptor blocker commonly used to treat patients with high blood pressure. (jjsjustice.com)
Researchers also found gastrointestinal symptoms improved after patients stopped taking Benicar. (jjsjustice.com)
The Mayo Clinic's research led to the FDA issuing a Drug Safety Communication in 2013 about the link between Benicar and sprue-like enteropathy. (jjsjustice.com)
The FDA announced Benicar labeling would be updated to include warnings about the risk of suffering symptoms of sprue-like enteropathy. (jjsjustice.com)
The FDA's communication noted that patients could experience these side effects months or years after taking Benicar. (jjsjustice.com)
According to the FDA communication, if patients experience these symptoms and doctors cannot find another cause besides Benicar, use of the medication should be discontinued. (jjsjustice.com)
Clinical research has shown that discontinuing Benicar improves symptoms of sprue-like enteropathy. (jjsjustice.com)
If you experienced symptoms of sprue-like enteropathy while taking Benicar, you may be able to file a Benicar lawsuit. (jjsjustice.com)
In 2011, the FDA announced the results of several clinical trials involving patients who took Benicar. (jjsjustice.com)
One trial analyzed medical records of 250,000 patients who took Benicar or a similar medication for five years and found that more than 25 percent of patients had been diagnosed with type 2 diabetes. (jjsjustice.com)
In another clinical trial, researchers found that patients with type 2 diabetes who took Benicar had a higher rate of fatal cardiovascular disease than patients with type 2 diabetes who took another medication. (jjsjustice.com)
Benicar was on the market for several years before patients and doctors were informed about these severe risks. (jjsjustice.com)
Patients taking Benicar may develop villous atrophy, a condition that results in the inability to effectively absorb nutrients through the intestinal lining. (druginjurylawyersblog.com)
Benicar is a blood pressure drug manufactured by Daiichi Sankyo that has been linked to sprue-like enteropathy, a disease that damages the small intestine and affects its ability to absorb nutrients. (awclaw.com)
In 2013 the FDA warned that Benicar could cause sprue-like enteropathy and has approved changes to the warning label of this drug. (awclaw.com)
According to recent studies, those patients could actually be suffering from Benicar side effects. (parilmanlaw.com)
A closer look at the situation also shows that the use of Benicar could lead to sprue-like enteropathy. (parilmanlaw.com)
In addition, the study analyzed concluded that using Benicar for a long period of time will increase the chance that such symptoms develop, especially if patients use it for longer than one year. (parilmanlaw.com)
Benicar lawsuits have been filed across the United States by people claiming to suffer from severe chronic diarrhea as a result of using the medication. (parilmanlaw.com)
The FDA has issued public warnings regarding the potential for people who use Benicar to develop sprue-like enteropathy. (parilmanlaw.com)

Tropical sprue (TS) is a syndrome characterized by acute or chronic diarrhea, weight loss, and malabsorption of nutrients. (medscape.com)
[ 1 ] The first description of tropical sprue is attributed to William Hillary's 1759 account of his observations of chronic diarrhea while in Barbados. (medscape.com)
For patient education resources, see the Digestive Disorders Center , as well as Diarrhea, Traveler's (Traveler's Diarrhea) . (medscape.com)
Sprue-like enteropathy refers to a collection of gastrointestinal problems, including severe, chronic diarrhea, significant weight loss, and other side effects that often require hospitalization. (injurylawyer-news.com)
Sprue-like enteropathy refers to intestinal problems that can include symptoms of severe, chronic diarrhea and significant weight loss. (gruber-law.com)
While the site lists various side effects with the drug used to regulate blood pressure, such as dizziness, diarrhea, kidney problems and feeling faint, one of the most serious potential side effects- sprue-like enteropathy -was omitted. (golomblegal.com)
Serious, chronic diarrhea can cause significant weight loss-enough, in fact, to land the patient in the hospital. (golomblegal.com)
The diarrhea which is typical in sprue-like enteropathy can be chronic, leaving patients bedridden or, at the very least, unable to venture far from a bathroom. (golomblegal.com)
Sprue-like enteropathy can be particularly serious among the elderly, as they can become dehydrated quickly following chronic diarrhea. (golomblegal.com)
All 22 patients were treated at the Mayo Clinic in Rochester, Minnesota, between Aug. 1, 2008 and Aug. 1, 2011 for unexplained chronic diarrhea and weight loss. (rodenlaw.com)
A collagenous sprue is a lesion in the bowels usually associated with persistent diarrhea. (rodenlaw.com)
Most patients experienced diarrhea and weight loss and some were found to have villous atrophy after biopsies were done. (rodenlaw.com)
In 2013, the FDA warned that olmesartan can cause sprue-like enteropathy, a condition characterized by intestinal villous atrophy, severe chronic diarrhea, and significant unintended weight loss. (medicalletter.org)
The FDA noted that it had received 23 adverse event reports about patients who experienced persistent diarrhea similar to what was experienced by patients in the Mayo Clinic's research. (jjsjustice.com)
However, the U.S. Food and Drug Administration (FDA) recently issued a warning that the drug may cause serious gastrointestinal problems, including chronic diarrhea, significant weight loss, and a condition known as sprue-like enteropathy. (druginjurylawyersblog.com)
If villous atrophy goes untreated, it can lead to severe malnutrition, dehydration, and chronic diarrhea. (druginjurylawyersblog.com)
In some patients, chronic diarrhea went undiagnosed for years. (druginjurylawyersblog.com)
Symptoms of sprue-like enteropathy include: abdominal pain, severe diarrhea, chronic diarrhea, fatigue, weight loss and mucosal inflammation. (awclaw.com)
Note: In babies, the diarrhea can cause severe dehydration that comes on very quickly. (medlineplus.gov)
Approach to the patient with diarrhea and malabsorption. (medlineplus.gov)
Whipple's disease, tropical sprue, and eosinophilic gastroenteritis are some of the rare conditions that can lead to malabsorption diarrhea. (gi.org)
Rare is the patient that presents to the office complaining of the 'classical presentation' of dramatic weight loss, diarrhea and cramping precipitated by pizza, spaghetti and bread. (suzycohen.com)

The fish tapeworm (Diphyllobothrium latum) absorbs huge quantities of vitamin B 12 and infested patients often have associated gastric atrophy. (drugs.com)
Intestinal biopsies showed villous atrophy in 15 patients and collagenous sprue in seven patients. (rodenlaw.com)
The pathologist reviewed other conditions that may result in villous atrophy including small intestinal bacterial overgrowth, tropical sprue and medication side effects. (katescarlata.com)

Background & Aims: Lymphocytic enterocolitis is a malabsorptive syndrome characterized by severe small-bowel villous abnormality and crypt hyperplasia and dense infiltrate of lymphocytes throughout the gastrointestinal tract. (johnshopkins.edu)

By July 2013, the FDA's Adverse Event Reporting System had received 23 reports of patients experiencing symptoms of sprue-like enteropathy while taking olmesartan. (rodenlaw.com)

Amlodipine and olmesartan medoxomil tablets may also be used as initial therapy in patients likely to need multiple antihypertensive agents to achieve their blood pressure goals ( 1 ). (nih.gov)
Do not co-administer aliskiren with amlodipine and olmesartan medoxomil tablets in patients with diabetes ( 4 ). (nih.gov)
In 2012, about 10 years after coming onto the market, evidence began to come out linking medications containing olmesartan medoxomil to sprue-like enteropathy. (rodenlaw.com)

Complications of tropical sprue include anemia, malnutrition, and vitamin deficiency. (medscape.com)
The symptoms of tropical sprue are: Diarrhoea Steatorrhoea or fatty stool (often foul-smelling and whitish in colour) Indigestion Cramps Weight loss and malnutrition Fatigue Left untreated, nutrient and vitamin deficiencies may develop in patients with tropical sprue. (wikipedia.org)
Tropical Sprue and Malnutrition in West Bengal. (medscape.com)

The illness usually starts with an attack of acute diarrhoea, fever and malaise following which, after a variable period, the patient settles into the chronic phase of diarrhoea, steatorrhoea, weight loss, anorexia, malaise, and nutritional deficiencies. (wikipedia.org)
Intestinal immunologic dysfunction, including deficiencies in secretory immunoglobulin A (IgA), may predispose people to malabsorption and bacterial colonization, so tropical sprue may be triggered in susceptible individuals following an acute enteric infection. (wikipedia.org)

The warning was based on 23 cases of serious sprue-like enteropathy associated with use of olmesartan, some occurring years after starting the drug. (medicalletter.org)

Subsequently, tropical sprue was described in tropical climates throughout the world. (medscape.com)
Tropical sprue (hematoxylin-eosin [H&E], original magnification ×10). (medscape.com)
The exact causative factor of tropical sprue is unknown, but an intestinal microbial infection is believed to be the initiating insult. (medscape.com)
Hormone enteroglucagon and motilin levels are elevated in patients with tropical sprue. (medscape.com)
Coliform bacteria, such as Klebsiella , E coli and Enterobacter species are isolated and are the usual organisms associated with tropical sprue. (medscape.com)
Tropical sprue appears to be declining globally. (medscape.com)
Tropical sprue occurs in geographically limited areas. (medscape.com)
Tropical sprue occurs in both epidemic and endemic forms, primarily in Southeast Asia and the Caribbean. (medscape.com)
One unusual feature is that tropical sprue appears to be limited to certain geographic areas, even within the tropics. (medscape.com)
For example, although tropical sprue is commonly reported in Puerto Rico and the Dominican Republic, it is not reported in Jamaica. (medscape.com)
Tropical sprue is confined to geographic regions, but it is observed in individuals of all races who live in or visit those regions. (medscape.com)
Tropical sprue is primarily an adult disease, but it has been described in children. (medscape.com)
Prognosis is generally good for patients with tropical sprue. (medscape.com)
These conditions include tropical sprue, and nontropical sprue (idiopathic steatorrhea, gluten-induced enteropathy). (drugs.com)
Tropical sprue is a malabsorption disease commonly found in tropical regions, marked with abnormal flattening of the villi and inflammation of the lining of the small intestine. (wikipedia.org)
These deficiencies may have these symptoms: Vitamin A deficiency: hyperkeratosis or skin scales Vitamin B12 and folic acid deficiencies: anaemia, numbness, and tingling sensation Vitamin D and calcium deficiencies: spasm, bone pain, muscle weakness Vitamin K deficiency: bruises The cause of tropical sprue is not known. (wikipedia.org)
A link between small intestinal bacterial overgrowth and tropical sprue has been proposed to be involved in the aetiology of post-infectious irritable bowel syndrome (IBS). (wikipedia.org)
Diagnosis of tropical sprue can be complicated because many diseases have similar symptoms. (wikipedia.org)
Tropical sprue is largely limited to within about 30 degrees north and south of the equator. (wikipedia.org)
Other conditions which can resemble tropical sprue need to be differentiated. (wikipedia.org)
Coeliac disease (also known as coeliac sprue or gluten sensitive enteropathy), has similar symptoms to tropical sprue, with the flattening of the villi and small intestine inflammation and is caused by an autoimmune disorder in genetically susceptible individuals triggered by ingested gluten. (wikipedia.org)
Environmental enteropathy is a less severe, subclinical condition similar to tropical sprue. (wikipedia.org)
Once diagnosed, tropical sprue can be treated by a course of the antibiotic tetracycline or sulphamethoxazole/trimethoprim (co-trimoxazole) for 3 to 6 months. (wikipedia.org)
The prognosis for tropical sprue may be excellent after treatment. (wikipedia.org)
Tropical sprue is common in the Caribbean, Central and South America, and India and southeast Asia. (wikipedia.org)
Tropical sprue was responsible for one-sixth of all casualties sustained by the Allied forces in India and Southeast Asia during World War II. (wikipedia.org)
The use of folic acid and vitamin B12 in the treatment of tropical sprue was promoted in the late 1940s by Dr. Tom Spies of the University of Alabama, while conducting his research in Cuba and Puerto Rico. (wikipedia.org)
Tropical sprue (H&E, orig. (medscape.com)
Enterotoxigenic intestinal bacteria in tropical sprue. (medscape.com)
Tropical sprue: revisiting an underrecognized disease. (medscape.com)
Our current understanding of tropical sprue is that it is a malabsorption syndrome that responds to treatment with folic acid and a broad spectra antibiotic. (bvsalud.org)
Twenty-seven individual studies on various aspects of tropical sprue were published in the Puerto Rico Journal of Public Health and Tropical Medicine from 1925 to 1949. (bvsalud.org)
This article summarizes significant findings, presented chronologically, and speculates on the direction of future investigations into tropical sprue. (bvsalud.org)
Patients with tropical sprue were older and more often normal duodenal epithelium. (bvsalud.org)

Celiac sprue is a chronic autoimmune disease of the digestive tract. (eafhc.org)
Thus, the evidence from this effect on fish suggests that glyphosate may interfere with the breakdown of complex proteins in the human stomach, leaving larger fragments of wheat in the human gut that will then trigger an autoimmune response, leading to the defects in the lining of the small intestine that are characteristic of these fish exposed to glyphosate and of celiac patients. (texasorganicresearchcenter.org)

This review aims to guide gastroenterologists in the diagnosis and treatment of patients with primary immunodeficiency. (medscape.com)
For patients with a new diagnosis, dietary compliance can be difficult to achieve, possibly resulting in a clinical course marked by delayed recovery and persistent symptoms. (springer.com)
Patients presenting with new cardiomyopathy with troponin leak and arrhythmias, supported by recent COVID-19 diagnosis should be suspected for COVID-induced myocarditis. (ejcrim.com)

Mucin expression was significantly increased in small bowel mucosa of CD patients than in normal small bowel mucosa (odds ratio [OR] 7.974, 95% confidence interval [95%CI] (1.599-39.763), P = 0.011] (random-effect model). (ima.org.il)
Expression of certain mucin genes in the small bowel mucosa of CD patients is increased and may serve as a diagnostic tool and assist in surveillance programs. (ima.org.il)

These changes can cause low blood pressure and increased water excretion that can lead to severe dehydration. (rarediseases.org)

The FDA issued a drug safety communication warning diabetes patients using SGLT2 inhibitors to watch for signs of ketoacidosis such as difficulty breathing, nausea, vomiting, abdominal pain, confusion, and unusual fatigue or sleepiness. (brodlaw.com)

This type of severe weight loss, and the related complications, can trigger such additional issues as infection and even cataracts. (golomblegal.com)
If celiac sprue is not treated, it can lead to serious medical complications including an increased risk for developing cancer. (eafhc.org)
After surgery, Avemar film-coated tablet may be initiated when the patient is able to take oral food without complications for at least 4 days. (avemar.hu)

Food allergens do not commonly contribute to worsening of eczema in most patients with atopic dermatitis, especially those with mild disease. (foodallergy.org)

The patients all used angiotensin receptor blockers (ARBs), a type of antihypertensive drug prescribed to treat high blood pressure. (injurylawyer-news.com)

Putting patients on a gluten-free diet did not help reduce these types of symptoms. (rodenlaw.com)
In patients with CD and persistent malabsorption or weight loss despite a gluten free diet (GFD), EPI should be one of several considerations and a trial of PERT offered to patients. (pancreapedia.org)
This is of particular concern for patients in the developing world, where gluten-free food items may be difficult to obtain or to identify. (springer.com)
The authors of a recent retrospective study of patients with celiac crisis reported that patients who received corticosteroids experienced rapid clinical improvement within 2 weeks of treatment initiation and were eventually able to be maintained on a gluten-free diet alone [ 7 ]. (springer.com)
The presence of this symptom has led many doctors to push patients towards a gluten-free diet when in actuality taking this step was unnecessary. (parilmanlaw.com)

Through research, we can identify new treatment options for digestive disease patients. (gastro.org)
This allows us to provide comprehensive care for patients with a wide range of digestive and liver disorders, from the simplest to the most complex. (asterhospitals.in)
Our collective goal is to provide the highest quality of care and personalized treatment for patients with various digestive disorders. (asterhospitals.in)
The Gastroenterology Department of Aster Whitefield Hospital provides a comprehensive array of services to diagnose and treat digestive diseases, with a highly trained team of professionals and cutting-edge techniques, we are dedicated to providing the best possible care to all patients. (asterhospitals.in)

Approach to the patient with suspected enteric infection. (medlineplus.gov)

Deficiencies in vitamin A can impair night vision, cause eye damage, and in severe cases lead to blindness. (labtestsonline.org.uk)

Many of these disorders mimic classic forms of disease (in the absence of immunodeficiency) such as celiac sprue, inflammatory bowel disease (IBD), and pernicious anemia but differ in pathogenesis and are often unresponsive to conventional therapies. (medscape.com)

Celiac sprue is an inherited disease that affects the way nutrients are absorbed in the small intestine. (eafhc.org)

Severe EPI (sufficient to cause steatorrhea) is uncommon, ranging in prevalence from 0-18%, and is usually reversible. (pancreapedia.org)
Steatorrhea (foul-smelling, pale, bulky, and greasy stools) ranges from mild to severe (7 to 50 g of fat/day). (msdmanuals.com)

Some patients are asymptomatic or have only signs of nutritional deficiency. (msdmanuals.com)

The severity and rapid spread of COVID-19 (caused by SARS-CoV-2) have raised questions about the use of some drugs in patients with the disease and whether currently available drugs could be effective in. (medicalletter.org)
Treatment of immunodeficient patients with concomitant gastrointestinal disease can be challenging, and therapy with immunomodulators often is required for severe disease. (medscape.com)
However, some studies show higher levels of activation of Hedgehog pathways in patients with the most advanced fatty liver disease. (medscape.com)
In patients with alcoholic liver disease, the serum leptin level appears to be independently correlated with the grade of steatosis. (medscape.com)
Dr. Jerry Trier [ 4 , 5 ] described their use in severe disease in 1978 and in subsequent reviews. (springer.com)
the disease may become "active" for the first time after an event such as surgery, a viral infection, severe emotional stress or pregnancy. (gipractice.com)
Patients with Addison's disease have a deficiency in the production of glucocorticoid hormones which are manufactured by the adrenal gland. (rarediseases.org)

Ophthalmologists, on occasion, take the initiative and the responsibility for prescribing systemic steroids to patients with vision-threatening ocular inflammatory disorders. (uveitis.org)

People with celiac sprue have an inherited genetic disorder. (eafhc.org)
Because of this, celiac sprue is termed a malabsorption disorder. (eafhc.org)
However, over time, as more patients were studied, the scope of the disorder was expanded to include disorders of other underperforming endocrine glands. (rarediseases.org)
Since the combination of affected glands differs from patient to patient, the signs of this disorder are diverse. (rarediseases.org)

The gastrointestinal tract is the largest lymphoid organ in the body, so it is not surprising that intestinal diseases are common among immunodeficient patients. (medscape.com)
Immunodeficient and immunocompetent patients with gastrointestinal diseases present with similar symptoms. (medscape.com)

Folate deficiency in these patients is usually more severe than vitamin B 12 deficiency. (drugs.com)
Osteomalacia is caused by severe vitamin D deficiency (which can be nutritional or caused by a hereditary syndrome) and by conditions that cause deficient blood phosphate levels (such as genetic and cancer -related syndromes). (medicinenet.com)
If resistance occurs, parenteral therapy, or oral therapy with so-called massive doses of VITAMIN B12 (liver-stomach concentrate with intrinsic factor) may be necessary for adequate treatment of the patient. (rxlist.com)
When a person has symptoms suggesting vitamin A deficiency or excess, or is at risk of vitamin deficiency such as patients on nutrition supplements. (labtestsonline.org.uk)

Keeping the medication on the market would continue to put hypertension patients' lives at risk for the sake of corporate profits, the organization warned. (citizen.org)
If manufacturers fail to warn the public about the risks of a medication, they could be held liable and made to pay compensation to patients who experienced side effects. (jjsjustice.com)
She said her husband had severe constipation, and it was caused by his blood pressure medication, Losartan. (katescarlata.com)

Avemar film-coated tablet should not be consumed by patients suffering from malabsorption syndrome (serious impairment of absorption). (avemar.hu)
Triggers are usually dietary, as the protein family, known generally as 'Gluten' will trigger complaints in most patients, that's why avoidance, or minimizing absorption (through supplementation) helps control the misery. (suzycohen.com)

Chronic illness with severe malabsorption and anemia can lead to death, but this usually occurs in patients with comorbid conditions. (medscape.com)
For patient education resources, see the Iron Deficiency Directory and Anemia. (medscape.com)
Iron deficiency anemia occurs when iron deficiency is severe enough to diminish erythropoiesis and cause the development of anemia. (medscape.com)

this occurs mainly in patients with long-standing, poorly-controlled diabetes. (gi.org)

Anticipate hypotension in volume-or salt-depleted patients with treatment initiation. (nih.gov)
Specifically patients taking 300mg of Invokana were nearly 50% more likely to suffer a fracture, with some fractures occurring as early as 12 weeks after the start of treatment. (brodlaw.com)
The treatment for celiac sprue is to not consume gluten products. (eafhc.org)
There is little evidence that drug treatment improves clinical outcomes in patients with HFpEF. (medicalletter.org)
The Avemar film-coated tablet is a dietary food for special medical purposes, for the supplementation of treatment of cancer patients. (avemar.hu)
Conclusions: Tumor necrosis factor-α antagonists such as infliximab or adalimumab may be a new treatment option for patients with severe refractory lymphocytic enterocolitis not responding to corticosteroids. (johnshopkins.edu)
We also work with our patients to develop personalized treatment plans that meet their individual needs. (asterhospitals.in)

Some patients have weight loss, rarely enough to become underweight. (msdmanuals.com)

However, intestinal biopsy specimens from immunodeficient patients often have distinct histologic features, and these patients often fail to respond to conventional therapies. (medscape.com)
Another big takeaway from our discussion is that the patient really needs to be consuming gluten for the biopsy to be accurate. (medscape.com)

According to FDA Adverse Event Reports, use of SGLT2 inhibitors for diabetes has been associated with patients developing diabetic ketoacidosis, or too much acid in the blood. (brodlaw.com)
In 2013, the FDA evaluated adverse event reports and found clear evidence of an association between olmesartan and sprue-like enteropathy. (gruber-law.com)

Therefore, it is not surprising that GI disorders are common manifestations, and often the initial presenting symptom, in patients with dysfunction in humoral immunity or cell-mediated immunity ( Table 1 ). (medscape.com)
A minority of patients present with skin rash known as Dermatitis Herpetiformis, as the principal symptom. (suzycohen.com)

Thalidomide Thalidomide [Thalomid] is a drug with complex pharmacologic actions, including the ability to cause severe birth defects. (spiritsong.org)

Occasionally, sprue-like enteropathy symptoms are serious enough to result in the hospitalization of a patient and/or admittance to intensive care. (gruber-law.com)

Anatomy4

Organisms1

Diseases8

Chemicals and Drugs11

Analytical, Diagnostic and Therapeutic Techniques and Equipment1

Phenomena and Processes1

Technology, Industry, Agriculture1

Celiac disease37

Benicar47

Diarrhea22

Atrophy3

Villous1

Symptoms of sprue-like enteropathy1

Olmesartan medoxomil3

Malnutrition3

Acute2

Enteropathy associated1

Tropical34

Autoimmune2

Diagnosis3

Small bowel2

Dehydration1

Abdominal pain1

Complications3

Commonly1

Angiotensin1

Gluten-free5

Digestive4

Enteric infection1

Deficiencies1

Mimic1

Nutrients1

Steatorrhea2

Asymptomatic1

Disease7

Inflammatory1

Disorder4

Diseases2

Vitamin4

Medication3

Absorption2

Anemia3

Occurs1

Treatment7

Weight1

Biopsy2

Adverse event2

Symptom2

Cause severe1

Hospitalization1