A lack of HYDROCHLORIC ACID in GASTRIC JUICE despite stimulation of gastric secretion.
A megaloblastic anemia occurring in children but more commonly in later life, characterized by histamine-fast achlorhydria, in which the laboratory and clinical manifestations are based on malabsorption of vitamin B 12 due to a failure of the gastric mucosa to secrete adequate and potent intrinsic factor. (Dorland, 27th ed)
A tumor that secretes VASOACTIVE INTESTINAL PEPTIDE, a neuropeptide that causes VASODILATION; relaxation of smooth muscles; watery DIARRHEA; HYPOKALEMIA; and HYPOCHLORHYDRIA. Vipomas, derived from the pancreatic ISLET CELLS, generally are malignant and can secrete other hormones. In most cases, Vipomas are located in the PANCREAS but can be found in extrapancreatic sites.
Rounded or pyramidal cells of the GASTRIC GLANDS. They secrete HYDROCHLORIC ACID and produce gastric intrinsic factor, a glycoprotein that binds VITAMIN B12.
A family of gastrointestinal peptide hormones that excite the secretion of GASTRIC JUICE. They may also occur in the central nervous system where they are presumed to be neurotransmitters.
A syndrome that is characterized by the triad of severe PEPTIC ULCER, hypersecretion of GASTRIC ACID, and GASTRIN-producing tumors of the PANCREAS or other tissue (GASTRINOMA). This syndrome may be sporadic or be associated with MULTIPLE ENDOCRINE NEOPLASIA TYPE 1.
The liquid secretion of the stomach mucosa consisting of hydrochloric acid (GASTRIC ACID); PEPSINOGENS; INTRINSIC FACTOR; GASTRIN; MUCUS; and the bicarbonate ion (BICARBONATES). (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p651)
Hydrochloric acid present in GASTRIC JUICE.
A group of inherited metabolic diseases characterized by the accumulation of excessive amounts of acid mucopolysaccharides, sphingolipids, and/or glycolipids in visceral and mesenchymal cells. Abnormal amounts of sphingolipids or glycolipids are present in neural tissue. INTELLECTUAL DISABILITY and skeletal changes, most notably dysostosis multiplex, occur frequently. (From Joynt, Clinical Neurology, 1992, Ch56, pp36-7)
An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.
Lining of the STOMACH, consisting of an inner EPITHELIUM, a middle LAMINA PROPRIA, and an outer MUSCULARIS MUCOSAE. The surface cells produce MUCUS that protects the stomach from attack by digestive acid and enzymes. When the epithelium invaginates into the LAMINA PROPRIA at various region of the stomach (CARDIA; GASTRIC FUNDUS; and PYLORUS), different tubular gastric glands are formed. These glands consist of cells that secrete mucus, enzymes, HYDROCHLORIC ACID, or hormones.
A usually small, slow-growing neoplasm composed of islands of rounded, oxyphilic, or spindle-shaped cells of medium size, with moderately small vesicular nuclei, and covered by intact mucosa with a yellow cut surface. The tumor can occur anywhere in the gastrointestinal tract (and in the lungs and other sites); approximately 90% arise in the appendix. It is now established that these tumors are of neuroendocrine origin and derive from a primitive stem cell. (From Stedman, 25th ed & Holland et al., Cancer Medicine, 3d ed, p1182)
Tumors or cancer of the GASTROINTESTINAL TRACT, from the MOUTH to the ANAL CANAL.
Tumors or cancer of the APPENDIX.
A symptom complex associated with CARCINOID TUMOR and characterized by attacks of severe flushing of the skin, diarrheal watery stools, bronchoconstriction, sudden drops in blood pressure, edema, and ascites. The carcinoid tumors are usually located in the gastrointestinal tract and metastasize to the liver. Symptoms are caused by tumor secretion of serotonin, prostaglandins, and other biologically active substances. Cardiac manifestations constitute CARCINOID HEART DISEASE. (Dorland, 27th ed; Stedman, 25th ed)
Cardiac manifestation of gastrointestinal CARCINOID TUMOR that metastasizes to the liver. Substances secreted by the tumor cells, including SEROTONIN, promote fibrous plaque formation in ENDOCARDIUM and its underlying layers. These deposits cause distortion of the TRICUSPID VALVE and the PULMONARY VALVE eventually leading to STENOSIS and valve regurgitation.
Tumors or cancer in the ILEUM region of the small intestine (INTESTINE, SMALL).
Sequential operating programs and data which instruct the functioning of a digital computer.

A retrospective study of the usefulness of acid secretory testing. (1/79)

BACKGROUND: Gastric analysis is useful for diagnosing and monitoring the control of hypersecretory conditions and to distinguish appropriate from inappropriate causes of hypergastrinaemia. Pentagastrin, used to measure maximal acid output (MAO), is no longer available in the USA. METHODS: We examined the University of Pennsylvania Health System gastric analysis database, which includes demographic data, study indications, gastric analysis, and serum gastrin and secretin testing results according to referral indications, paying specific attention to discordant basal acid output (BAO) and MAO measurements. RESULTS: One hundred and twenty-four gastric analyses were performed in 103 patients (42 males, mean age 47.5 years, 14 with prior acid-decreasing surgery). Recurrent ulceration or pain unresponsive to antisecretory therapy was the indication in 42 patients. Twelve were hypersecretory, including three each with isolated elevations of BAO or MAO. Hypergastrinaemia was the indication in 35 patients. Five were hypersecretory (four with Zollinger-Ellison syndrome), three had isolated MAO elevations and 16 were hypo- or achlorhydric, indicating appropriate hypergastrinaemia. Of the seven patients with isolated MAO elevations, two had clear benefit from the stimulated portion of the study (four additional patients had equivocal benefit). CONCLUSIONS: Gastrin concentrations cannot be interpreted without knowledge of acid secretory capacity. MAO measurement has a small but significant benefit over measuring BAO alone.  (+info)

Stomachs of mice lacking the gastric H,K-ATPase alpha -subunit have achlorhydria, abnormal parietal cells, and ciliated metaplasia. (2/79)

The H,K-ATPase of the gastric parietal cell is the most critical component of the ion transport system mediating acid secretion in the stomach. To study the requirement of this enzyme in the development, maintenance, and function of the gastric mucosa, we used gene targeting to prepare mice lacking the alpha-subunit. Homozygous mutant (Atp4a(-/-)) mice appeared healthy and exhibited normal systemic electrolyte and acid-base status but were achlorhydric and hypergastrinemic. Immunocytochemical, histological, and ultrastructural analyses of Atp4a(-/-) stomachs revealed the presence of chief cells, demonstrating that the lack of acid secretion does not interfere with their differentiation. Parietal cells were also present in normal numbers, and despite the absence of alpha-subunit mRNA and protein, the beta-subunit was expressed. However, Atp4a(-/-) parietal cells had dilated canaliculi and lacked typical canalicular microvilli and tubulovesicles, and subsets of these cells contained abnormal mitochondria and/or massive glycogen stores. Stomachs of adult Atp4a(-/-) mice exhibited metaplasia, which included the presence of ciliated cells. We conclude that ablation of the H,K-ATPase alpha-subunit causes achlorhydria and hypergastrinemia, severe perturbations in the secretory membranes of the parietal cell, and metaplasia of the gastric mucosa; however, the absence of the pump appears not to perturb parietal cell viability or chief cell differentiation.  (+info)

Acute gastritis with hypochlorhydria: report of 35 cases with long term follow up. (3/79)

BACKGROUND: Between 1976 and 1987, 35 cases of acute gastritis with hypochlorhydria (AGH) were seen in our research laboratory. The aims of this study were to determine the natural history of AGH and the role of Helicobacter pylori in its pathogenesis. METHODS: Archived serum and gastric biopsy samples obtained from AGH subjects were examined for evidence of H pylori colonisation. Twenty eight of 33 (85%) surviving AGH subjects returned a mean of 12 years after AGH for follow up studies, including determination of H pylori antibodies, basal and peak acid output, endoscopy, and gastric biopsies. A matched control group underwent the same studies. RESULTS: Archived material provided strong evidence of new H pylori acquisition in a total of 14 subjects within two months, in 18 within four months, and in 22 within 12 months of recognition of AGH. Prevalence of H pylori colonisation at follow up was 82% (23 of 28) in AGH subjects, significantly (p<0.05) higher than in matched controls (29%). Basal and peak acid output returned to pre-AGH levels in all but two subjects. CONCLUSIONS: One of several possible initial manifestations of H pylori acquisition in adults may be AGH. While H pylori colonisation usually persists, hypochlorhydria resolves in most subjects.  (+info)

Heterogeneity of gastric histology and function in food cobalamin malabsorption: absence of atrophic gastritis and achlorhydria in some patients with severe malabsorption. (4/79)

BACKGROUND: The common but incompletely understood entity of malabsorption of food bound cobalamin is generally presumed to arise from gastritis and/or achlorhydria. AIM: To conduct a systematic comparative examination of gastric histology and function. SUBJECTS: Nineteen volunteers, either healthy or with low cobalamin levels, were prospectively studied without prior knowledge of their absorption or gastric status. METHODS: All subjects underwent prospective assessment of food cobalamin absorption by the egg yolk cobalamin absorption test, endoscopy, histological grading of biopsies from six gastric sites, measurement of gastric secretory function, assay for serum gastrin and antiparietal cell antibodies, and direct tests for Helicobacter pylori infection. RESULTS: The six subjects with severe malabsorption (group I) had worse histological scores overall and lower acid and pepsin secretion than the eight subjects with normal absorption (group III) or the five subjects with mild malabsorption (group II). However, histological findings, and acid and pepsin secretion overlapped considerably between individual subjects in group I and group III. Two distinct subgroups of three subjects each emerged within group I. One subgroup (IA) had severe gastric atrophy and achlorhydria. The other subgroup (IB) had little atrophy and only mild hypochlorhydria; the gastric findings were indistinguishable from those in many subjects with normal absorption. Absorption improved in the two subjects in subgroup IB and in one subject in group II who received antibiotics, along with evidence of clearing of H pylori. None of the subjects in group IA responded to antibiotics. CONCLUSIONS: Food cobalamin malabsorption arises in at least two different gastric settings, one of which involves neither gastric atrophy nor achlorhydria. Malabsorption can respond to antibiotics, but only in some patients. Food cobalamin malabsorption is not always synonymous with atrophic gastritis and achlorhydria, and hypochlorhydria does not always guarantee food cobalamin malabsorption.  (+info)

Hypochlorhydria induced by a proton pump inhibitor leads to intragastric microbial production of acetaldehyde from ethanol. (5/79)

BACKGROUND: Acetaldehyde, produced locally in the digestive tract, has recently been shown to be carcinogenic in humans. AIM: To examine the effect of iatrogenic hypochlorhydria on intragastric acetaldehyde production from ethanol after a moderate dose of alcohol, and to relate the findings to the changes in gastric flora. METHODS: Eight male volunteers ingested ethanol 0.6 g/kg b.w. The pH, acetaldehyde level and microbial counts of the gastric juice were then determined. The experiment was repeated after 7 days of lansoprazole 30 mg b.d. RESULTS: The mean (+/- S.E.M.) pH of the gastric juice was 1.3 +/- 0.06 and 6.1 +/- 0.5 (P < 0.001) before and after lansoprazole, respectively. This was associated with a marked overgrowth of gastric aerobic and anaerobic bacteria (P < 0. 001), by a 2.5-fold (P=0.003) increase in gastric juice acetaldehyde level after ethanol ingestion, and with a positive correlation (r=0. 90, P < 0.001) between gastric juice acetaldehyde concentration and the count of aerobic bacteria. CONCLUSIONS: Treatment with proton pump inhibitors leads to hypochlorhydria, which associates with intragastric overgrowth of aerobic bacteria and microbially-mediated acetaldehyde production from ethanol. Since acetaldehyde is a local carcinogen in the concentrations found in this study, long-term use of gastric acid secretory inhibitors is a potential risk-factor for gastric and cardiac cancers.  (+info)

Assessment of gastric acidity of Japanese subjects over the last 15 years. (6/79)

The gastric acidity of young to elderly Japanese subjects from 1989 to 1999 was assessed and compared with that obtained in 1984, using GA-Test capsules containing acid-dissolving granules of riboflavin. The percentage of achlorhydric subjects increased with age as observed before, however, an over all decrease in all age categories year by year was noted. The percentage of achlorhydric subjects aged 50 years in 1995-1999 was about 40%, which was lower than that (60%) in 1984. However, such a chronological change was not observed when the percentage of achlorhydric subjects was determined according to birth year, indicating that it is related to the birth year of subjects. The percentage of achlorhydric subjects correlated with infection by Helicobacter pylori. Considering the high percentage of achlorhydric elderly, bioavailability and bioequivalence studies should be performed taking into consideration the effects of gastric acidity on the in vivo performance of drug products.  (+info)

Marginal ulcer in achlorhydric patients. (7/79)

Recurrent gastrojejunal ulceration is reported in three patients with histamine-fast achlorhydria. In none of these patients was extruding suture material responsible for the ulceration. However, all three patients had a history of alcohol abuse, and one abused aspirin as well. These cases demonstrate that achlorhydria does not protect against anastomotic ulceration. It is suggested that surgical manipulation produces an increased susceptibility to mucosal damage, and that it is erroneous to consider all anastomotic ulceration as a continuation or recurrence of acid peptic disease.  (+info)

Vagal impairment of gastric secretion in diabetic autonomic neuropathy. (8/79)

Gastric acid output in response to insulin-induced hypoglycaemia and pentagastrin was measured in 18 diabetic patients with symptoms of autonomic neuropathy. Two patients had achlorhydria but the rest responded normally to pentagastrin. The acid output evoked by insulin-induced hypoglycaemia was low in 10 of the 16 patients who secreted acid in response to pentagastrin. These changes suggest that vagal impairment is common in diabetics with autonomic symptoms, which might explain the infrequency of duodenal ulcer in diabetics.  (+info)

Define achlorhydric. achlorhydric synonyms, achlorhydric pronunciation, achlorhydric translation, English dictionary definition of achlorhydric. n. Absence of hydrochloric acid in the gastric secretions of the stomach. a·chlor·hy′dric adj. American Heritage® Dictionary of the English Language, Fifth...
SUMMARY: Binary suspensions of bacteria isolated from the gastric juice of achlorhydric patients were used to determine conditions which favour nitrite accumulation during nitrate reduction. Suspensions of Veillonella parvula and Haemophilus parainfluenzae accumulated nitrite during nitrate reduction in the absence of nitrite-reducing Neisseria subflava or Streptococcus sanguis. The maximum concentration of nitrite that transiently accumulated decreased predictably as the ratio of nitrite-removing bacteria to nitrite-accumulating bacteria increased. This ratio, but more importantly the bacterial density, determined the duration of nitrite accumulation. These results are correlated with the previously reported tendency of nitrite to accumulate in the gastric juice of hypogammaglobulinaemic and pernicious anaemic patients, and with the extremely high incidence of gastric cancer in the two groups.
Achlorhydria, in simple terms, means the absence of hydrochloric acid in gastric secretions and has been defined by multiple separate systems in reference to gastric acid secretion. First, achlorhydria has been defined by a peak acid output in response to a maximally effective stimulus that results in an intragastric pH greater than 5.
TY - CONF. T1 - Apparent solubility of drugs in Simulated Achlorhydric Gastric Fluid and Fasted State Simulated Intestinal Fluid with low respectively high bile concentration. AU - Fagerberg, Jonas. AU - Jabbar, Hasna. AU - Zarmpi, Panagiota. AU - Fotaki, Nikoletta. PY - 2017. Y1 - 2017. M3 - Abstract. T2 - 6th FIP Pharmaceutical Sciences World Congress. Y2 - 21 May 2017. ER - ...
Defective absorption of calcium has been thought to exist in patients with achlorhydria. Hunt et al found gastric secretion of acid is required for the absorption of calcium from carbonate; however, absorption of calcium from calcium monocitrate was consistent irrespective of pH.20 Recker et al also found decreased absorption of calcium from the carbonate form in patients with achlorhydria. They found absorption of calcium as a pH-adjusted citrate salt was superior to carbonate in individuals with normal gastric acidity, and absorption of the citrate salt was not negatively affected by decreased gastric acidity. In fact, their findings indicate absorption of calcium as a citrate salt was significantly higher in individuals with achlorhydria than in subjects with normal gastric acidity.27 In contrast to these studies suggesting the requirement of HCl for absorption of calcium from carbonate, Bo-Linn et al concluded stomach acid production was not important in absorption of calcium from carbonate ...
In the early twentieth century various investigators believed that patients with reduced gastric acid secretion were especially susceptible to bacterial enteric infections. Since many bacteria are promptly killed in an acidic environment, gastric acidity was thought to act as a barrier to ingested microorganisms. Despite a century of study, the concept of a gastric barrier to ingested microorganisms is still insufficiently understood. In this paper we update the older observations and discuss the interaction between bacteria and gastric acid, and other variables that may influence the survival of ingested bacteria in the stomach. In addition to recent data dealing with nontyphoidal salmonellosis, cholera, and shigellosis, we present information pertinent to other bacterial and parasitic enteric diseases. We believe that the available data, although incomplete, support the concept that gastric hypochlorhydria or achlorhydria increases both susceptibility to and severity of bacterial and ...
Inability to produce gastric acid. Most commonly caused by gastric atrophy. Gastric atrophy, with or without autoimmune gastritis, is present in about 15% of older people and is thought to be initiated by infection with . Usually asymptomatic but may present with signs and/or symptoms of iron, c...
Gliding Through the Golden Years Gracefully By Dr. Jen Morganti, NEEDS Education Director Aging is a process in life we all have to go through. Regardless of how much we try to deny or escape it, the undeniable fact is that over time, our bodies naturally deteriorate. Take heart though, we have the power to take steps that can minimize our decay and enable us to embrace the wonders of aging. For many people, the digestive system takes the biggest hit through the course of the aging process, bringing on problems such as gastric atrophy (damage to stomach cells) and subsequent hypo- and achlorhydria (low or no gastric secretion), decreased pancreatic enzyme production or secretion, and decreased bile production.1 Gastric atrophy becomes more likely as our age increases, and can be linked to chronic gastritis and/or H. pylori infection. It leads to hypo- or achlorhydria, and studies show that it occurs at rates ranging from 30 to 60 percent of adults over 60 years of age. This damage is
Twenty-five patients with bleeding peptic ulcers were ndomized to receive either ranitidine 50 mg 8 hourly i.v. control group) or a continuous nasogastric antacid infuion at the rate of 0.5 ml/min along with an i.v. injection feimetidine 100 mg/h (treatment group). Twelve patients were included in the control group and 13 in the treatment roup. The mean gastric pH on therapy was significantly igher in the treatment group (7.88 ± 0.37) than in the ontrol group (5.00 ± 0.55) (p , 0.001), and the gastric H was noted to be ,7 on 95% of the occasions in the treatment group and on 8.6% of the occasions in the control group. An overall control of bleeding was chieved in 92.3% of the patients in the treatment group and 50% of the patients in the control group (p , .05). Thus, the failure of therapy was significantly more common in the control group than in the treatment group (p , .05), and more patients of the control group had to indergo emergency surgery than that in the treatment group. None of ...
The lowering acid level itself can make symptoms similar to gastroesophageal reflux disease, and hinders protein digestion by holding back the enzyme pepsin. Pepsin needs a low gastric PH to become active. Low acid levels in the stomach are also linked with bacteria growing too much, which can stop the body taking in nutrients or vitamins. ...
Townsend Letter for Doctors & Patients alternative medicine articles are written by researchers, health practitioners and patients.
As we age, hydrochloric acid tends to become depleted. Additionally, it is reduced by eating complex meals (thats most meals), excessive eating, and high protein intake. And if you have a sluggish thyroid gland you may be prone to insufficient hydrochloric acid.. Not only can hypochlorhydria (as it is officially called) result in nutritional deficiencies it can cause fatigue, insufficient pancreatic digestive enzymes, and food allergies. But, thats just the tip of the iceberg. Here are some of the symptoms associated with low stomach acid. Dont forget to check out my article 12 Ways to Supercharge Your Digestion to discover ways to restore stomach acid and other digestion tips.. Some symptoms and conditions associated with low stomach acid:. Asthma. Autoimmune disorders. Bloating. Candidiasis-chronic. Celiac disease. Constipation. Diabetes mellitus. Diarrhea. Dilated capillaries in the cheeks and nose (in non-alcoholics). Distention after eating. Dry mouth. Eczema. Fingernails that are weak, ...
TY - JOUR. T1 - Hypochlorhydria reduces mortality in heart failure caused by Kcne2 gene deletion. AU - Lisewski, Ulrike. AU - Köhncke, Clemens. AU - Schleussner, Leonhard. AU - Purfürst, Bettina. AU - Lee, Soo Min. AU - De Silva, Angele AU - Manville, Rian. AU - Abbott, Geoffrey. AU - Roepke, Torsten. PY - 2020/6/25. Y1 - 2020/6/25. N2 - Heart failure (HF) is an increasing global health crisis, affecting 40 million people and causing 50% mortality within 5 years of diagnosis. A fuller understanding of the genetic and environmental factors underlying HF, and novel therapeutic approaches to address it, are urgently warranted. Here, we discovered that cardiac-specific germline deletion in mice of potassium channel β subunit-encoding Kcne2 (Kcne2 CS−/−) causes dilated cardiomyopathy and terminal HF (median longevity, 28 weeks). Mice with global Kcne2 deletion (Kcne2 Glo−/−) exhibit multiple HF risk factors, yet, paradoxically survived over twice as long as Kcne2 CS−/− mice. Global ...
People with hypochlorhydria are unable to produce enough stomach acid. This can lead to problems with digestion and nutritional deficiencies. Stress, advancing age, zinc deficiency, or certain medications may be responsible, but prompt treatment can ease symptoms and prevent serious complications. Learn more here.
Quickly learn the signs and symptoms of Hypochlorhydria or low stomach acid. Including burping, gas, avoiding meat, constipation, and weight gain.
What are the causes of no or low stomach acid? Achlorhydria or hypochlorhydria causes & risk factors are aging, H. Pylori, low estrogen, etc.
Glutamic Acid Other name(s): a-aminoglutaric acid Reported uses Glutamic acid is often used to treat hypochlorhydria and achlorhydria. Unsubstantiated claims Please note that this section reports on claims that have not yet been substantiated through studies. Glutamic acid may treat personality and childhood behavioral issues. It may also aid in epilepsy and muscular dystrophy. It may also treat intellectual disorders. Glutamic acid may be used to treat low blood sugar (hypoglycemia) in people with diab...
PCAs target gastric H+/K+ATPase (4). Acid output was lower in PCA+ patients. Achlorhydria interrupts the negative feedback of somatostatin on antral G-cells, thus inducing hypergastrinemia, a trophic stimulus for ECL cell proliferation. We and others demonstrated a positive correlation between gastrin and ECL cell density (21,27). Also, CgA levels were increased in all patients with ECL cell hyper/dysplasia. ECL cells may release CgA into the circulation (21,22). Multivariate regression showed that the CgA level was determined by ECL cell density and gastrin level, as shown before (13,21,22,28).. The degree of ECL cell hyper/dysplasia is important in determining the risk of carcinoid tumor. CgA may indicate the presence of an increased gastric ECL cell mass more accurately than histology. This is supported by the correlations we found between CgA and gastrin and ECL cell proliferative changes. The assessment of gastric ECL cell proliferation is hampered by the fact that such lesions are usually ...
Does Alka Seltzer Help Acid Reflux to find out where to get the best deal on Does Alka Seltzer Help Acid Reflux. If the Does Alka Seltzer Help Acid Reflux is integrated that you must have, be sure to order now to stay away from disappointment Click on right here to find out exactly where to get the very best deal on Does Alka Seltzer Help Acid Reflux.. For example, Prilosec (omeprazole) was the first proton pump inhibitor (PPI). It was introduced as a new and more powerful way to suppress stomach acid and fight reflux. Prilosec became a.. Which Of The Following Secretions Raises Ph And Neutralizes Stomach Acid? Stomach secretions usually have a very low pH (1-2), which means they are highly acidic. Your stomach pH may indicate the following: People with achlorhydria have almost no stomach acid. may help. Oct 01, 2019 · After the partially digested bolus leaves the stomach mixed with gastric acid and enters the small intestine via the duodenum,. Products 1 - 20 of 63. Alka-Seltzer Extra ...
Cobalamin (vitamin B12) deficiency is highly prevalent in the US and worldwide. Deficiency is most common in the elderly, with an average prevalence ≈25% over age 60 y. About 40% of older persons with low serum cobalamin have food cobalamin malabsorption (F-CM), in which gastric atrophy/achlorhydria and/or dysfunction is implicated. Because of the prevalence of deficiency in those over age 60 y, it is generally recommended that the elderly consume a higher proportion of their cobalamin from fortified foods than what is recommended for younger people. However there is considerable debate about whether crystalline cobalamin is absorbed as well by the elderly with F-CM as it is by younger people, especially if it is added as a fortificant to food. The data to be collected in this study will provide information useful to on-going deliberations concerning the future fortification of wheat flour with vitamin B12 in the United States ...
Vitamin B12 is essential for DNA synthesis and for cellular energy production. This review aims to outline the metabolism of vitamin B12, and to evaluate the causes and consequences of sub-clinical vitamin B12 deficiency. Vitamin B12 deficiency is common, mainly due to limited dietary intake of animal foods or malabsorption of the vitamin. Vegetarians are at risk of vitamin B12 deficiency as are other groups with low intakes of animal foods or those with restrictive dietary patterns. Malabsorption of vitamin B12 is most commonly seen in the elderly, secondary to gastric achlorhydria. The symptoms of sub-clinical deficiency are subtle and often not recognized. The long-term consequences of sub-clinical deficiency are not fully known but may include adverse effects on pregnancy outcomes, vascular, cognitive, bone and eye health.
Vitamin C is the L-ascorbic acid in man while the isomer D-ascorbic acid is biologically inactive. It is water soluble white in color and odorless substance with a sour taste. Ascorbic acid is easily destroyed by heat, oxidation and exposure to air especially in the presence of iron and copper ions. Alkalies also destroy it and therefore its absorption is decreased in achlorhydria. Its chemical names are ascorbic acid, and ascorbyl palmitate. Man and other animal cannot make vitamin C in their bodies and for this reason it is vitamin for them. The inability to produce this vitamin is due to lack of enzyme L-gluonolactone oxidase.. ...
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Once absorbed by the body, vitamin A helps make rhodopsin, a pigment that helps eyes work better in low light. Carrots can help if you have vitamin A deficiency that causes. meal can have a similar.. Gout is an inflammatory disease that can cause very painful attacks. To prevent new attacks, it is important to maintain low levels of uric acid in the body. However, pain relieving treatment alone.. The syndrome is diagnosed by having a history that fits as well as eliminating other causes for vomiting. Fortunately, most dogs will respond to treatment. The easiest thing to do is offer a meal.. As a result, theyre told, they should drink ACV in order to acidify the stomach. But in fact, just the opposite is true. While there hasnt been a single scientific study testing whether too-low.. Afew almonds, chewed thoroughly, have been discovered to helpenormously with acid reflux. Chew a couple of within the morning, and aftermeals. Signs of GERD can embrace stomach discomfort or burning pain that may ...
When adults have a pale stool with no other symptoms, it is usually safe to wait and see if the stool returns to normal. Hypochlorhydria, or low stomach acid, may be a sign of an underlying condition, including H. pylori infection or vitamin deficiency. Footstools where generally interchangeable in everyday life from the 17th through the early 19th century. Passing stool fewer than three times in a week, particularly where the stool is hard and there is straining to defecate is medically considered to be constipation. However, it is better to consult a doctor whether you are experiencing small or large amounts of rectal bleeding to have a proper diagnosis. rice-water ss the characteristic and diagnostic watery, light gray to clear diarrhea of cholera, containing flecks of mucous material, epithelial cells, and many cholera vibrios. Often stool and bacteria get caught in these pouches and may lead to infection and inflammation of the diverticula. Vitamins that include iron can turn the color of ...
Stomach acid is one of the bodys defences against bugs which enter our body. If we dont have enough stomach acid, we may be at increased risk of infection. Low stomach acid, also known as hypochlorhydria may occur for a wide array of reasons including low zinc levels, old age, antacid use, or other causes. Studies have found that people suffering from some conditions, such as asthma and eczema, have an increased likelihood of having low stomach acid. You can check whether you have low stomach acid by doing the very classy Bicarb Burp Test. This involves the following: First thing in the morning, before you eat or drink anything, mix a generous one quarter teaspoon of baking soda in eight ounces of cold water. Drink this delicious concoction and have a stopwatch at the ready to see how long it takes you to burp. If you have not burped after five minutes, stop timing. The earlier and the more repetedly you burp, the higher your stomach acid is. So if you belch within the first 2 minutes, you ...
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If youre a woman, addicted, abused and poor the likelihood of you or your children breaking the vicious cycle is almost impossible.
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View full article , The real diagnosis for food-cobalamin malabsorption syndrome is hypochlorhydria. Abstract. In naturopathic medicine, we sometimes use diagnoses that are not widely used by mainstream (conventional) medicine. One such diagnosis is hypochlorhydria, which refers to an increased gastric pH as a result of deficient hydrochloric acid (HCl) and pepsin secretion. Hypochlorhydria has occasionally been mentioned as a factor in certain medical conditions (e.g., pernicious anemia, alcoholism, and partial gastrectomies),1 but has received minimal recognition as a diagnostic consideration.. Authors: Jonathan Prousky, N.D., FRSH. Keywords:food-cobalamin malabsorption syndrome, hypochlorhydria, supplemental hydrochloric acid, pepsin. ...
Introduction Autoimmune chronic atrophic gastritis (CAG) causes hypochlorhydria and hypergastrinaemia, that may result in enterochromaffin-like (ECL) cell hyperplasia and gastric neuroendocrine tumours (type 1 gastric NETs). 6, 9, 12 and 24 weeks, we assessed circulating gastrin and CgA and evaluated protection and tolerability. Outcomes Netazepide was secure and well tolerated. Abundances of CgA (p 0.05), histidine decarboxylase (p 0.05) and matrix metalloproteinase-7(p 0.10) were reduced at 6 and 12 weeks, but were raised again at follow-up. Also, plasma CgA was decreased at 3 Eprosartan supplier weeks (p 0.01), remained thus until 12 weeks, but grew up again in follow-up. Tumours had been fewer and how big is the biggest one was smaller sized (p 0.05) at 12 weeks, and remained so at follow-up. Serum gastrin was unaffected. Summary The decrease in abundances, plasma CgA, and tumour quantity and size by netazepide display that type 1 NETs are gastrin-dependent tumours. Failing of netazepide to ...
John McLaren-Howard has again come up with a brilliant suggestion for a simple test to diagnose hypochlorhydria. The idea here is that it is very difficult for the stomach to produce stomach acid. The normal acidity of blood is about pH7, but the acidity of stomach acid can be as low as pH 2 or below. That means that hydrogen ions (which create acidity) are a 100,000 times more concentrated in the stomach than in the bloodstream. So the stomach wall has a very difficult job to do. The gastric parietal cells need quite a bit of energy from ATP to pump hydrogen ions from the inside of the parietal cell into the lumen of the stomach. The difficult bit is stopping these hydrogen ions leaking back again. This is achieved because the gastric parietal cells forming a protective barrier between each other at the cell membrane tight junction to stop hydrogen ions leaking back. Because this is extremely hard work and the body does not want to waste energy, the main regulator for the cell membrane tight ...
Lysosomes are membrane-bound organelles that serve as the major degradative compartments for endocytic, phagocytic, and autophagic materials targeted for destruction in eukaryotic cells. Lysosomes also mediate some cell death pathways and play crucial roles in wound repair. Indeed, lysosomal dysfunction is a hallmark of many diseases, including some referred to as lysosomal storage disorders. Given this central importance of lysosomes, it is striking that little is known about how lysosomes are formed, the process we refer to as lysosome biogenesis.. Mucolipidosis type IV is a neurodegenerative lysosomal storage disorder that is characterized by severe psychomotor retardation, achlorhydria, and ophthalmological abnormalities; most tissues show lysosomal defects resulting in abnormally enlarged vacuoles that accumulate various material. In spite of this general lysosomal defect, neurons are the primary cells that die in Mucolipidosis type IV patients. Mucolipidosis type IV is due to mutations in ...
ABSTRACT. Acid-related disorders, including gastro esophageal reflux disease (GERD), duodenal ulcers, and gastric ulcers, are managed by H2 receptor antagonists and proton pump inhibitors (PPIs). PPIs represent first choice for treating acid-peptic ulcers inhibits the gastric- H+/ K+ -ATPase through covalent binding to cysteine residues of the proton pump. Achlorhydria and acute renal failure are the most common drawbacks. A reversible acid pump antagonist (APAs), currently in clinical trial removes these problems. The APAs are the conceivable future drugs for the treatment of acid-peptic disorders.. Keywords: Proton pump, Proton pump inhibitors, Acid secretion, Acid related disorders.. ...
Self-experimentation refers to the special case of single-subject research in which the experimenter conducts the experiment on himself or herself. Usually this means that a single person is the designer, operator, subject, analyst, and user or reporter of the experiment. Current champions of self-experimentation include the late Seth Roberts, Tim Ferriss, and a sprawling community of Quantified Self Human scientific self-experimentation principally (though not necessarily) falls into the fields of medicine and psychology. Self-experimentation has a long and well-documented history in medicine which continues to the present day. For example, after failed attempts to infect piglets in 1984, Barry Marshall drank a petri dish of the Helicobacter pylori from a patient, and soon developed gastritis, achlorhydria, stomach discomfort, nausea, vomiting, and halitosis.[citation needed] The results were published in 1985 in the Medical Journal of Australia, and is among the most cited articles from the ...
A megaloblastic anemia occurring in children but more commonly in later life, characterized by histamine-fast achlorhydria, in which the laboratory and clinical manifestations are based on malabsorption of vitamin b 12 due to a failure of the gastric mucosa to secrete adequate and potent intrinsic factor. (Dorland, 27th ed ...
Note: Only the 100 milligram (mg) tablets can be put into a glass of water to dissolve. The 200 milligram (mg) tablets must be swallowed whole.. Do not take any antacid medications within 1 hour of the time you take delavirdine. They may prevent delavirdine from being absorbed into the body.. For patients with achlorhydria (absence of stomach acid) they should take delavirdine with a glass of orange juice or cranberry juice.. Take this medicine exactly as directed by your doctor. Do not take it more often, and do not take it for a longer time than your doctor ordered. Also, do not stop taking this medicine without checking with your doctor first.. Keep taking delavirdine for the full time of treatment, even if you begin to feel better.. ...
1. Streeter AM, et al. Cimetidine and malabsorption of cobalamin. Dig Dis Sci 1982;27:13-16. 2. Aymard JP, Aymard B, Netter P, et al. Haematological adverse effects of histamine H 2 -receptor antagonists. Med Toxicol Adverse Drug Exp. 1988;3:430-448. 3. Saltzman JR, Kemp JA, Golner BB, et al. Effect of hypochlorhydria due to omeprazole treatment or atrophic gastritis on protein-bound vitamin B 12 absorption. J Am Coll Nutr 1994;13:584-591. 4. Marcuard SP, et al. Omeprazole therapy causes malabsorption of cyanocobalamin (vitamin B 12). Ann Intern Med 1994;120:211-215. 5. Shils M, et al. (eds.). Modern Nutrition in Health and Disease. 9th ed. Baltimore, MD: Williams and Wilkins, 1999: 1634. 6. Saltzman JR, Kemp JA, Golner BB, et al. Effect of hypochlorhydria due to omeprazole treatment or atrophic gastritis on protein-bound vitamin B 12 absorption. J Am Coll Nutr. 1194;13:584-591. 7. Russell RM, Golner BB, Krasinski SD, et al. Effect of antacid and H 2 receptor antagonists on the intestinal ...
The H. pylori gene was present in only 6 of the 41 samples. This was expected because, when H. pylori has been present for many years and the stomach becomes atrophic and hypochlorhydric, the intragastric environment is no longer optimal for H. pylori. Competing faecal-type organisms are then able to colonise the stomach. Furthermore, H. pylori is able to colonise only normal gastric cells, and not those that have differentiated into intestinal metaplasia. Therefore, H. pylori disappears from the stomach when atrophy and intestinal metaplasia supervene. In patients who are most likely to develop gastric cancer (those with extensive intestinal metaplasia and atrophy) and those already with advanced cancer, as in our cases, the serology is often negative and the genes will almost always not be detectable by PCR.. No significant relationship was found between age and either IL-1RN or IL-1B in gastric carcinoma from Kenyan patients; the chi-square test for both was not significant: p=0.9 for IL-1RN ...
The H. pylori gene was present in only 6 of the 41 samples. This was expected because, when H. pylori has been present for many years and the stomach becomes atrophic and hypochlorhydric, the intragastric environment is no longer optimal for H. pylori. Competing faecal-type organisms are then able to colonise the stomach. Furthermore, H. pylori is able to colonise only normal gastric cells, and not those that have differentiated into intestinal metaplasia. Therefore, H. pylori disappears from the stomach when atrophy and intestinal metaplasia supervene. In patients who are most likely to develop gastric cancer (those with extensive intestinal metaplasia and atrophy) and those already with advanced cancer, as in our cases, the serology is often negative and the genes will almost always not be detectable by PCR.. No significant relationship was found between age and either IL-1RN or IL-1B in gastric carcinoma from Kenyan patients; the chi-square test for both was not significant: p=0.9 for IL-1RN ...
It may seem like there is too much HCL acid because of heartburn, sour stomach, or overall stomach upset, nausea, and pain, but having too little stomach acid.. It may seem like there is too much HCL acid because of heartburn, sour stomach, or overall stomach upset, nausea, and pain, but having too little stomach acid.. Jun 28, 2016. Hydrochloric acid (aka stomach acid or HCl) is one of these secretions. And there are. Its about preventing gas formation, too! Beyond these.. Iron-Out-of-Balance™ in the Elderly Too Little Iron. Even though anemia is fairly prevalent among elderly persons, the underlying cause is not so easily defined.. Detecting Hypochlorhydria - Naturopathic Doctor News and Review - Jan 28, 2008. Chronic overeating Another common inhibitor of HCl production is. Hypochlorhydria occurs when the pH of the stomach falls below 3.5.. May 2, 2011. Its role in digestion and the regulation of pH in the stomach is critical for. Its important to mention that HCL production is a major ...
Calcium is an important macromineral for all the organs.Supplementation of the diet with calcium is an important factor formaintaining bone density.Calcium is removed from bone to replenishbodily stores that can become deficient during times of stress and when calcium is not supplied from food sources in sufficientamounts.Calcium in the citrate form is shown to be betterabsorbed in individuals with hypochlorhydria. Every batch is testedto ensure the absence of heavy metals and other contaminants.
Consumption of the green flesh kiwifruit (Actinidia deliciosa, Hayward variety) is known to relieve constipation and provide relief from symptoms of digestive dysfunction, but the effect is poorly researched and a credible explanation and mechanism has not been documented. This body of work aimed to increase the understanding of the effects of kiwifruit on the digestion process. There is some evidence that the mechanism may be due to the proteolytic properties of actinidin, a unique protease in kiwifruit. Actinidin has a wide pH-dependent reactivity between pH 2.5 - 6 with an optimum at pH 3.0 - 3.5; equivalent to low acid conditions more associated with hypochlorhydria than the pH range of 1.5 - 2.5 normally associated with efficient gastric hydrolysis of protein. It was hypothesised that in vitro and in vivo the digestion of protein would be facilitated by the presence of the kiwifruit protease, particularly when pH exceeded normal fasting gastric pH. A sequence of studies to measure the ...
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Heres a management concept from the business world that may be entirely useful for those of us living with a serious health concern. Thanks to heart attack survivor Jen Thorson for this inspirational look at the difference between our circle of influence and our circle of concern.
Heres a management concept from the business world that may be entirely useful for those of us living with a serious health concern. Thanks to heart attack survivor Jen Thorson for this inspirational look at the difference between our circle of influence and our circle of concern.
Infection is a vicious cycle! The cure makes you vulnerable for further infection. A couple of posts ago I wrote about a bacterial infection that hadnt been fully treated by antibiotics back in February. Well, at the beginning of last week that same infection grew back yet again! We dont know exactly why, but as…
First, achlorhydria has been defined by a peak acid output in response to a maximally effective stimulus that results in an ... Achlorhydria, in simple terms, means the absence of hydrochloric acid in gastric secretions and has been defined by multiple ... encoded search term (Achlorhydria) and Achlorhydria What to Read Next on Medscape ... Obtain an appropriate history in patients suspected of having achlorhydria. Elicit risk factors for achlorhydria, including ...
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Causes and Symptoms of Achlorhydria. Herbal treatment of Achlorhydria by natural herbs is given in repertory format. ... Most effective herbal treatment for Achlorhydria and herbs for Achlorhydria. ... Causes of Achlorhydria Medications. Metabolic Disorder. Autoimmune Disease. If not treated properly, Achlorhydria may cause ... Achlorhydria is a disease of the Stomach.. When the stomach acid is absent, whether its partially or fully, it is Achlorhydria ...
Bacterial overgrowth syndrome (BOS) is a term that describes clinical manifestations that occur when the normally low number of bacteria that inhabit the stomach, duodenum, jejunum, and proximal ileum significantly increases or becomes overtaken by other pathogens. The upper intestinal tract was once thought to be a sterile environment; howe...
Persons at increased risk for infection or more severe disease include infants; the elderly; persons with achlorhydria; those ...
Although achlorhydria reserving multiforme: procedures: melanoma.. Although achlorhydria reserving multiforme: procedures: ... Rental Rate: Although achlorhydria reserving multiforme: procedures: melanoma.. *Commission Split: Although achlorhydria ... Hello, I am interested in [Although achlorhydria reserving multiforme: procedures: melanoma.]. Request info. Send Direct ... Hello, I am interested in [Although achlorhydria reserving multiforme: procedures: melanoma.]. Request info. Send Direct ...
People with typical mucolipidosis type IV also have impaired production of stomach acid (achlorhydria). Achlorhydria does not ...
... hypokalemia-achlorhydria [WDHA], glucagonoma [glucagonoma syndrome], and so forth). ". 07/01/1982 - "Immunocytochemical stains ... and achlorhydria) syndrome and 15 without endocrine symptoms]. ". ...
Achlorhydria-induced malabsorption. *Deficient intake. *Deficient intrinsic factor, a molecule produced by cells in the stomach ...
... in patients who have achlorhydria (119), ileus, or upper gastrointestinal disease; and in patients receiving enteral feeding, ...
... or a pharmaceutical composition thereof for the manufacture of a medicament for treatment of diseases including achlorhydria in ...
For patients with achlorhydria (absence of stomach acid) they should take delavirdine with a glass of orange juice or cranberry ... Achlorhydria (absence of stomach acid)-Delavirdine should be taken with an acidic beverage such as orange or cranberry juice ...
I am wondering about hypochlorhydria and achlorhydria after listening to Topic 2. Im 34/m/168 and was diagnosed as being quite ...
Reversal of non-Addisonian achlorhydria by a Roux-en-Y loop. W M Capper, T J Butler, J O Kilby ...
As a result, stool volume decreases and hypokalemia and achlorhydria improve. Tachyphylaxis to octreotide, however, has been ...
A syndrome consisting of watery diarrhea, hypokalemia, and achlorhydria secondary to the ectopic production of vasoactive ...
Occurring most commonly in women (female-to-male ratio, 2.5:1) at a mean age of 63 years, achlorhydria may be present, and ... hypochlorhydria and achlorhydria, anemia, and cholelithiasis are rare.[31] ...
Although aggressive medical treatment with PPIs and histamineH2 receptor antagonists to produce near-complete achlorhydria has ...
Achlorhydria Abnormal condition characterized by absence of hydrochloric acid in the gastric secretiions ...
Investigations revealed hypokalaemia (2.5 mmol/l; NR 3.5 4.5), achlorhydria and a raised vasoactive intestinal polypeptide (VIP ...
In patients with achlorhydria or hypochlorhydria, calcium absorption, especially with the carbonate salt, may be reduced. ...
... as well as conditions associated with achlorhydria [1, 2]. There is controversy regarding the possibility of an association ...
Watery diarrhea-hypokalemia-achlorhydria syndrome and carcinoma of the esophagus. Gastroenterology, 88, 798- 803. ...
Achlorhydria. Type B. Type B. Most Common Type. Helicobacter pylori. Antrum. Increased Risk of MALT Lymphoma. Associations. HIV ...
Dive into the research topics of Survival Times of Patients With Menetriers Disease and Risk of Gastric Cancer. Together they form a unique fingerprint. ...
... caused by hypo-or achlorhydria. Rare reports of cyanocobalamin deficiency occurring with acid-suppressing therapy have been ...
Individuals suffering from achlorhydria condition must avoid the use of enteric-coated peppermint. The enteric coating of ...
Bioavailability varies only under conditions of deficiency or compromised digestive function (i.e., achlorhydria or lack of ... Bioavailability varies only under conditions of deficiency or compromised digestive function (i.e., achlorhydria or lack of ...
Acetaminophen Tylenol (with long-term, high-dose use) or Achlorhydria (absence of stomach acid) or Alcohol abuse diazepam ...

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