Malabsorption syndrome is a common gastrointestinal syndrome,in which the body fails to absorb essential constituents of food. The defect lies in the gastrointestinal tract which is the main source where all of the important constituents of food is absorbed. Malabsorption syndrome is characterised by malnutrition,chronic diarrhea and steatorrhea.
- Cause of Malabsorption syndrome is divided into two main headings,one is due to inadequate digestion and the second one is impaired digestion.
- Cause of inadequate digestion-chronic pancreatic disease,cirrhosis,gastrectomy,zollinger-ellison syndrome,jejunal diverticulosis,diabetes mellitus.
- Cause of impaired digestion-coeliac disease,tropical sprue,intestinal tuberculosis,crohn’s disease,protein losing enteropathy,parasitic infestation,diabetes mellitus,thyrotoxicosis,addison’s disease,systemic sclerosis,AIDS,iatrogenic(chemotherapeutic drugs).
- Clinically Malabsorption syndrome is characterised by symptoms which have a insidious onset.
- Malabsorption syndrome depends on malabsorption of particular food constituent. Symptoms are different for different food constituent.
- Malabsorption of Fat-weight loss,steatorrhea is key symptom of malabsorption of fat. Character of stool is pale,bulky,frothy stools,stools contain fat. Difficult to flush out stools in toilet is characteristic of steatorrhea.
- Malabsorption of protein-progressive emaciation and pitting oedema.
- Malabsorption of carbohydrates-flatulence,abdominal distension,belching.
- Malabsorption of vitamin A-night blindness,keratomalacia,follicular hyperkeratosis,xerosis.
- Malabsorption of of vitamin D,calcium-muscular and bone pains,muscular irritability,tetany.
- Malabsorption of vitamin k-haemorrhages,weakness,cheilosis,glossitis,dermatitis,polyneuritis.
- Malabsorption of of vitamin B12,folic acid and iron-anaemia,glossitis,neurological disturbances.
- Malabsorption of of vitamin C-bleeding tendency.
Treat the cause,avoid spicy,fried food,avoid eating outside foods especially tinned products.
Correct the underlying defective constituent.