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What is Tropical Sprue?
Tropical sprue is a rare digestive and malabsorption disease which , as the name itself suggests , is commonly found in the tropic and sub - tropic region . Tropical sprue is characterized by inflammation in the lining of the small gut and abnormal flattening of the villi of the small gut . There is a important dispute between tropical sprue and celiac sprue , as tropical sprue is a more severe type of environmental enteropathy . Patients suffering from tropical sprue are not able to absorb nutrients properly , especially folic acid and vitamin B12 . The ability of the small intestine to take over these nutrients becomes impaired leading to symptoms such as diarrhea , steatorrhea and anemia in the patient role .
Small bowel ordinarily has villi present in them , which are digitate projection that help in increase absorption of the food by put up increased surface orbit in the gut . In patients tolerate from tropical sprue , there is flattening of these villi , which cause absorption of the nutrient hard ( malabsorption ) .
Causes of Tropical Sprue
The exact causal agent of tropical sprue is not clear . It is thought to occur due to dogged bacterial , viral , parasitic , amoeba infection . tenacious bacterial giantism in the lowly intestine can also conduce to this upset .
Signs & Symptoms of Tropical Sprue
The initial symptom of Tropical Sprue comprise of acutediarrhea , unease and feverishness and after sometime , patient will have a chronic degree of diarrhea , steatorrhea , anorexia , exercising weight release , malaise with nutritionary deficiencies . The usual symptoms of tropical sprue include :
If tropic sprue is not treat , then the patient role can germinate vitamin and nutrient deficiencies with the following symptom :
Epidemiology of Tropical Sprue
tropic tropical sprue is usually find in the Central and South America , Caribbean , India and southeast Asia . In the Caribbean region , it more often is seen in Haiti and Puerto Rico . There also have been composition of epidemics in southern India also .
Diagnosis of Tropical Sprue
It is difficult to diagnose tropical sprue , as there are many diseases and aesculapian conditions with standardized symptoms . If the affected role has the surveil results from tests , then it indicate tropical sprue :
tropic sprue is mostly feel and is restricted to an area within 30 degrees northerly and Dixieland of the equator . If a patient has latterly traveled to this region , then it becomes a cardinal ingredient in diagnose tropical psilosis . There are other aesculapian conditions , which are exchangeable to tropic tropical sprue , such as coeliac sprue / coeliac disease / gluten sensitive enteropathy which get symptoms that are similar to tropical sprue and include minuscule intestine inflammation and flattening of the villi . The case of celiac sprue is an autoimmune disorder in patients who are genetically susceptible and is trip after consumption of gluten . Other conditions , which can do malabsorption admit TB , protozoon infections , HIV / AIDS , continuing pancreatitisandinflammatory gut disease . Environmental enteropathy is another condition , which is alike to tropical tropical sprue although it is less grievous and is subclinical in nature .
Treatment for Tropical Sprue
After the diagnosis of tropic sprue has been made , discourse for it constitute of a course of antibiotics , such as sulfamethoxazole / trimethoprim or tetracycline , for around 3 to 6 months . Patient is also give vitamin B12 and folic acid supplements to improve appetite and system of weights addition .
Prevention of Tropical Sprue
The most important step for preventing tropical tropical sprue is avoiding traveling to tropical regions . However , preventive standard can also be take if you are visiting those regions or tropical areas where tropic tropical sprue is prevalent and these measures include : drinking only bottled water , washing food for thought , brush teeth , use up only peeled fruits , such as orange tree and bananas and following basic sanitation to foreshorten fecal to oral taint .
Prognosis for Tropical Sprue
The prospect for tropic psilosis is very sound if treatment is done . the great unwashed who have produce tropical psilosis after travelling to affected region normally do not experience a return of this condition . The return pace , however , in natives of tropical regions is about 20 % .
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