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A.D.A.M. Medical Encyclopedia. Atlanta (GA): A.D.A.M.; 2011.
A.D.A.M. Medical Encyclopedia.
Malabsorption
Last reviewed: July 7, 2010.
Malabsorption is difficulty absorbing nutrients from food.
Causes, incidence, and risk factors
Many diseases can cause malabsorption. Malabsorption is usually the inability to absorb certain sugars, fats, proteins, or vitamins from food. It can also involve a general malabsorption of food.
Some of the causes of malabsorption include:
AIDS and HIV
Biliary atresia
Celiac disease
Certain medications (cholestyramine, tetracycline, some antacids, some medications used to treat obesity, colchicine, acarbose, phenytoin)
Certain types of cancer (lymphoma, pancreatic cancer, gastrinomas)
Certain types of surgery (gastrectomy with gastrojejunostomy, surgical treatments for obesity, partial or complete removal of the ileum)
Cholestasis
Chronic liver disease
Cow's milk protein intolerance
Crohn's disease
Damage from radiation treatments
Parasite infection, including Giardia lamblia
Soy milk protein intolerance
Whipple's disease
Vitamin B12 malabsorption may be due to:
Symptoms
Bloating, cramping, and gas
Bulky stools
Chronic diarrhea (may not occur with vitamin malabsorption)
Failure to thrive
Fatty stools (steatorrhea)
Muscle wasting
Weight loss
Malabsorption can affect growth and development, or it can lead to specific illnesses.
Treatment
Vitamin and nutrient replacement is often necessary.
Expectations (prognosis)
The outlook depends on the condition causing malabsorption.
Complications
Long-term malabsorption can result in:
Calling your health care provider
Call your health care provider if you notice symptoms of malabsorption.
Prevention
Preventive methods depend on the condition causing malabsorption.
References
- Semrad CE, Powell DW. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 143.
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