Malabsorption - Management

Management

Treatment is directed largely towards management of underlying cause:

  • Replacement of nutrients, electrolytes and fluid may be necessary. In severe deficiency, hospital admission may be required for parenteral administration, often advice from dietitian is sought. People whose absorptive surface are severely limited from disease or surgery may need long term total parenteral nutrition.
  • Pancreatic enzymes are supplemented orally in insufficiencies.
  • Dietary modification is important in some conditions:
    • Gluten-free diet in coeliac disease.
    • Lactose avoidance in lactose intolerance.
  • Antibiotic therapy will treat Small Bowel Bacterial overgrowth.
  • Cholestyramine or other bile acid sequestrants will help reducing diarrhoea in bile acid malabsorption.

Jejunostomy is a surgical procedure done to allow placement of feeding tube as one treatment option for a variety of causes of malabsorption.

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