Clinical features
Presentation is with diarrhoea or typical features of malabsorption. Bacteria - anaerobes, E. coli, Klebsiella - deconjugate bile salts, metabolise vitamin B12 and carbohydrate. Folate and fat soluble vitamins are not malabsorbed. The condition should be suspected in patients:
- with a structural small intestinal abnormality
- with sudden onset of diarrhoea in otherwise stable chronic disease, e.g. diabetes, Crohn's disease
- malabsorption with low vitamin B12 and normal or raised folate
Related pages
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.