Edema can appear in patients with diseases
gastrointestinal tract. A constant sign of these edema is hypoproteinemia.
Hypoproteinemic edema develop in patients with intestinal
lymphangiectasia, at which an isolated lesion of lymphatic
vessels of the small intestine, accompanied by difficulty in the outflow of lymph from this
organ. Another name for this disease - idiopathic hypoproteinemia. Disease
begins in childhood. Without apparent cause, swelling of the subcutaneous tissue appears,
which gradually become generalized. To the anasarka joins
ascites, and sometimes hydrothorax. Growing weakness, fatigue, apathy.
Periodically, diarrhea is noted. Significant hypoproteinemia due to
lowered albumin content, lymphopenia and anemia are often observed.
Despite significant swelling, the patient does not feel shortness of breath. Idiopathic hypoproteinemia
is associated with the loss of blood plasma proteins in the lumen of the gastrointestinal tract.
After intravenous administration to a healthy person, 25 μCi of radioactive
albumin, labeled with iodine, the radioactivity of its feces does not exceed 3% of
of the administered dose. Critical to diagnosing the disease are the results
biopsy of the small intestine.
Hypoproteinemia due to a low content of albumin in blood
a combination with edema and dropsy is often observed in diseases
liver. In liver diseases, its functions are violated and there are signs
portal hypertension, which is not observed in intestinal lymphangiectasia.
Edema and ascites are found in patients withceliac sprue. The term "sprue syndrome" refers to a condition that arises from a violation of absorption of nutrients from the small intestine and an increase in the permeability of its capillaries to blood plasma proteins.
Edema appears in patients with a diseaseWhipple. Whipple's disease is a systemic disease in which gram-positive bacilli are found in the affected organs during an exacerbation, a rare form of chronic enterocolitis accompanied by a lesion.
Patients prescribed a gluten-free diet,which is recommended to include rice bread, ripe beans, potato flour, vegetables, broths, vegetable soups, jellies, rice puddings, sugar, jams, honey, corn, fruit juices, cocoa, coffee, tea, eggs, dairy products. Assign this diet for months.
Patients are prescribed a diet enriched with protein, withfat restriction, antibiotics (penicillin, tetracycline, etc.), corticosteroids, anabolic hormones, vitamins, bile acid preparations, parenteral administration of proteins.