malabsorption - darkhorse

[ArchivalUser]

i m confused.

[ArchivalUser]

A

WHY DOES B12 def guy come with diarrhoea?

[ArchivalUser]

In bacterial over growth, the B12-IF is destroyed by bacteria...>B12 deficiency

[ArchivalUser]

why not DDD???

[ArchivalUser]

C. It is Afferent loop syndrome, even though the classic vomiting pattern is missing in the question.

[ArchivalUser]

i think is Zolllinger Ellison
The increase of gastrina can produce new ulcers...so the pain after eating can be explain
The excess acid in intestine inactivate pancreatic enzymes...causing malabsortion of fat

[ArchivalUser]

just wondering if hemoccult value matters?

[ArchivalUser]

fragil med
I think you are right about the growing bacteria....and that explain the megaloblastic anemia
wht i though is the overgrow complication...can appear right after surgery, and not 5 years after...
that is what i choose zollinger...but maybe u right fragilmed

[ArchivalUser]

Please clear my doubts here-steatorrhea causes Fat Malabsortion and fat soluble Vitamins are lost A D E K ,why B12? which is a water soluble Vitamin!

[ArchivalUser]

Bile reflux gastropathy, IF def