Steatorrhea medical therapy: Difference between revisions
Jump to navigation
Jump to search
Aditya Ganti (talk | contribs) |
Aditya Ganti (talk | contribs) |
||
| Line 12: | Line 12: | ||
=== Correction of Nutritional Deficiencies === | === Correction of Nutritional Deficiencies === | ||
* Oral supplementation with vitamins and minerals is usually well tolerated in patients who are are undergoing specified treatment for underlying etiology. | * Oral supplementation with vitamins and minerals is usually well tolerated in patients who are are undergoing specified treatment for underlying etiology. | ||
* Rapid recovery following the identification of a nutritional deficiency can be achieved by supplementation with 5 to 10 times the Recommended Dietary Allowance. | * Rapid recovery following the identification of a nutritional deficiency can be achieved by supplementation with 5 to 10 times the Recommended Dietary Allowance. | ||
** Preferred regimen (1) : [[Vitamin A]] 40,000 to 50,000 units q12h | ** Preferred regimen (1) : [[Vitamin A]] 40,000 to 50,000 units q12h | ||
*** Note : Maintenance: 8000 to 20,000 units/day (dosage ≥15,000 units can be [[teratogenic]]) | *** Note : Maintenance: 8000 to 20,000 units/day (dosage ≥15,000 units can be [[teratogenic]]) | ||
** Preferred regimen (2) : [[Vitamin D3]] ([[cholecalciferol]]) 30,000 to 50,000 units q24h | ** Preferred regimen (2) : [[Vitamin D3]] ([[cholecalciferol]]) 30,000 to 50,000 units q24h | ||
** Preferred regimen (3) : [[Vitamin K]] 2.5 to 12.5 mg q24h | |||
** Preferred regimen (4) : [[Folic acid]] 5 mg q24h during repletion | |||
** Preferred regimen (5) : [[Vitamin B12]] ([[cyanocobalamin]]) 1 mg [[Subcutaneous|subcutaneously]] | |||
** Preferred regimen (6) : [[Ferrous sulfate]] 325 mg (65 mg elemental [[iron]]) q8h | |||
** Preferred regimen (7) : [[Magnesium gluconate]] 1 to 4 g (54 to 216 mg elemental [[magnesium]]) q6h | |||
** Preferred regimen (8) : [[Calcium carbonate]] 500 mg (elemental [[calcium]]) q12h | |||
=== Antidiarrheal agents === | === Antidiarrheal agents === | ||
Revision as of 18:34, 8 February 2018
|
Steatorrhea Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Steatorrhea medical therapy On the Web |
|
American Roentgen Ray Society Images of Steatorrhea medical therapy |
|
Risk calculators and risk factors for Steatorrhea medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Medical Therapy
Management of steatorrhea include treatment of underlying etiology, control of diarrhea and correction of nutritional deficiencies.
Correction of Nutritional Deficiencies
- Oral supplementation with vitamins and minerals is usually well tolerated in patients who are are undergoing specified treatment for underlying etiology.
- Rapid recovery following the identification of a nutritional deficiency can be achieved by supplementation with 5 to 10 times the Recommended Dietary Allowance.
- Preferred regimen (1) : Vitamin A 40,000 to 50,000 units q12h
- Note : Maintenance: 8000 to 20,000 units/day (dosage ≥15,000 units can be teratogenic)
- Preferred regimen (2) : Vitamin D3 (cholecalciferol) 30,000 to 50,000 units q24h
- Preferred regimen (3) : Vitamin K 2.5 to 12.5 mg q24h
- Preferred regimen (4) : Folic acid 5 mg q24h during repletion
- Preferred regimen (5) : Vitamin B12 (cyanocobalamin) 1 mg subcutaneously
- Preferred regimen (6) : Ferrous sulfate 325 mg (65 mg elemental iron) q8h
- Preferred regimen (7) : Magnesium gluconate 1 to 4 g (54 to 216 mg elemental magnesium) q6h
- Preferred regimen (8) : Calcium carbonate 500 mg (elemental calcium) q12h
- Preferred regimen (1) : Vitamin A 40,000 to 50,000 units q12h
Antidiarrheal agents
- Preferred regimen (1) : Loperamide 2 to 4 mg as needed, not to exceed 12 mg/day
- Preferred regimen (1) : Diphenoxylate with atropine (Lomotil) 1 to 2 tabs after loose stool, not to exceed 8 per day
- Preferred regimen (1) : Deodorized opium tincture 10 percent (10 mg per mL) 0.3 to 0.6 mL q8h
Bile acid binding resins
- Preferred regimen (1) : Cholestyramine 4 g three times daily
- Preferred regimen (1) : Colestipol granules 5 to 10 g three times daily
- Note: Administer ≥1 hour before or >4 hours after other drugs to prevent decreased absorption of other drugs.
Pancreatic enzymes
- Preferred regimen (1) : Pancrelipase delayed-release capsules (Creon minimicrospheres)
- Preferred regimen (1) : Pancrelipase tablets and powder (Viokase) 1 g
- (equivalent to 20,000 units lipase component) with meals
- Note: Approximately 30,000 units (90,000 USP) (lipase component) with each meal
Management of Underlying Etiologies
- For a detailed explanation of management of Crohn's disease click here
- For a detailed explanation of management of celiac disease click here
- For a detailed explanation of management of gallstones disease click here
- For a detailed explanation of management of cystic fibrosis disease click here
- For a detailed explanation of the management of small bowel bacterial overgrowth syndrome click here