Also called small bowel bacterial ovnrgrowth..
Disorders which impair normal physiological mechanisms controlling bacterial overgrowth.
.Most imp coz r 1. loss of gastric acidity
.2.Impaired intestinal motility
.3..Structural abnormalites
.C/F=
.Pt present with watery diarrhoea nd steatorrhoea with anemia due to b12 vitamin defi.
.INVESTIGATion =
.Serum vitamin b12 conc low
.Barium study or small bowel enema reveal blind loops or fistulae
.Endoscopic duodenal biopsies exclude mucosal disease
.Endoscopic aspiratn of jejunal contents
.MANAGEMENT =
.Tetracycline 250 mg 6 hry for 7 days
.Metronidazole 400 mg 8 hrly
.Intramuscular vita.B12 supplementatn
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