A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Examination of the abdomen (abdomen) Percussion (tapping) of the abdomen Meteorism (flatulence): hypersonoric tapping sound. Attenuation of tapping sound … Sorbitol Intolerance: Examination
2nd-order laboratory parameters – depending on the results of the medical history, physical examination, etc. -for differential diagnostic clarification Elastase in stool, lipase -for suspected chronic pancreatitis (inflammation of the pancreas). Calprotectin – in suspected chronic inflammatory bowel disease. Stool tests – for suspected infections. Prick test – in case of suspected food allergy (pollen-associated … Sorbitol Intolerance: Test and Diagnosis
Mandatory medical device diagnostics. Sorbitol H2 breath test – On the day of testing, a baseline value is first obtained from exhaled air. Then the patient ingests 5 g of sorbitol in either 100 ml of water or unsweetened peppermint tea. Subsequently, the hydrogen concentration is measured again at 20-minute intervals for approximately three hours … Sorbitol Intolerance: Diagnostic Tests
The following symptoms and complaints may indicate sorbitol intolerance (sorbitol intolerance): Leading symptoms (postprandial* /postmeal). Abdominal cramps (abdominal pain). Diarrhea (diarrhea) – usually only from an amount of 20-30 g of sorbitol per day. Flatulence (discharge of winds). Meteorism (flatulence abdomen) Other possible symptoms or complaints: Fatigue Cephalgia (headache) Stomach pain Fatigue Nausea (nausea) Feeling … Sorbitol Intolerance: Symptoms, Complaints, Signs
Medical history (history of illness) represents an important component in the diagnosis of sorbitol intolerance (sorbitol intolerance). Family history Are there any diseases of the gastrointestinal tract in your family that are common? Are there any hereditary diseases in your family? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). Have you noticed … Sorbitol Intolerance: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Food allergy or food intolerance FODMAP intolerance: abbreviation for “fermentable oligo-, di- and monosaccharides and polyols” (engl. “fermentable oligosaccharides (fructans and galactans), disaccharides (lactose) and monosaccharides (fructose) (AND) as well as polyols” (= sugar alcohols, such as maltitol, sorbitol etc. )); FODMAP‘s are, for example, wheat, rye, garlic, onion, … Sorbitol Intolerance: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by sorbitol intolerance (sorbitol intolerance): Endocrine, nutritional, and metabolic diseases (E00-E90). Vitamin deficiencies, unspecified
Pathogenesis (development of disease) Sorbitol is formed by so-called “catalytic hydrogenation” from glucose. It is converted to fructose in the body by the enzyme sorbitol dehydrogenase. In sorbitol intolerance, the absorption (uptake) of the sugar alcohol sorbitol in the small intestine is partially or completely impaired, so that even small amounts of sorbitol can no … Sorbitol Intolerance: Causes
Nutritional Medicine Nutritional counseling based on nutritional analysis Observance of the following specific nutritional recommendations: Sorbitol is naturally present in many fruits, especially pome fruits. The following fruits contain high amounts of sorbitol and should be avoided: Stone fruit (apricots, cherries, apricots, peaches, plums), pome fruit (apples, pears) and grapes, as well as fruit juices … Sorbitol Intolerance: Therapy
