Name
ACHLORHYDRIA
DESCRIPTION
DETAIL
ASSOCIATED WITH : * VIT B12 DEFICIENCY OR PERNICIOUS ANEMIA * CANCER STOMACH - ATROPHIC GASTRITIS - AUTOIMMUNE THYROIDITIS ASSOCIATED WITH AUTOIMMUNE GASTRITIS - H-PYLORI INFECTION - MUCOLIPIDOSIS TYPE-IV - LONG-TERM TREATMENT WITH PPI OTHER TESTS: * FASTING GASTRIN LEVELS ARE RAISED - > 500 - 1000 PG/ML * GASTRIC ACID ANALYSIS - NORMAL FASTING GASTRIC PH IS 2.1 IN MEN & 2.7 IN WOMEN, IN ACHLORHYDRIA IT IS 7.6 & IN HYPOCHLORHYDRIA, 7.4 * SERUM PEPSINOGEN A LEVELS - EXTREMELY LOW LEVELS - < 17 MCG/L * BARIUM STUDY TO RULE OUT GASTRIC CANCER
TYPENOTES
Medical Care: Achlorhydria resulting from long-term PPI use may be treated by dose reduction or withdrawal of the PPI. " Achlorhydria associated with H pylori infection may respond to H pylori eradication therapy, although resumption of gastric acid secretion may only be partial. " In autoimmune diseases (eg, pernicious anemia), acid secretion cannot be restored after destruction of the gastric secretory mucosa.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
X-RAY BARIUM UPPER G.I., COMPLETE BLOOD COUNT, ENDOSCOPY UPPER G.I., GASTRIC ACID ANALYSIS