Intestinal Lymphangiectasia

What Is Intestinal Lymphangiectasia?

Intestinal lymphangiectasia is a rare disorder in which the small lymphatic vessels in the intestines become enlarged and leak protein and fat into the gut. Over time, this leakage can lead to swelling (edema), poor nutrient absorption, and increased risk of infections.

Common Symptoms

Patients with intestinal lymphangiectasia may experience:

• Chronic diarrhea, often greasy or oily
• Swelling in the legs or abdomen (edema)
• Unintentional weight loss
• Low energy or persistent weakness
• Low blood protein levels (hypoproteinemia)
• Increased risk of blood clots

Causes

This condition can arise in two main forms:

• Primary intestinal lymphangiectasia: A congenital defect in lymph vessel development. Diagnosis typically involves imaging studies, blood tests, and endoscopic evaluation.
• Secondary intestinal lymphangiectasia: Occurs when another disease-such as an infection, heart disorder, or tumor-blocks lymph flow, causing the intestinal vessels to enlarge.

Treatment Options for Intestinal Lymphangiectasia in Katy

Treatment includes dietary therapy, supplements, medications, and monitoring:

• Low-fat, high-protein diet: Limits lymphatic flow in the gut and helps maintain healthy protein levels in your blood.
• Medium-chain triglyceride (MCT) oil: Provides an easily absorbed fat source that bypasses damaged lymph vessels.
• Vitamin and mineral supplements: Replaces lost nutrients-especially vitamins A, D, E, K-and minerals like calcium and magnesium.
• Octreotide therapy: A medication that reduces lymph production and fluid leakage into the intestines.
• Regular lab tests: Tracks serum protein, albumin, and clotting factors to monitor nutrition status and blood-clot risk.
• Follow-up visits: Scheduled every 3-6 months for symptom assessment, treatment adjustments, and ongoing support.
• Nutrition counseling: One-on-one guidance and personalized meal planning to help you stick with your diet plan.