Small Intestine

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Small Intestine

What are Small Intestinal Diseases?

Small intestinal diseases refer to conditions that affect the small intestine — the part of the digestive tract responsible for breaking down food and absorbing nutrients. The small intestine plays a vital role in digestion, as it absorbs most of the vitamins, minerals, proteins, fats, and carbohydrates from the food you eat.
When this part of the digestive system becomes inflamed, infected, or damaged, it can lead to a variety of symptoms and complications, including poor nutrient absorption (malabsorption), pain, or digestive distress.
Common small intestinal diseases include celiac disease, Crohn’s disease (a type of inflammatory bowel disease), small intestinal bacterial overgrowth (SIBO), intestinal obstruction, infections, ulcers, and tumors.

Are Small Intestinal Diseases common?

Yes, small intestinal diseases are fairly common and can affect people of all ages. Celiac disease affects about 1 in 100 people worldwide, while SIBO and Crohn’s disease are also prevalent. Some conditions, like small bowel obstruction or cancer, are less common but can be serious and require immediate medical attention.

Can Small Intestinal Diseases be cured?

Many small intestinal diseases can be successfully managed or even cured, depending on the cause. For example, celiac disease improves with a lifelong gluten-free diet, while infections can be treated with medications. Chronic inflammatory conditions like Crohn’s disease can often be controlled with long-term therapy, and obstructions may require surgical correction. Early diagnosis and proper treatment are key to preventing complications.

Causes

What causes Small Intestinal Diseases?

The causes vary depending on the specific condition but can include:

  • Autoimmune reactions – as in celiac disease, where the immune system attacks the small intestine in response to gluten.
  • Chronic inflammation – Crohn's can affect any part of the GI tract but most commonly the small intestine
  • Infections – bacterial, viral, or parasitic infections that inflame or damage the intestinal lining.
  • Obstructions – due to scar tissue (adhesions), hernias, tumors, or twisted intestines.
  • Overgrowth of bacteria – as in small intestinal bacterial overgrowth (SIBO), where excess bacteria disrupt digestion and absorption.
  • Medications – such as NSAIDs or chemotherapy drugs that irritate the intestinal lining.
  • Cancer or benign growths – that block or invade the small intestine.
  • Vascular problems – like mesenteric ischemia, where reduced blood flow damages the small intestine.

What are the risk factors?

You may be more likely to develop small intestinal disease if you:

  • Have a family history of celiac disease, Crohn’s disease, or IBD
  • Have autoimmune conditions
  • Take long-term NSAIDs or chemotherapy
  • Have a history of abdominal surgery or radiation
  • Have poor diet or low fiber intake
  • Are older, which increases risk for obstructions or tumors
  • Have weakened immunity due to illness or medications

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Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up
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$149

Initial Visit

$99

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Symptoms

What are the symptoms of Small Intestinal Diseases?

Symptoms vary depending on the condition but may include:

  • Abdominal pain or cramping
  • Bloating or excessive gas
  • Chronic diarrhea or constipation
  • Nausea and vomiting
  • Unintentional weight loss
  • Fatigue or weakness
  • Greasy or foul-smelling stools (steatorrhea)
  • Nutritional deficiencies (iron, B12, calcium, or vitamin D)
  • Blood in the stool or black tarry stools (indicating bleeding)
  • Skin rashes or joint pain (in autoimmune-related conditions)

Because the small intestine plays such a critical role in nutrient absorption, prolonged disease can lead to anemia, osteoporosis, and general malnutrition.

Diagnosis

How are Small Intestinal Diseases diagnosed?

Your healthcare provider will review your symptoms, medical history, and perform diagnostic tests, which may include:

  • Blood tests – to check for anemia, nutritional deficiencies, inflammation, or celiac antibodies.
  • Stool tests – to detect infection, fat malabsorption, or bleeding.
  • Endoscopy or capsule endoscopy – to visualize the lining of the small intestine and detect inflammation, ulcers, or bleeding.
  • Imaging tests – such as CT or MRI enterography to identify blockages, tumors, or Crohn’s disease.
  • Breath tests – to diagnose SIBO or carbohydrate malabsorption.

Biopsy – to confirm diagnoses like celiac disease or cancer.

Treatment

How are Small Intestinal Diseases treated?

Treatment depends on the specific condition and its severity but may include:

Lifestyle and dietary changes:

  • Follow a gluten-free diet for celiac disease.
  • Eat smaller, frequent meals to ease digestion.
  • Avoid trigger foods (spicy, fatty, or dairy products) if sensitive.
  • Stay well hydrated, especially during bouts of diarrhea.
  • Increase fiber intake gradually, unless contraindicated.

Medications:

  • Antibiotics – for infections or bacterial overgrowth.
  • Anti-inflammatory drugs or immunosuppressants – for Crohn’s disease and other inflammatory disorders.
  • Antispasmodics or pain relievers – for abdominal pain and cramps.
  • Nutritional supplements – to correct vitamin and mineral deficiencies.
  • Probiotics – to restore healthy gut bacteria balance and  may be helpful for some individuals but should be discussed with your provider.

Procedures and surgery:

  • Endoscopic dilation or stent placement – for narrowed or blocked areas.
  • Surgical resection – to remove tumors, scar tissue, or severely damaged segments.
  • Treatment of complications – such as abscesses, perforations, or bleeding.

With early diagnosis and ongoing management, most people with small intestinal diseases can achieve good symptom control and maintain quality of life.

References

Mayo Foundation for Medical Education and Research. (2024, April 8). Small Intestine Disorders. Mayo Clinic.https://www.mayoclinic.org
U.S. National Library of Medicine. (2024, February 20). Small Intestinal Diseases. MedlinePlus. https://medlineplus.gov
American College of Gastroenterology. (2023). Small Intestinal Conditions and Treatments. gi.org

Medically reviewed by:

Dr. Javeed Siddiqui, MD, MPH

Dr. Siddiqui is the Chief Medical Officer at TeleMed2U responsible for clinical and technical program development as well as maintaining a thriving telemedicine practice in infectious diseases which includes specialized care of Hepatitis and HIV.

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Affordable – with or without insurance

With Insurance

Gastroenterology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up
Gastroenterology

$149

Initial Visit

$99

Follow Up