DefinitionTropical sprue is a condition seen in residents of, or visitors to tropical areas. It impairs the absorption of nutrients from the intestines, causing malabsorption.See also: Celiac disease - sprueCauses, incidence, and risk factorsThe cause of this disease is swelling (inflammation) of the small intestine due to excess levels of certain types of bacteria in the intestines.Risk factors are:Living in the tropicsLong periods of travel to tropical destinationsSymptomsAbdominal crampsDiarrhea, worse on high-fat dietExcessive gas (flatus)IndigestionIrritabilityMuscle crampsNumbnessPalenessWeight lossSigns and testsComplete blood count (CBC)Comprehensive metabolic panelEnteroscopyFolate level (serum)Iron level (serum)Stool examination for bacteria and parasitesUpper endoscopyUpper GI s