Steatorrhea is a pathology in which there is a violation of fat absorption in the intestine.
As a result, with fecal masses, fat is released in excess (more than 5 grams per day).
Causes and symptoms of steatorrhoea
The main symptoms of steatorrhea: Allocation of abundant and fatty stool, diarrhea. If the outflow of bile is disturbed, the patient experiences jaundice with dark urine and a discolored stool. Steatorrhea is the main manifestation of intestinal lymphoma (malignant tumor). In this case, the patient, in addition to abdominal pain, may experience an increase in body temperature, symptoms of intestinal obstruction.
Steatorea is observed, mainly, withDiseases of the pancreas, blockage of the Virsungian duct, diseases of Addison and Basedova. This pathology occurs with enteritis, gluten, diverticulosis of the intestine, Crohn's disease, pancreatitis, cystic fibrosis, liver or bile ducts. The severity of the disease depends on the severity of the pancreas and small intestine. Steatorrhea also develops in the secondary syndrome of malabsorption in patients with psoriasis, eczema, and endocrine diseases. The cause of the pathology may be the use of certain medicines, laxatives.
Steatorrhoea can appear when eating large amounts of fat.
Steatorrhoea can be caused earlier transferredResection of the intestine, which contributes to the disruption of the absorption of fat, due to a decrease in the circulation of bile salts between the intestine and the liver. In conditions accompanied by congestion of intestinal contents, a decrease in the secretion of gastric juice, a decrease in peristaltic activity of the intestine, intensive reproduction of the bacterial flora, accelerated cleavage of bile salts occurs.
Steatorrhea: diagnosis and treatment
In the diagnosis of steatorrhea is of great importanceMacroscopic examination of feces. With this disease, feces have a characteristic greyish-clay hue, on their surface there is a coating similar to frozen fat. With the presence of severe pancreatic lesions, the dry rest of the stool contains up to 50-80% fat. Seathorea leads to exhaustion of the body. The patient develops hypocholesterolemia, leukopenia, hypoproteinemia, hypolipidemia, anemia, hyponatremia, hypocalcemia.
With steatorrhea it is necessary to take vitamins B12, B15, nicotinic and ascorbic acid, pancreatin.
Treatment of steatorrhea reduces to therapy of the mainDisease. The patient should fully eat, the diet should contain an increased number of animal proteins. From the menu it is necessary to exclude vegetable proteins, gluten, to limit fat. Carbohydrates should be consumed in small amounts. To improve the absorption of nutrients in the intestine, it is recommended to include in the menu fish and low-fat meat broth.