Steatorrhea is defined as the presence of fat in your stools which can be related to problems of fat absorption or indigestion. Fat is present when you see floating, oily and bulky stools in the toilet.
A normal person must undergo the normal mechanism of absorption of fats because any disruption will decrease the uptake and it can lead to steatorrhea or even into fatty diarrhea. Fat absorption is involving multifaceted combination of the bile salts, digestive enzymes and the unharmed mucos of intestines to be able to uptake of all the hydrophobic complexes. The lipids are then emulsified initially and being hydrolyzed by the pancreatic, gastric lipase and also colipase. All hydrolized lipids are aggregated in to micelles adding the bile salts in jejunum and duodenum. Through passive and active processes, micelles are being absorbed. And via lymphatic system, it’s transported into circulation.
Different Groups of Steatorrhea
Individuals suffering from steatorrhea may be thinking of the three broad etiologic groups. First group of steatorrhea is the pancreatic deficiency steatorrhea due to the insufficient production of colipase and lipase to let the normal hydrolysis of lipid work. It takes place due to chronic pancreatitis and absence of the acinar cells. Second is the bile salt insufficiency steatorrhea that is due to the failure of the secretion of bile acids in the circulation. Third group group of steatorrhea is the malabsorption steatorrhea which is due to medications, surgeries and disorders of small intestines.
Enzyme replacement is needed for the correction of steatorrhea and pancreatitis. All we have to do is to determine the correct dosage of steatorrhea and pancreatitis in their severe case.
The exocrine pancreatic deficiency associated with steatorrhea is the main effect of chronic pancreatitis. Health care professionals must able to recognize this to be able to prevent the mortality and morbidity rate to increase due to malnutrition.
Counselling about nutrition and having an intake of the oral enzyme serve as the basis for the management of exocrine pancreatic deficiency. The goal of the replacement therapy is not just to prevent the symptoms of steatorrhea and pancreatitis from occurring but also to stabilize the state of digestive process. The best choice of steatorrhea and pancreatitis is the pancreatic enzyme called the minimicrospheres(enteric-coated) administered by mouth. The preparation will prevent the activation of lipase that is acid mediated and it can work to empty the enzyme in gastric area along with many nutrients.
Bacterial growth and acid Ph in the intestines will hinder the normal digestion of fats even to patients with pancreatitis and steatorrhea. It is recommended that health care personnel should pay too much attention into optimizing the pancreatic enzyme dosage for every steatorrhea patient.
To get the exact dose of the replacement therapy indicated to treat persistent steatorrhea and severe pancreatitis, you must consult your physician immediately. If steatorrhea is left untreated, it can worsen the condition and even lead to sober damage and complications.
Steatorrhea caused by either intestinal infections or the dietary changes. Continuous steatorrhea can be the result from diseases which affect the pancreas, intestines and biliary tract.
Various causes that relates the pancreas
Illnesses affecting your pancreas may be considered causes of steatorrhea. That includes the cancer or infection of the pancreas, the genetic abnormality that hinders pancreatic and lung function (cystic fibrosis) and the deficient lipase production in your pancreas which is commonly present at birth.
Intestinal conditions might be the causes of steatorrhea
Ulcerative colitis and chron’s are inflammatory bowel diseases that can cause steatorrhea. It also includes gastrointestinal tract infection, shortening of the intestine and food intolerances. In addition, the so-called celiac disease or the severe form of sensitivity to gluten from other grains especially the wheat, may also cause steatorrhea.
Biliary tract illnesses may be the causes of steatorrhea
Steatorrhea may caused by the different biliary tract disorders like the gallstones and the cholangiocarcinoma which is known as the biliary tract or gallbladder cancer. The narrowing of the tube (common bile duct) which carries the bile from your gallbladder and liver into your intestines called as the biliary stricture can also be one of the causes of steatorrhea. Furthermore, biliary atresia may cause it also. It is considered present since birth wherein it involves the collapse of the bile ducts development.
If you fail to consult your physician to seek for treatment of steatorrhea may lead you to have severe complications.