Identifying Fatty Stools: What You Need to Know - Gastroenterology and Hepatology

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Diagnosis of steatorrhea?


Hello: Recently, I have noticed that sometimes a thin layer of substance floats on the surface of my stool, but I'm not sure if it is fat.
It seems that fat tends to appear in small circles on the water's surface.
It looks somewhat like the image in the following link: http://i.imgur.com/NQiedAq.jpg.
Could this type of stool be classified as steatorrhea?

A Tu, 40~49 year old female. Ask Date: 2016/02/25

Dr. Lin Minghui reply Gastroenterology and Hepatology


Dyspepsia can lead to steatorrhea, which can be tested for the presence of fat in the stool.
Wishing you good health.

Reply Date: 2016/02/25

More Info


Identifying fatty stools, also known as steatorrhea, is an important aspect of understanding your digestive health. Fatty stools can be characterized by their appearance, which often includes a pale color, a foul odor, and a greasy texture that may cause them to float in water. The presence of a thin layer of substance on the surface of the water, as you described, could indeed indicate the presence of fat in your stool.

Fatty stools occur when there is an excessive amount of fat in the stool, which can result from various underlying health issues. The most common causes include malabsorption syndromes, where the body is unable to absorb nutrients properly from the food consumed. Conditions such as celiac disease, chronic pancreatitis, cystic fibrosis, and certain infections can lead to malabsorption and, consequently, fatty stools. Additionally, liver diseases and gallbladder disorders can also affect fat digestion and absorption.

If you are experiencing fatty stools, it is crucial to consider other accompanying symptoms. These may include weight loss, abdominal pain, bloating, diarrhea, or changes in appetite. If you notice any of these symptoms alongside the presence of fatty stools, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend tests such as stool analysis, blood tests, or imaging studies to determine the underlying cause of your symptoms.

In terms of dietary management, if you suspect that your stools are fatty, it may be beneficial to monitor your fat intake. Reducing the consumption of high-fat foods, especially those that are fried or processed, can help alleviate symptoms. Incorporating more fiber-rich foods, such as fruits, vegetables, and whole grains, can also support digestive health and improve stool consistency.

Moreover, staying hydrated is essential, as it aids in digestion and helps maintain regular bowel movements. If you are experiencing persistent issues with fatty stools, your healthcare provider may recommend specific dietary adjustments or supplements to aid in digestion and nutrient absorption.

In summary, the presence of a thin layer of substance on the surface of your stool could indicate fatty stools, which may be a sign of malabsorption or other digestive issues. It is essential to pay attention to any additional symptoms and seek medical advice for a proper diagnosis and treatment plan. Remember that maintaining a balanced diet, staying hydrated, and being mindful of your body's signals are key components of digestive health.

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