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Steatorrhea should be suspected when the stools are bulky, floating and foul-smelling. [1] Specific tests are needed to confirm that these properties are in fact due to excessive levels of fat. Fats in feces can be measured over a defined time (often five days). [ 14 ]
Steatorrhea refers to bulky, foul-smelling, oily stool that tends to be pale in color and float in the toilet bowl, resisting flushing. (These are the 9 most common reasons your poop is black .)
Gastroenterologists explain the most common causes of foul-smelling stool, like changes in gut bacteria, food allergies, celiac disease, IBD, and malabsorption.
A persistent (chronic) history of diarrhea, with watery or mushy, unformed stools, (types 6 and 7 on the Bristol stool scale), sometimes with steatorrhea, increased frequency and urgency of defecation are common manifestations, often with fecal incontinence and other gastrointestinal symptoms such as abdominal swelling, bloating and abdominal pain.
The most common and prominent symptom is chronic diarrhoea, which can occur for weeks or months if untreated. [10] [11] Diarrhoea is often greasy and foul-smelling, with a tendency to float. [10] [4] This characteristic diarrhoea is often accompanied by several other symptoms, including gas, abdominal cramps, and nausea or vomiting.
Viruses cause about 70% of episodes of infectious diarrhea in the pediatric age group. [13] Rotavirus is a less common cause in adults due to acquired immunity. [27] Norovirus is the cause in about 18% of all cases. [28] Generally speaking, viral gastroenteritis accounts for 21–40% of the cases of infectious diarrhea in developed countries. [29]
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