Intestinal reticulosis as complication of idiopathic steatorrhoea. Gut 1962; 3: 232-9.
Gluten sensitive enteropathy with osteomalacia but without steatorrhoea. N Engl J Med 1965; 272: 825-30.
(44) Steatorrhoea usually occurs before protein deficiency.
In general, small meals and a diet low in fat and high in protein and carbohydrates are recommended, especially in patients with steatorrhoea. The degree of fat restriction depends upon the severity of fat malabsorption.
Determine lean body mass if technology available-- deuterium, DEXA, bioelectrical impedance (BIA)--group level only Record anthropometric measurements--TSF, CAMA Dietary intake Assess dietary intake, especially energy and protein, quantitatively Determine use of vitamin/mineral supplements and complementary medicines Assess dietary restrictions and beliefs, texture of diet and other barriers to food intake, hydration Symptoms/ GI symptoms (nausea, vomiting, constipation, diarrhoea, side-effects steatorrhoea
, early satiety) Appetite and taste changes Presence of pain Mood change Functional Determine functional status and level of fatigue, using status and PG-SGA, Karnofsky Performance Scale or Eastern quality of Co-operative Oncology Group.
Rarely diarrhoea, steatorrhoea
and intestinal obstruction may occur.
Orlistat causes malabsorption of dietary fat through inhibiting pancreatic lipase but is not a practicable agent as it causes steatorrhoea
in doses required to make a meaningful difference.
 In addition severe nutritional deficiencies including protein-calorie malnutrition, steatorrhoea
and micronutrient deficiencies make this operation less preferred by surgeons and patients alike.
Cholestyramine reduces cholerrhoeic diarrhoea but may worsen steatorrhoea
. Broad-spectrum antibiotics are of value for the control of bacterial overgrowth.
In the cryptosporidial infection the commonest symptoms associated with diarrhea was abdominal pain (50%), followed by vomiting (37.5%), weight loss (25%) while steatorrhoea and fever was least common i.e., 12.5% each.
4: DISTRIBUTION OF SYMPTOMS ASSOCIATED WITH DIARRHEA Symptoms Immunocompetent Immunosuppressed Subjects n=250 Subjects n=21 Abdominal Pain 150 (60%) 18 (85.7%) Vomiting 136 (54.4%) 15 (71.42%) Anorexia 115 (46%) 19 (90.4%) Steatorrhoea 25 (10%) 08 (38.09%) Fever 13 (5.2%) 12 (57.14%) Flatulence 13 (5.2%) 12 (57.14%) Weight loss 07 (2.8%) 21 (100%) TABLE NO.
Trichobezoar, gastric polyposis, protein losing enteropathy and steatorrhoea