Malabsorption Syndrome:Signs and Symptoms,Steatorrhea

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MALABSORPTION SYNDROMES

Related topics

Malabsorption,
Maldigestion,Digestion and Absorption Steps

Causes of Malabsorption in children

Malabsorption Syndrome investigation

Management and Prognosis of Malabsorption

Malabsorption Syndrome Faq's

Dr. Saumil K. Shah
MD, DNB, DM, DNB
GASTROENTEROLOGIST, HEPATOLOGIST, ENDOSCOPIST

Honorary Consultant: Lilavati Hospital And Research Centre

Q. When does one suspect that a child has malabsorption syndrome?
A.

Progressive weight loss
Failure to thrive
Chronic diarrhea
Steatorrhea
Edema feet
Weakness, Malaise, Fatigue
Abdominal distension
Borborygmi, Excessive flatus
Abdominal pain
Symptoms reflecting specific deficiencies, such as bleeding tendency, muscle cramps, tetany, bone pains and paresthesias
Symptoms related to cause of malabsorption

Q. What is steatorrhea?
A. Steatorrhea is pale, soft, bulky, malodorous stools that stick to the side of the toilet bowl or float and are difficult to flush away. Steatorrhea indicates excess amount of malabsorbed fat in stools.

Q. What are the signs in a child with malabsorption syndrome?

Gastrointestinal
Mass	Tuberculosis, lymphoma, Crohn's disease
Distension	Ascites (hypoproteinemia, tuberculosis), pancreatic pseudocyst
Steatorreic stool	Pancreatic insufficiency, small intestinal mucosa disease

Extra intestinal
Skin
Nonspecific	Pigmentation, thinning, inelasticity, reduced subcutaneous fat
Specific	Petechiae (Vitamin K deficiency), edema (hypoproteinemia), erythema nodosum (Crohn's disease), dermatitis herpetiformis (celiac sprue)

Hair
Alopecia, thinning	Gluten sensitivity, generalized inanition

Eyes
Conjunctivitis, episcleritis	Crohn's disease
Paleness	Severe anemia

Mouth
Aphthous ulcers	Gluten sensitivity, Crohn's disease
Glossitis	Deficiencies of vitamin B12, iron, folic acid and niacin
Angular cheilosis	Deficiencies of vitamin B12, iron, folic acid and vitamin B complex
Dental hypoplasia	Gluten sensitivity

Hands
Clubbing	Gluten sensitivity, Crohn's disease, tuberculosis, lymphoma
Koilonychia	Iron deficiency

Musculoskeletal
Mono / polyarthropathy	Gluten sensitivity, Crohn's disease, Whipple's disease
Back pain	Gluten sensitivity, Crohn's disease
Muscle weakness	Diffuse mucosal disease, lymphoma

Nervous system
Peripheral neuropathy	Vitamin B 12 deficiency
Cerebral (seizures, dementia, cranial nerve palsies)	Whipple's disease, gluten sensitivity, diffuse lymphoma

Next : Investigation of Malabsorption Syndrome

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