Steatorrhea | |
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Classification and external resources | |
ICD-10 | K90 |
ICD-9 | 579.8 |
MeSH | D045602 |
Steatorrhea (or steatorrhoea) is the presence of excess fat in feces. Stools may also float due to excess lipid, have an oily appearance and be especially foul-smelling.[citation needed] An oily anal leakage or some level of fecal incontinence may occur. There is increased fat excretion, which can be measured by determining the fecal fat level. Definitions of how much fecal fat constitutes steatorrhea have not been standardized.
Contents |
Possible biological causes can be lack of bile acids (due to liver damage, hypolipidemic drugs, or having had the gallbladder removed in a cholecystectomy), defects in pancreatic enzymes, and defective mucosal cells. The absence of bile acids will cause the feces to turn gray or pale. Another cause of steatorrhea is due to the adverse effect of octreotide or lanreotide, which are analogs of somatostatin, used clinically to treat acromegaly.
This unreferenced section requires citations to ensure verifiability. |
Steatorrhea can also be due to eating indigestible oils or fats, such as Olestra, or as a side effect of medicines that prevent the absorption of dietary fats, such as Orlistat.[1][2][3][4]
The fat substitute Olestra, used to reduce digestible fat in some foods, was reported to cause leakage in some consumers during the test-marketing phase. As a result, the product was reformulated before general release to a hydrogenated form that is not liquid at physiologic temperature. The U.S. Food and Drug Administration warning indicated excessive consumption of Olestra could result in "loose stools"; however, this warning has not been required since 2003.[2][4]
Orlistat (also known by trade names Xenical and Alli) is a diet pill that works by blocking the enzymes that digest fat. As a result, some fat cannot be absorbed from the gut and is excreted in the feces instead of being metabolically digested, sometimes causing oily anal leakage. VYTORIN® (ezetimibe/simvastatin) Tablets can cause Steatorrhea in some people. [1][3]
Consuming jojoba oil has been documented to cause steatorrhea and anal leakage because it is indigestible.[5]
Consuming escolar and oilfish (sometimes called butterfish) will often cause steatorrhea, also referred to as Gempylotoxism or Gempylid Fish Poisoning or keriorrhea.[6] The fish is commonly used in party catering due to its delicate flavor and because it is cheap and readily available.[citation needed]
Treatments are mainly correction of the underlying cause, as well as digestive enzyme supplements.[7]
[Tupac]
Yah nigga, Drop the top on your muthafuckin ride
This how we do it on the west coast BAABBBY
Rollin' down the Four O Five
Gettin' high
White boys done wrecked their shit
Tryin to check my ride
I ain't being bootsy
Crusin' in a Six-o Impala
Drivin' like I'm in a Hooptee
car full of ballin' caps
keep yo hand on the strap
and take all the craps
Niggas know my steel-lo
all legit
but I'm drapped
like a nigga movin' kilo
Shit don't stop
cuz i can make that ass drop
make the front pop
And Hit the three wheel motion
All Day
Hit the freeway
take it easy, uhh
Let's slide
And pick-up some hoochies
ride
right back to the movies
High
talking back to the screen drinkin' liquor
Havin' big dreams of gettin' richer
I'm livin that
[Chorus (4x) (Tupac)]
Thug Life, y'all know the rules
gotta do whatcha gotta do (Stay True)
Big Stretch represent the real nigga
flex, Live squad and this mutha fucker catch wreck
[Stretch]
Thug Life
sharp as a roughneck
Shakin' the dice, we roll long, ain't nothin' nice
so the vice wanna follow us around (raize up)
Got 'em runnin' as we clown thru the town (blaze up)
Another one, had to throw another gun
Don't need another case
you can see it on my face son
But I ain't fallin' yet
And I gotta give a shout to where my ball is at
[Tupac]
Mophreme Tell 'em why the hoes dream
gettin high off a nigga like a dope fiend
[Mophreme]
Cuz I'm non-stop, and I'm always hustlin'
twenty four seven, ain't nothin buck
but when a young G's flippin keys for a livin'
Try to make a mill off the time I'm givin'
trippin'
I'm crazy
Can't nobody fade me
And I been goin' insane lately
And everybody tryin ta hold me back
I'm about to snap
You better move back
You know I led a.....
[Chorus (4x) (Tupac)]
Thug Life, y'all know the rules
gotta do whatcha gotta do (Stay True)
Maaaannnn, I don't worry about the Five-O
if they start,
cuz it's all about survival
Just stay smart
Keep your mind on your bank roll
always
stay ahead of these stank hos
These days
It's an all out rat race
And look at MEEE just caught another cat case
That makes three
My laywers getting cash up the ass
Don't even ask
Why I'm buck wild ?
Don't smile
don't laugh
To the young G's comin up
peep game
Don't let the money make you change
or act strange
Stay broke
It's all in together now
Keep pumping loud
till the crowd
bring the top down
Is that Tupac Thug Life ?
Hell Yah
Try to dirty up my name
but it's still here
which way do I turn ?
i'm strapped
Lost in the storm
I can't turn back
with that...
[Chorus (4x) (Tupac)]
Thug Life, y'all know the rules
gotta do whatcha gotta do (Stay True)