Seeking Expertise from Gastroenterology Specialists
Good evening. I am in search of assistance from expert gastroenterologists. At 44 years of age, I have been experiencing an unusual issue: my stools float daily, which seems indicative of steatorrhea. They leave a barely visible oily residue on the surface of the water, which I can only discern using a flashlight. This situation has raised my concerns, prompting me to investigate potential issues with my pancreas. To that end, I have undergone three MRIs, five ultrasounds, various blood examinations, and two pancreatic elastase tests, all of which returned normal results, with elastase levels exceeding 800. I also had a colonoscopy a year ago that showed no abnormalities, as well as a gastroscopy. However, I have encountered conflicting information suggesting that MRIs or MRCP might not detect mild chronic pancreatitis effectively. As a next step, I am scheduled for an endoscopic ultrasound. Interestingly, two physicians I consulted regarding my symptoms recommended Creon, indicating a suspicion of mild chronic pancreatitis. It's important to mention that I do not experience abdominal pain; instead, I have discomfort in my lower back. How is it possible for three MRIs, including one with MRCP, to overlook mild chronic pancreatitis? Moreover, when I expressed my concerns about the oily stools, they speculated about chronic pancreatitis. Prior to this, I consulted six gastroenterologists, none of whom showed concern regarding my floating stools. I have read that floating stools are a primary sign of pancreatic issues and that while they can stem from other conditions, such instances are rare. Some sources suggest that IBS or anxiety might play a role, yet I have found no studies indicating that stress or IBS can cause this symptom. My stools consistently float and exhibit a thin oily layer, though I rarely see actual oil droplets. They often appear light brown or even darker, and while they are not high in volume, the oily film on the water is noticeable.
Answers (1)
8/9/2025, 8:50:42 AM
OpenHealth AI
It sounds like you're dealing with a frustrating and concerning situation regarding your bowel habits and health, especially with the persistence of floating stools and your ongoing quest for clarity from medical professionals. Based on what you've described, it's important to understand the potential significance of your symptoms while also recognizing the thorough investigations you've already undertaken.
Main Points:
- Floating stools can sometimes be associated with malabsorption issues, including potential problems with the pancreas.
- Despite normal test results, there may be cases of mild chronic pancreatitis that are not easily detectable by imaging.
- Next steps include your upcoming endoscopic ultrasound and considering dietary factors.
Explanation:
Floating stools typically indicate that they contain excess fat, which can sometimes occur in conditions like pancreatic insufficiency, where the pancreas doesn't produce enough enzymes to digest food properly. Your high pancreatic elastase level is reassuring, as it suggests adequate enzyme production, but it's understandable that you still seek answers given your symptoms and discomfort.
It is indeed possible for mild chronic pancreatitis to be missed on standard imaging tests like MRIs, especially if the condition is not severe. Chronic pancreatitis can sometimes produce subtle changes that are not well-visualized on these scans. The discomfort in your lower back that you're experiencing could be related to multiple factors, including muscle strain or referred pain, rather than directly linked to any gastrointestinal disorder.
Next Steps:
- Endoscopic Ultrasound: Since you have this scheduled, it can provide detailed images of the pancreas and surrounding structures, which may reveal issues the other imaging techniques have missed.
- Dietary Review: Consider keeping a food diary to track any correlations between your diet and your stool characteristics. Reducing fat intake temporarily while monitoring for changes in stool consistency may be helpful.
- Hydration and Nutrition Optimization: Ensure you’re well-hydrated and possibly consider consulting with a nutritionist who specializes in gastrointestinal health. They can help guide you on dietary choices that could improve your symptoms.
- Symptom Monitoring: Keep a detailed record of your symptoms, stool characteristics, and any changes you notice during this time. Sharing this with your healthcare provider can be helpful.
While it can be disheartening to feel that your concerns are not being addressed thoroughly, you are taking the right approach by seeking further evaluation and considering all possible avenues for understanding your symptoms. Please feel assured that you're actively pursuing the right path, and I encourage you to continue communicating your concerns with your healthcare team.
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