Experiencing Steatorrhea for Several Weeks (31M)
A couple of years back, my physician diagnosed me with Irritable Bowel Syndrome (IBS) at the age of 31. I suspect it’s the constipation-predominant type, given that I often experience constipation and gas. Two years ago, I underwent a colonoscopy, which yielded no abnormalities; my doctor advised a follow-up in 5 to 10 years, although I might push for an earlier appointment due to my current concerns. Recently, I have encountered loose stools along with steatorrhea over the past few weeks. I recall having such episodes previously but they typically resolved more quickly. To address my issues, I’m trialing a gluten-free diet, but considering I’ve consumed gluten all my life without problems, I’m uncertain about its effect. I’ve also resumed taking psyllium, which helps to normalize my bowel movements. However, the benefit tends to fade after a while, leading me back to looser stools that exhibit an oily residue in the toilet. The stool color is generally a standard brown, yet in the early phase of this issue, it appeared more yellow-brown. I’m aware that steatorrhea may be associated with pancreatic or gallbladder issues, and I have been referred to a gastroenterologist. Unfortunately, the earliest available appointment is in a month, and it’s a telehealth session. I assume they will be able to organize any necessary tests afterward that could be conducted sooner. I’m curious as to whether steatorrhea is considered a symptom of IBS. I’ve come across differing views on this matter; some articles affirm it while others deny it. Has anyone faced a similar situation? Currently, I experience no pain, nausea, fatigue, bleeding, or any other symptoms apart from steatorrhea, and I do have normal stools intermittently when I’m using psyllium. Any insights or assistance would be greatly appreciated. I'm trying my best to remain calm during this process.
Answers (1)
9/14/2025, 10:20:39 PM
OpenHealth AI
It sounds like you're experiencing a challenging situation with your digestive health, specifically with steatorrhea, which can be alarming. Let’s address your concerns and provide some guidance on how to navigate this until your appointment with the gastroenterologist.
Main Points:
- Steatorrhea and IBS: While IBS can cause a range of symptoms, steatorrhea (fatty stools) is typically not a direct symptom of IBS. It could indicate issues with fat absorption, possible conditions involving the pancreas or gallbladder, hence your gastroenterologist referral is essential.
- Current Management: It’s great that you're taking steps like trying a gluten-free diet and using psyllium, which can help with bowel regularity.
- Monitoring Symptoms: Keeping track of your stool characteristics and any changes over the coming weeks can assist your healthcare provider in making an accurate diagnosis.
Explanation:
Steatorrhea occurs when there is excess fat in the stool, which may happen due to malabsorption issues usually associated with pancreatic insufficiency or bile salt problems from the gallbladder. Since IBS typically involves altered bowel function (like constipation or diarrhea), the introduction of fatty stools could signify something additional happening in the gastrointestinal tract.
From what you've described, the intermittent normal stools when using psyllium suggest that there is some level of control over your symptoms, yet the recurrence of loose stools with oily characteristics is concerning.
Next Steps:
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Monitor Your Symptoms: Keep a diary of your bowel movements, noting the consistency, color, and any other symptoms you experience. This will provide useful information for your telehealth consultation.
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Dietary Considerations:
- You may continue the gluten-free diet for a few weeks to see if it has a positive effect, but be aware that significant dietary changes take time to assess.
- Ensure that your diet is balanced and rich in nutrients, focusing on easily digestible foods that might help with symptom relief (e.g., bananas, rice, applesauce, toast - referred to as the BRAT diet).
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Hydration & Supplements: Stay well-hydrated. If you experience significant diarrhea, consider electrolyte-rich drinks to maintain your hydration status.
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Psyllium Use: If psyllium helps, continue with it but monitor its effect. If it stops being effective, consider adjusting the dosage or taking a break and consulting your doctor on alternatives.
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Prepare for Your Appointment: Compile your data, including symptom diary entries, dietary changes, and any questions or concerns you would like to discuss with your gastroenterologist.
Please remember to remain calm during this wait. Many digestive concerns can be managed with the right approach, and having an upcoming appointment is a positive step towards understanding your health better. If you have any severe symptoms or new concerning signs arise, seek medical attention sooner.
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