5 doctors weighed in:

Fat malabsorption- what are the possible causes- we know I do not have gastro disease (crohns, divert, celiec, pancreatitus, or gall bladder prob, no surgery/ new diagnosed lupus. And I have pots?

5 doctors weighed in
Dr. Bahman Omrani
Pain Management
2 doctors agree

In brief: Steatorrhea

Many causes: pancreatic (exocrine insufficiency); celiac disease; sbbo/sibo; bowel resection/short bowel syndrome; bile acid malabsorption; certain medications; history of chemo/xrrt; systemic disease such as scleroderma & pbc have also been associated with fat malabsorption.
Because each of these conditions can have specific and different treatments, determining the exact etiology is important.

In brief: Steatorrhea

Many causes: pancreatic (exocrine insufficiency); celiac disease; sbbo/sibo; bowel resection/short bowel syndrome; bile acid malabsorption; certain medications; history of chemo/xrrt; systemic disease such as scleroderma & pbc have also been associated with fat malabsorption.
Because each of these conditions can have specific and different treatments, determining the exact etiology is important.
Thank
Dr. Gerald Mandell
Nuclear Medicine
1 doctor agrees

In brief: SLE ,malabsorption

In reported series of sle patients, the prevalence of malabsorption was 9.
5%, and was even higher if isolated fat malabsorption was considered. Malabsorption occurs particularly in patients with sle, and abdominal complaints.The pathogenesis is not entirely clear. Morphologic changes not necessarily seen on endoscopy.You should consult rheumatologist.

In brief: SLE ,malabsorption

In reported series of sle patients, the prevalence of malabsorption was 9.
5%, and was even higher if isolated fat malabsorption was considered. Malabsorption occurs particularly in patients with sle, and abdominal complaints.The pathogenesis is not entirely clear. Morphologic changes not necessarily seen on endoscopy.You should consult rheumatologist.
Thank
1 comment
Dr. Bahman Omrani
The 9.5% prevalence was seen in SLE and celiac disease. Malabsoprtion due to protein-losing GI enteropathy (PLGE) can be the initial presentation of SLE, with isolated fat absorption being much rarer. Both steatorrhea & celiac disease can be difficult diagnose highlighting the importance of further testing. In PLGE steatorrhea is generally absent. As a rule, lupus can involve any system or organ.
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