K90.3

Clinical Causes: Chronic pancreatitis, leading to reduced enzyme production. Pancreatic cancer or tumors affecting enzyme secretion. Cystic fibrosis resulting in thick mucus blocking pancreatic ducts. Pancreatic surgical removal or injury. Malabsorption syndromes affecting the pancreas. Certain medications that impair pancreatic function. Genetic conditions impacting pancreatic health.

Key Symptoms: Frequent fatty or greasy stools that may be frothy or float. Steatorrhea often occurs with foul smell and can be difficult to flush away. Unexplained weight loss despite adequate or increased food intake. Stomach discomfort such as bloating, cramping, or gas. Malnutrition signs, including weakness and fatigue. Possible deficiencies in fat-soluble vitamins (A, D, E, K). Reduced appetite or aversion to fatty foods.

Diagnosis Path: Stool analysis to detect excess fat content, confirming steatorrhea. Blood tests for pancreatic enzyme levels and nutritional deficiencies. Imaging studies such as ultrasound, CT scan, or MRI to evaluate pancreatic structure. Secretin stimulation test to assess pancreatic function. Genetic testing if a hereditary cause, like cystic fibrosis, is suspected.

Treatment Protocols: Pancreatic enzyme replacement therapy to aid fat digestion. Nutritional support, including a high-calorie, low-fat diet tailored to individual needs. Supplements of fat-soluble vitamins to prevent deficiencies. Treatment of underlying conditions, such as managing chronic pancreatitis or removing tumors. Lifestyle modifications, including avoiding alcohol and smoking that can worsen pancreatic health. Regular follow-up with healthcare providers to monitor nutritional status and adjust treatment plans.