1, what is fatty diarrhea?
Fatty diarrhea refers to the clinical syndrome group that the digestive and absorption function of small intestine is reduced due to various reasons, so that nutrients can not be completely absorbed and discharged from feces, causing nutritional deficiency, also known as dyspepsia syndrome. Because the patient excretes too much fat in the stool, it is also called small intestinal malabsorption, also called oily diarrhea.
The causes of fatty diarrhea are common, such as malabsorption syndrome, lack of bile salts and pancreatic digestive enzymes, enteritis or diverticulosis, intestinal fat metabolism disorder, gastrinoma or chylous duct can not absorb fat. The feces of typical fatty diarrhea are light in color, abundant, oily or foamy, often floating on the water, and often have a foul smell.
2. Clinical manifestations of fatty diarrhea
1, local symptoms
80% ~ 97% patients have diarrhea, which is a typical fatty diarrhea. The stool is light in color, large in quantity, oily or foamy, with foul smell. The stool frequency ranges from several times to more than ten times, and sometimes there is intermittent diarrhea. There may be abdominal fullness and loss of appetite, but abdominal pain is rare.
2. Systemic symptoms
Discomfort, fatigue, tetany, paresthesia, stomatitis, corneal dryness, night blindness, edema and other malnutrition symptoms. Long-term fatty diarrhea in children will cause backward development and emaciation.
3. Symbols
There may be signs such as emaciation, abdominal tenderness, abnormal sensation of limbs, glossitis or ulcer, pellagra-like pigmentation, edema, nail depression, muscle tenderness, clubbed fingers (toes) and so on.
The occurrence of lipodiarrhea is mostly related to intestinal diseases, including pathological changes of various digestive organs. The following are three traditional Chinese medicine prescriptions for treating fatty diarrhea. Patients can take different treatment methods according to different symptoms. Let's take a look at the prescription of Chinese medicine for fatty diarrhea.
3. Traditional Chinese medicine prescription for treating fatty diarrhea
Traditional Chinese Medicine Prescription 1
Syndrome Differentiation: Deficiency of both spleen and kidney, damp heat.
Treatment: clearing away dampness and heat, invigorating spleen and tonifying kidney.
Fang Ming: Fei Lian divides clear soup.
Composition: Fei Lian grass 50g, stele 30g, Pteris multifida 15g, Poria cocos 15g, Polygonum cuspidatum 15g, Radix Rehmanniae Preparata 15g.
Usage: decoction, daily 1 dose, twice a day.
Traditional Chinese medicine prescription 2
Syndrome Differentiation: Qi deficiency of spleen and kidney.
Treatment: strengthen the spleen and kidney.
Prescription: Jiawei Zhuo Zhi Guben Decoction.
Composition: Rhizoma Dioscoreae Septemlobae 15g, Semen Cuscutae 15g, Fructus Alpinae Oxyphyllae 10g, Rhizoma Acori Graminei 5g, Semen Euryales 30g, Lotus Root 30g and Celosia cristata 30g.
Usage: decoction, daily 1 dose, twice a day.
Traditional Chinese medicine prescription 3
Syndrome Differentiation: Deficiency of both spleen and kidney, occult diarrhea, turbid and mixed.
Treatment: invigorating spleen and kidney and solidifying essence.
Prescription: Jiawei Jianpi Bushen Gu Jing Decoction.
Composition: Codonopsis pilosula 15g, Atractylodes macrocephala 15g, Poria cocos 15g, Rosa laevigata 15g, Alpinia oxyphylla 15g, lotus seed 30g, Coicis Semen 12g and licorice 6g.
Usage: decoction, daily 1 dose, twice a day, and the dosage of 10 is 1 course of treatment.
4. Etiology of excess fat
1, hepatobiliary diseases
It is more common in extrahepatic biliary obstruction or intrahepatic biliary obstruction. Bile retention and changes in bile composition are most likely due to biliary obstruction, which leads to a significant decrease in cholic acid concentration in the intestinal cavity, thus affecting the digestion of lipolysis and fatty acid decomposition, forcing fat to be excreted from feces and causing seborrhea.
2. Intestinal diseases
Various intestinal infections, extensive small intestine resection, primary small intestine lymphoma, small intestine ischemia caused by arteriosclerosis, intestinal lipid metabolism disorder syndrome, eosinophilic gastroenteritis, food allergy, etc. , may damage the digestive function of intestinal mucosal epithelial cells, causing lipodiarrhea.
3. Pancreatic diseases
Chronic pancreatitis and pancreatic cancer in pancreatic diseases. The main reason is that pancreatic lipase secreted by the pancreas is obviously reduced, which leads to fat indigestion and a large number of fatty substances are discharged from feces.
4. Endocrine diseases
In endocrine diseases, adrenocortical hypofunction and hypothyroidism, and a few hyperthyroidism patients may even have fat metabolism disorder. This is because endocrine disorder can easily cause lipid metabolism disorder, so there is lipid metabolism disorder.
5. Others
β-lipoproteinemia, γ-globulinemia, subtotal gastrectomy and scleroderma are also easy to cause the decline of fat metabolism and fatty diarrhea.