Oily Stools: A Sign of Pancreas, Liver, or Gut Issues

Oily stools, or steatorrhoea, indicate that the body is not adequately digesting or absorbing fats. This condition often presents with distinct characteristics such as bulky, foul-smelling, or greasy stools that may float and be difficult to flush. Accompanying symptoms can include bloating, abdominal discomfort, and unintended weight loss.

The digestive process requires bile from the liver and gallbladder, along with enzymes from the pancreas, for effective fat breakdown. Disruptions in this system can lead to undigested fat passing through the digestive tract. Common causes identified include pancreatic problems like chronic pancreatitis, gallbladder or liver disorders such as gallstones or bile duct blockages, and intestinal conditions like coeliac disease or Crohn's disease.

Other symptoms that warrant medical attention alongside oily stools are unexplained weight loss, fatigue, dry skin, easy bruising, and deficiencies in fat-soluble vitamins (A, D, E, K). Diagnosis may involve stool analysis, blood tests, and imaging scans. Treatment is tailored to the specific cause, ranging from enzyme supplements and dietary changes for pancreatic insufficiency to surgery for gallstones or a gluten-free diet for coeliac disease.