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Losing Weight. Started Feeling Fatigue And Weak. Endoscopy Normal. Should I Contact Gastroenterologist?

Posted on Thu, 18 Apr 2013

Question: doctor,i am loosing my weight drastically due to fat malabsorbtion for the last three months.i have gone through all the neccesary test like sudan stain for fatty acid is present...i am feeling extreme fatigue and weakness..there are abdominal sounds one hour after eating but the remarkable thing is that my other biochemical test such as CBC ,WHOLE ABDOMEN ULTRASONOGAPHY and endoscopy report are normal.remarkable thing is that haemoglobin is not going down.please tell me what should i do to prevent fat release in stool.is it serious problem or general problem.should i contact gastroenterologist?

Answered by Dr. Dr.P.Ratnakar Kini (34 minutes later)

Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

As per your post, you are having fat malabsorption/maldigestion. Get tests done to rule out chronic pancreatitis.
Discuss with your gastroenterologist about taking enzyme supplements like Creon which is very much beneficial if your symptoms are due to pancreatic disease.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (46 minutes later)

thanks for ur reply.wat type of tests can be done to rule out chronic pancreatitis?

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Hi,
A CT scan of the abdomen may be done.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (10 hours later)

is there any role of bile salt in fat malabsorbtion??

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Hi,
Yes, bile salts are essential for digestion of fat.
In cholestasis where the flow of bile is interrupted, digestion of fat is affected.
But it is usually is a associated with other symptoms like jaundice.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar