Creatorrhoea is the appearance of a large number of undigested muscle and connective tissue fibers in the stool. The symptom occurs in putrefactive dyspepsia, gastritis with low acidity, chronic pancreatitis, and other pathologies of the pancreas. To diagnose the causes of creatorrhea, a blood and feces study, probe and tubeless functional tests, and instrumental imaging techniques are prescribed. Treatment of creatorrhea begins with diet therapy. Drug therapy includes preparations of digestive enzymes, analgesics, antidiarrheals and gastroprotectors.
Symptoms are observed with putrefactive dyspepsia, due to the predominance of meat products in the diet. A large number of muscle fibers cannot be broken down in the stomach and intestines, so they are excreted unchanged. A sign of creatorrhoea is an unstable, unformed stool with a sharp fetid odor. Fecal masses may contain visually noticeable individual particles of undigested food.
Creatorrhea is accompanied by discomfort in the abdomen, flatulence, rotten belching. Feeling worse after eating. There is a clear relationship between the onset of the symptom and changes in diet. With the revision of nutrition and a decrease in the percentage of meat dishes, the stool returns to normal, discomfort disappears. This is a sign of the functional nature of the creator.
With this variant of gastritis, gastric acidity decreases and the activity of the pepsin enzyme decreases, so protein foods are not digested. Patients with creatorrhoea complain of unstable stools with a tendency to diarrhea. Feces acquire a grayish tint, putrid smell. The chair becomes more frequent with dietary errors - the use of a large amount of meat dishes.
In addition to the creator of a person, heaviness in the stomach, a feeling of rapid satiety and nausea after eating are disturbing. Characterized by rotten belching and bad breath. Unlike functional dyspepsia, with hypoacid gastritis, signs of creatorrhea are observed constantly, increasing as the disease progresses. The most pronounced changes in feces during the development of achlorhydria.
Creatorrhoea occurs in the case of a pronounced decrease in pancreatic secretory activity. Chronic pancreatitis is characterized by alternating constipation and diarrhea, stool instability as a result of violations of the recommended diet. Creatorrhoea is indicated by abundant and heterogeneous fecal masses in consistency. The stools have a yellow or grayish tint, a fetid odor. You can usually see pieces of partially digested food in the stool.
Creatorrhoea develops in any disease that is accompanied by enzyme deficiency of the organ. The symptom often indicates serious organic diseases. The presence of creatorrhea indicates later stages of the pathology, since the secretion of pancreatic protease remains at a normal level for a long time. Changes in the composition of feces are accompanied by:
Creatorrhoea with inflammation of the intestine occurs due to a violation of the processes of cavity and parietal digestion. Patients complain of chronic diarrhea, abundant and fetid feces. With pronounced processes of decay, feces become greenish in color. Creatorrhea is accompanied by pain in the umbilical region, heaviness in the abdomen, aggravated after eating. Characterized by nausea, belching.
Creatorrhea appears after resection of the stomach, which is due to a decrease in acidity and insufficient digestion of muscle fibers. A similar mechanism is realized with stem vagotomy. The symptom also develops after surgery for resection of a portion of the small intestine. In this case, short bowel syndrome is formed, the work of enzyme systems in the intestinal lumen is disrupted.
Examination of the patient by a gastroenterologist begins with the collection of complaints and anamnesis. It is important to establish what changes in diet and other external factors preceded the onset of creatorrhoea. Physical examination does not provide important information for differential diagnosis, so the results of laboratory and instrumental methods are required. To establish the causes of creatorrhea, the following are assigned:
Undigested muscle fibers in the coprogram
The first step in treating a patient with creatorrhea is a change in diet. The purpose of the therapeutic diet is to reduce the amount of protein products, which reduces the functional load of the digestive glands. The degree of dietary restriction is determined by the severity of symptoms. The selection of the daily diet is carried out in such a way as to provide the patient with signs of creatorrhea with all the necessary vitamins and microelements.
To improve the processes of digestion and eliminate creatorrhoea, enzyme preparations are selected that contain the main pancreatic enzymes. Medicines increase the digestion of protein and other types of food, normalize the frequency and consistency of the stool. With low acidity, gastric juice, acidin-pepsin are prescribed. In addition to substitution therapy for creatorrhoea, etiopathogenetic and symptomatic treatment is carried out, which includes the following drugs:
In the period of remission for diseases that occur with creatorrhea, physiotherapy is actively used. Ozokerite and paraffin applications on the area of the anterior abdominal wall, inductothermy, electrophoresis with medicinal substances are effective. Drinking specially selected mineral waters is effective for improving digestion processes and eliminating creatorrhea. For general health purposes, sanatorium-and-spa treatment is recommended.
Surgical methods are used in patients with creatorrhea in the complicated course of chronic pancreatitis. With purulent complications, an autopsy and sanitation of pathological foci is performed, with destructive forms of inflammation, a partial necrectomy of the organ is indicated. If pancreatitis is preceded by diseases of the biliary tract, excision of stones in the ducts, sphincterotomy, cholecystectomy is performed. For tumors, various types of resection, total pancreatectomy are used.