Do infants with biliary atresia have steatorrhea?

Patient's question:

The child has been born for two months. It was detected that there was biliary atresia at birth. Recently, the jaundice has been particularly severe and the child has been treated in the hospital. I am very anxious and don't know what to do. Please ask if infants with biliary atresia will have steatorrhea?

Doctor's answer:

Children with biliary atresia have fatty diarrhea, which is a manifestation of malabsorption syndrome. Diarrhea caused by indigestion and poor fat absorption. It can be seen in various diseases. For example: congenital biliary atresia, infectious toxic hepatitis. Due to the cholestasis in these children, the composition of bile changes, and the concentration of bile acids in the intestinal lumen is significantly reduced, affecting fat digestion, leading to the excretion of fat in the feces, resulting in steatorrhea.

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