ISSN 2398-2950      

Chronic diarrhea: hepatic failure


Phil Nicholls

Ed Hall


  • Signs: small intestinal diarrhea, impaired fat digestion due to lack of bile acids, bleeding tendency because of vitamin K malabsorption.
  • Diagnosis: identify underlying hepatic disease.
  • Treatment: eliminate hepatic disease, dietetic diet for liver insufficiency Dietetic diet: for liver insufficiency.
  • Prognosis: guarded.



  • Portal hypertension   →   stasis in intestinal draining veins   →   impaired absorption; also mucosal edema   →   lymphangiectasia.
  • Impaired hepatic function/obstruction of bile duct   →   reduced delivery of bile acids to duodenum   →   impaired fat digestion   →   diarrhea.


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