Diarrhea with a distinctive foul odor: Recognizing symptoms, understanding causes, seeking treatment, and delving into additional information.
Article Title: Understanding Keriorrhea: A Gastrointestinal Condition Caused by Certain Deep-Sea Fish
Gempylidae fish poisoning, commonly known as keriorrhea, is a gastrointestinal condition that affects individuals who consume certain deep-sea fish from the family Gempylidae, such as oilfish (Ruvettus pretiosus) and escolar (Lepidocybium flavobrunneum).
Common Symptoms
Keriorrhea refers specifically to a type of steatorrhea-like oily diarrhea. Symptoms usually develop within hours of consuming the fish and may include sudden onset of greasy, oily, orange-colored diarrhea, watery stools that can leak involuntarily, abdominal cramps, and nausea or mild gastrointestinal upset in some cases.
Causes
The causative agents are indigestible wax esters (also called gempylotoxins) found in the flesh of certain Gempylidae fish species. These wax esters cannot be broken down or absorbed by the human gastrointestinal tract, acting as a mild laxative and leading to rapid oily diarrhea and passage of fatty stools.
Treatments
Treatment for keriorrhea involves symptomatic and supportive care, with no specific antidote needed. The condition usually resolves spontaneously within 24-48 hours after stopping consumption of the fish. It is recommended to stay hydrated to replace fluid losses from diarrhea, avoid eating more of the triggering fish, and consult a healthcare provider in cases of dehydration or prolonged symptoms.
Prevention
Prevention of keriorrhea includes avoiding eating large amounts of oilfish or escolar. Some countries regulate or ban the sale of these fish due to this issue.
Summary
| Aspect | Details | |------------|------------------------------------------------------------| | Symptoms | Oily, orange-colored diarrhea (keriorrhea), abdominal cramps, nausea | | Causes | Indigestible wax esters (gempylotoxins) in oilfish/escolar (Gempylidae family) | | Treatment | Supportive care, hydration, avoid offending fish; usually self-limiting within 1-2 days |
References:
- FDA consumer updates on oilfish and escolar.
- Case reports and reviews in gastroenterology literature on keriorrhea.
- EU and Japan food safety advisories on Gempylidae fish consumption.
If you have further questions or symptoms persist atypically, consult a healthcare provider. It is essential to be aware that other conditions, such as steatorrhea, can also cause oily, bulky, loose, pale, and foul-smelling stools. If you suspect you have steatorrhea, consult a healthcare provider to determine the underlying cause.
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