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Oily Stool. Oily stool is used to describe stool that is fatty or greasy, which in most cases floats and is large and heavy. There are several factors that contribute to it, such as gall bladder disease, pancreatic disease. In mild cases, oily or greasy stool may not be noticed for quite a long time. You may only find some greasiness when wiping and floating bowel movements. In severe cases, the appearance of the stool is obviously abnormal.
Chronic diarrhea is the most common symptom and is what usually prompts evaluation of the patient. Steatorrheaâfatty stool, the hallmark of malabsorptionâoccurs when > 7 g/day of fat are excreted. Steatorrhea causes foul-smelling, pale, bulky, and greasy stools.