• Friday July 10,2020


The malassimilation syndrome is understood as an inadequate uptake and storage of nutrients whose causes are manifold. In most cases, symptom control is supplemented by individual therapy to treat causative factors.

What is a malassimilation syndrome?

The malassimilation syndrome is based on the fact that ingested nutrients can not be sufficiently utilized.

As a rule, the malasimilation syndrome is characterized by characteristic symptoms such as severe diarrhea and the loss of body weight. The typical for the malassimilation syndrome diarrhea is referred to in medicine as a so-called fatty stool; This stool has a clay-like, shiny consistency and is usually characterized by its characteristic sharp smell.

As sufferers usually excrete larger amounts of stool several times a day, symptoms of deficiency often develop as a result; For example, the organism lacks the necessary minerals, vitamins and / or proteins. Corresponding, caused by a malasimilation syndrome, deficiency symptoms in many cases lead to performance degradation and fatigue in affected patients.


A given malassimilation syndrome can have several causes. For example, the person concerned may lack digestive enzymes needed for the consumption of ingested food; As a result, only a limited digestion is possible, this is referred to in medicine as so-called Maldigestion.

Limited production of digestive juices may conceal inflammation or pancreatitis in this context. Finally, as a result of liver disease or gallstones and small intestinal diseases, a lack of (for digestion needed) bile acid may lead to malasimilation syndrome.

In addition, a malasimilation syndrome can also develop if the organism of an affected person can split nutrients but can not absorb them. This is possible for example because of infections or chronic inflammation of the intestine, malignant diseases of the small intestine, a disturbed intestinal blood flow or food intolerances such as gluten intolerance.

Symptoms, complaints & signs

The symptoms of a malasimilation syndrome are varied and non-specific. The way in which it appears depends above all on the specific cause. Basically, the malassimilation syndrome is usually noticeable by disorders in the digestive system. This often shows the chair as particularly noticeable. This can be foul-smelling and voluminous.

Some sufferers suffer from chronic diarrhea. In some cases, it comes to so-called fatty stools that are light, greasy and smelly. Often it comes to flatulence. Rarely does constipation occur. Especially with an incipient malassimilation syndrome, a variety of diffuse digestive complaints can occur.

These include abdominal pain, stomach ache, heartburn, nausea and vomiting. The symptoms can be felt either directly after eating or later. In some cases, they only occur after eating certain foods. An advanced malasimilation syndrome is accompanied by other symptoms such as muscle weakness, fatigue, tiredness, or a general performance kink.

Due to the indigestion usually makes a weight loss noticeable. The disturbed food intake also leads to deficiency symptoms. Common symptoms include hair loss, wound healing disorders, anemia, angular cheilitis, muscle atrophy, tetany (hyper-excitability of muscles and nerves), neurological disorders, edema, coagulation disorders, bleeding tendency, night blindness and dry skin and mucous membranes.

Diagnosis & History

Due to the relatively unspecific symptoms of a malasimilation syndrome and the multiple causes that can hide behind the syndrome, it usually requires different studies to make a corresponding diagnosis.

Possible examination methods include, for example, sonography (colloquially referred to as ultrasound examination) or computed tomography in order to image areas of the abdominal cavity. Examinations of the affected person's stool and blood can also provide indications of an existing malasimilation syndrome. Depending on the suspected cause of the disease, tissue samples may also allow more specific diagnostic information.

The course of a malassimilation syndrome in individuals depends primarily on the causes of the disease and on the possibilities of medically treating a corresponding cause. If a correction of the causative factors of a malasimilation syndrome is not possible, the course of the syndrome depends, among other things, on the success of a symptomatic treatment.


First and foremost, affected by the malasimilation syndrome disorders of digestion and thus complaints in the stomach and intestine. It comes to severe diarrhea and usually also to flatulence. Furthermore, patients also suffer from severe weight loss, which generally has a very negative impact on the patient's health.

The malassimilation syndrome is also a fatigue, which causes a constant fatigue of the patient. The resilience of the person affected is significantly reduced by this disease, so it comes to various restrictions in everyday life. Furthermore, the malasimilation syndrome also leads to a lack of vitamins and minerals. This can lead to various complications and complaints, which have a very negative impact on the health of the patient.

As a rule, there is always a causal treatment of the malasimilation syndrome. Furthermore, the lack of nutrients can also be compensated by different solutions. Complications usually do not occur. However, it does not always lead to a positive disease course. Furthermore, the life expectancy of the patient may be limited by this complaint.

When should you go to the doctor?

People who have unexplained weight loss should consult a doctor. If it comes to disorders of digestion, a noise in the intestine or diarrhea, a doctor is needed to clarify the cause. In the case of a fatty stool, constipation or pain when using the toilet, a doctor should be consulted. A pain in the abdomen is also medically examined and treated. If the symptoms persist for several days, there is a health impairment that requires medical care. The use of pain medication is to prevent possible complications only in consultation with a doctor.

If a reduction in the usual muscle strength sets in, it comes to a poor performance or suffers the affected person with exhaustion, should be made a visit to the doctor. Fatigue, nausea and vomiting are signs of an irregularity. In addition, complaints such as heartburn, disorders of wound healing or diffuse deficiency symptoms, a doctor's visit is required. A loss of hair, changes in vision or the appearance of the skin should be clarified by a doctor. Tears in the mouth, development of edema, and a tendency to bleed for minor injuries require a doctor. Symptoms such as feeling unwell, feeling sick and being upset should be reported to a doctor as soon as they last for several days or weeks.

Treatment & Therapy

Therapeutic measures that address a malasimilation syndrome should first be distinguished from interventions that fight the cause of the syndrome and those that help alleviate symptoms.

In the context of symptom control in the present malasimilation syndrome, for example, a regular regulation of the body's fluid and electrolyte balance takes place (in electrolytes are required by the body of substances such as salts and minerals); The aim of this therapy module is to counteract losses that arise in the person affected by the disease-typical strong diarrhea. Compensating for symptomatic deficiencies in those affected by the malasimilation syndrome is also supplemented with nutrients such as vitamins.

Symptomatic control of syndrome is usually associated with concomitant, causal treatment; Successful therapy steps are based on the individual symptoms, which has led to a malasimilation syndrome. If a syndrome is based on gallstones, for example, they can be removed in various ways. Inflammatory bowel disease or circulatory disorders of the intestine are depending on the individual case and medical assessment about medical control.

Outlook & Forecast

The prognosis of the malasimilation syndrome depends on the causative disorder. If this is curable, there is also a regression of the symptoms of the syndrome. In some cases, the change in diet can already bring about a significant relief of the symptoms. A lack of nutrients can be compensated and thus already contribute to an improvement of health. The cooperation with a doctor should take place, so that the causal irregularities are found and treated. Often they remain unclear otherwise. In addition, there may be an increase in symptoms and thus a reduced quality of life.

If the cause of the disturbance is the presence of foreign bodies in the organism, they must be completely removed. In a surgical procedure gallstones or similar foreign bodies are removed from the organism. The treatment method is associated with risks, but is usually completed without disruption. Following the wound healing process, a complaint-free status is to be expected. Nevertheless, it must be taken into account that at any time in the course of life, a renewed formation of foreign bodies and thus a regression of the complaints can occur. If there are inflammatory developments in the body, they must be completely healed so that the malassimilation syndrome receives a good prognosis. In intestinal inflammation, the healing pathways are often tedious.


Factors such as food intolerance or chronic intestinal diseases, which can lead to a malasimilation syndrome, are usually limited to prevent. If, however, the underlying disease is present in a person affected, then in many cases early and expert treatment or interventional measures can help to prevent an occurring malasimilation syndrome; If the malasimilation syndrome already exists, appropriate treatment steps can counteract a worsening of the symptoms.

You can do that yourself

Patients with the malasimilation syndrome suffer from the diffuse symptoms of the disease and thus a reduced quality of life. Self-help measures are not sufficient, because the illness urgently requires a professional medical therapy. Therefore, the patients turn to a doctor in their own health interest. The diagnosis is often tedious, since the complaints are relatively unspecific and the disease also follows a certain underlying disease. It is therefore important that patients exercise patience and have further examinations performed until an accurate diagnosis is made.

Depending on the individual case, the doctor prescribes different nutrients, medications or electrolytes for ingestion. The patient follows the medical instructions to successfully perform the therapy. In general, a healthy lifestyle supports the physical condition as well as the well-being of those affected. This includes, in particular, the renunciation of tobacco and alcohol, as these stimulants extract further nutrients from the organism.

To improve the patient's performance, consult a professional nutritionist. In close accordance with the individual diagnosis, this develops a diet plan for the patient. The goal of this plan is the best possible supply of relevant nutrients through the daily diet. Light sports activities support the physical well-being and mental stability of the patient.

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