Acholic Stool: Causes & Reasons

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Possible Causes for Acholic Stool

Biliary Atresia

BACKGROUND: The stool color card has been the primary tool for identifying acholic stools in infants with biliary atresia (BA), in several countries. [ncbi.nlm.nih.gov]

Both present with jaundice and acholic stool in neonatal period. Treatment and prognosis of both entities are very different. [ncbi.nlm.nih.gov]

stool 5 days after birth. [ncbi.nlm.nih.gov]

3Beta-Hydroxy-Delta5-C27-Steroid Oxidoreductase Deficiency

Affected individuals may also exhibit diarrhea, excess fats in the stools (steatorrhea), and pale or clay-colored stools due to the suppression of bile flow (acholic stools [rarediseases.org]

stools Neonatal cholestatic liver disease Cardiomyopathy Congestive heart failure Hypogonadism Diabetes mellitus Retinopathy Hepatic steatosis Hyperpigmentation of the skin [mendelian.co]

Liver disease often presents in early childhood with jaundice, deficiency of fat-soluble vitamins, acholic stools and hepatomegaly. [wjgnet.com]

Pancreatic Adenocarcinoma

Another symptom is painless jaundice (yellowish discoloration of the eyes) associated with passage of tea-colored urine and grayish-white (acholic) stools when immediately [iorbitnews.com]

Because more than two-thirds of adenocarcinomas occur in the head of the pancreas, abdominal pain, jaundice, pruritus, dark urine, and acholic stools may be presenting symptoms [aafp.org]

stools may be presenting symptoms as a result of obstruction within the biliary tree. 11 Nonspecific findings from cancers of the pancreatic body or tail include unexplained [aafp.org]

Malignant Neoplasm of the Pancreas

Pancreatic cancer is a type of cancer that starts in the pancreas. (Cancer starts when cells in the body begin to grow out of control. To learn more about how cancers start and spread, see What Is Cancer? ) Pancreatic adenocarcinoma is the most common type of pancreatic cancer. Pancreatic neuroendocrine[…] [cancer.org]

AMACR Deficiency

Thus, CBAS4 patients may produce pale or clay-colored, acholic stools, and they may also present with symptoms of fat-soluble vitamin deficiency. [symptoma.com]

Nyctalopia Osteoporosis Peripheral neuropathy Pruritus In addition to the above, the following signs and symptoms may be present: Abnormality of the coagulation cascade Acholic [dovemed.com]

stools Diarrhea Giant cell hepatitis Hyperbilirubinemia Hypocholesterolemia Intrahepatic cholestasis Steatorrhea (Source: Congenital Bile Acid Synthesis Defect, Type 1; Genetic [dovemed.com]

Congenital Bile Acid Synthesis Defect Type 2

Progressive jaundice with dark urine and acholic stools are commonly reported. Jaundice may be accompanied by pruritus, but has been described as atypical elsewhere. [symptoma.com]

Nyctalopia Osteoporosis Peripheral neuropathy Pruritus In addition to the above, the following signs and symptoms may be present: Abnormality of the coagulation cascade Acholic [dovemed.com]

stools Prolonged prothrombin time Hypertyrosinemia Chronic hepatic failure Nyctalopia Pruritus Gastrointestinal hemorrhage Abnormality of coagulation Pneumonia Decreased [mendelian.co]

Giant Cell Hepatitis

Results Acholic stool, absence of gall bladder visualization by ultrasonography and high level of serum gamma-glutamyl transpeptidase (GGT), and positive HIDA scan findings [ijp.mums.ac.ir]

HIDA. 3) Biopsy equivocal,acholic stools, baby 7 wks & lap and peroperative cholangiogram. 4) Biopsy equivocal, acholic stools, ERCP atresia. 41. [slideshare.net]

Prognosis was found to be poor (40% death or cirrhosis) in babies with perisitently acholic stools, but relatively good (less than 15% death or cirrhosis) in those with jaundice [adc.bmj.com]

Cholestatic Jaundice

Infants are jaundiced and often have dark urine (containing conjugated bilirubin), acholic stools, and hepatomegaly. [msdmanuals.com]

References:[10][8] Clinical features In addition to jaundice, the following signs may also indicate cholestasis: Pale, clay-colored (acholic) stool Darkening of urine Pruritus [amboss.com]

stools, hepatomegaly or liver tenderness en Eyes and skin are jaundiced. et Et kõnealuse tootja müügimaht siseturul oli suur, otsustati pidada kogumüüki usaldusväärseks en [et.glosbe.com]

Extrahepatic Cholestasis

Infants are jaundiced and often have dark urine (containing conjugated bilirubin), acholic stools, and hepatomegaly. [merckmanuals.com]

References: [10] [8] Clinical features In addition to jaundice, the following signs may also indicate cholestasis : Pale, clay-colored (acholic ) stool Darkening of urine [amboss.com]

Clinically, conjugated hyperbilirubinemia is characterized by jaundice, acholic stools, dark urine and hepatomegaly. [3] The differential diagnosis of conjugated hyperbilirubinemia [saudijgastro.com]

Choledochal Cyst

Infantile choledochal cyst (CC) usually presents as jaundice, vomiting, acholic stools, and hepatomegaly, and it can resemble biliary atresia. [ncbi.nlm.nih.gov]

The clinical manifestations were abdominal pain (96.3 %), abdominal distention (92.6 %), vomiting (88.9 %), jaundice (74.1 %), fever (70.4 %), acholic stool (51.8 %), abdominal [ncbi.nlm.nih.gov]

Neonates and infants presented with jaundice, acholic stools and abdominal mass whereas most of the paediatric cases presented with intermittent non-specific abdominal pain [ncbi.nlm.nih.gov]

Aagenaes Syndrome

Signs and symptoms: Main signs and symptoms include abdominal pain, acholic stools, fatigue, hepatomegaly, hyperlipidemia, lymphedema, nausea, vomiting, multiple lipomas, [xpertdox.com]

Indications for laparotomy 1) Acholic stools & liver biopsy - BA 2) Biopsy equivocal but acholic stools, intrahepatic causes r/o, non excreting HIDA 3) Biopsy equivocal,acholic [slideshare.net]

stools Clay colored stools 0011985 Biliary tract abnormality 0001080 Fatigue Tired Tiredness [ more ] 0012378 Hepatomegaly Enlarged liver 0002240 Hyperlipidemia Elevated [rarediseases.info.nih.gov]

Fibular Dimelia-Diplopodia Syndrome

/acholic stools Nausea/vomiting/regurgitation/merycism/hyperemesis Peritoneal diseases Peritonitis/peritoneal abcess www.orphanet.net/ 19 of 39 Thesaurus of Clinical Signs [readbag.com]

Hyposialorrhea Inflammatory intestinal disease Intestinal obstruction/ileus Intestinal perforation Intestinal transit disorder Malabsorption/chronic diarrhea/steatorrhea Mucous stools [readbag.com]

Coffin-Siris Syndrome 3

Stools. 61 Franciscovich A...Mogul DB 26221719 2015 17 SeqReporter: automating next-generation sequencing result interpretation and reporting workflow in a clinical laboratory [malacards.org]

[…] web-based 3D molecular structure editor and visualizer platform. 61 Mohebifar M...Sajadi F 26587057 2015 16 PoopMD, a Mobile Health Application, Accurately Identifies Infant Acholic [malacards.org]

Atresia of Urethra

In extrahepatic biliary atresia, the infant presents with prolonged neonatal jaundice, acholic stools, dark urine, and hepatomegaly. [amboss.com]

Familial Hypercholanemia

stools Rickets Giant cell hepatitis Neonatal cholestatic liver disease Peripheral neuropathy Hyperhidrosis Osteoporosis Broad forehead Prominent forehead Long philtrum Short [mendelian.co]

C/F Jaundice, acholic stools hepatomegaly are present in the 1st wk of life but the jaundice usually clears in the 2nd-4th months. persistent liver disease, or the development [slideshare.net]

Affected individuals may also exhibit diarrhea, excess fats in the stools (steatorrhea), and pale or clay-colored stools due to the suppression of bile flow (acholic stools [rarediseases.org]

Duodenal Atresia

Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. [ncbi.nlm.nih.gov]

Biliary Tree Disease

[…] to acholic stools as dz evolves. - serum bilirubin starts out with 6-12, only mod elevated aminotransferase, alkaline phosphatase. congenital dilations of common bile duct [quizlet.com]

[…] surgery. surgical procedure to correct bilary atresia -- cures type I and type II disease. clinical presentation of biliary atresia neonatal cholestasis. initially normal stools [quizlet.com]

Metabolic Liver Disease

Affected infants have jaundice, dark urine, light or acholic stools, and hepatomegaly. [brainscape.com]

Ascending Cholangitis

stools => pancreatic or biliary malignancy History of biliary reconstruction or endoscopic biliary duct manipulation => stricture/indwelling stent occlusion Evaluation: Labs [emdocs.net]

The patient may also report acholic (putty-coloured) stools and pruritus. [patient.info]

Other symptoms include the following: Jaundice Fever, chills, and rigors Abdominal pain Pruritus Acholic or hypocholic stools Malaise The patient's medical history may be [emedicine.medscape.com]

Aurocephalosyndactyly

stool 無胆汁便 achondroplasia 軟骨無形成症 ACH achromatopia/achromatopsia/achromatopsy 色盲【不適切】/色覚異常【奨】 acid excretion 酸排泄 acid lipase 酸性リパーゼ acid lysis test 酸溶解試験 acid milk 酸性乳 acid [jpeds.or.jp]

[…] acetonemic vomiting アセトン血性嘔吐症 acetonuria アセトン尿 acetylcholine receptor アセチルコリン受容体 achalasia of esophagus 食道無弛緩症/食道拡張症/食道噴門けいれん症 achievement test 学力検査/学力試験 achlorhydria 無塩酸症/無酸症 acholic [jpeds.or.jp]

Biliary Peritonitis

Usually these patients have un-complicated birth histories and develop normally until the onset of jaundice, acholic stools or dark urine. [afrjpaedsurg.org]

(acholic stool)灰白色便（無胆汁便） [tokyo-med.ac.jp]

[…] visceral inversion内臓逆位［症］ volvulus軸捻転 w watery diarrhea-hypokalemia-achlorhydria syndrome (WDHA syndrome)WDHA症候群 well differentiated adenocarcinoma高分化腺癌 white bile白色胆汁 whitish stool [tokyo-med.ac.jp]

Choledochoenterostomy

The operation was planned to the patient who had acholic stool and generalized jaundice. [bildirim.org]

(acholic stool)灰白色便（無胆汁便） [tokyo-med.ac.jp]

Symptoms may include pain in upper right quadrant, palpable abdominal mass, jaundice, acholic stools, fever and vomiting. [bildirim.org]

Calcification of the Gallbladder

Other features include fatigue, acholic stool, a palpable mass, hepatomegaly, or a distended gallbladder (Courvoisier sign, with distal cholangiocarcinoma). [merckmanuals.com]

Renal Cysts and Diabetes Syndrome

Since the first day of life, she had apparently acholic stools and gradually developed jaundice. [wjgnet.com]

Due to progressive conjugated hyperbilirubinemia and acholic stools, endoscopic retrograde cholangiopancreatography (ERCP) was performed at 30 d of age. [wjgnet.com]

COMMENTS Case characteristics A female neonate who was born small for her gestational age had apparently acholic stools since the first day of life, and gradually developed [wjgnet.com]

Malignant Neoplasm of the Gallbladder

Other features include fatigue, acholic stool, a palpable mass, hepatomegaly, or a distended gallbladder (Courvoisier sign, with distal cholangiocarcinoma). [msdmanuals.com]

Meconium Peritonitis

Of these 11 infants, 4 had acholic stools. [ncbi.nlm.nih.gov]

However, ultrasonography and HIDA scintigraphy should be performed to differentiate BA in infants with MP who show prolonged jaundice with acholic stools. [ncbi.nlm.nih.gov]

Gallbladder Empyema

Clinical features • Neonatal cholestasis • Slight female predominance • Normal weight infants with postnatal weight gain • Acholic stool as disease evolves • Lab Ix : not [slideshare.net]

Clinical features • Liver mass • Non specific signs and symptoms : weight loss, pain, anorexia, ascites • If there is biliary obstruction : jaundice, acholic stool, nausea [slideshare.net]

Alagille Syndrome

In addition, they had the characteristic facial appearance of Alagille syndrome with cardiac, vertebral, and eye anomalies, and all had passed acholic stools from the neonatal [ncbi.nlm.nih.gov]

stools (due to lack of bile, which gives stools their normal color) Enlarged liver that feels harder than normal Poor weight gain (due to lack of bile in the intestine, [chp.edu]

[…] within one to two weeks Severe itching (pruritus) Dark yellow or brown urine (due to excessive bilirubin in the bloodstream which passes to the kidneys) Pale or clay-colored (acholic [chp.edu]

Multiple Epiphyseal Dysplasia Type Al-Gazali

stool. [pediatricendocrinology.pl]

[…] was hospitalized in the intensive care unit due to a grave general condition: fever, intoxication, lethargy, anorexia, jaundice, generalized edema, hepatomegaly, oliguria, acholic [pediatricendocrinology.pl]

Macronodular Cirrhosis

stools: Acholic stools, Macro, autopsy (70460) Abscesses of the liver, CT, contrast: Abscesses of the liver, CT, contrast, contrast X-ray (70576) Cholestasis, carcinoma of [atlases.muni.cz]

Macro, autopsy (70408) Liver, cholangitic abscess, Macro, autopsy (70409) Liver, ascendent cholangitis, abscesses: Liver, ascendent cholangitis, Macro, autopsy (70410) Acholic [atlases.muni.cz]