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Fecal Abnormalities

Experiencing unusual stool changes-color, consistency or frequency-can signal underlying digestive issues. In Houston, Dr. Scott at GastroDoxs offers compassionate, tailored expertise, using advanced testing and personalized treatment strategies to diagnose and manage fecal abnormalities, ensuring comprehensive care and patient comfort.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Infections - Bacterial or viral gastroenteritis
  • Digestive disorders - IBS, Crohn's disease, ulcerative colitis
  • Malabsorption syndromes - Celiac disease, pancreatic insufficiency
  • Medications - Antibiotics, antacids, or other drugs that alter gut flora
  • Diet and stress - High-fat foods, poor diet choices, emotional stress

Signs and Symptoms

  • Diarrhea or very frequent bowel movements
  • Greasy, foul-smelling stools (steatorrhea)
  • Blood or mucus in the stool
  • Urgency or pain during bowel movements
  • Gas, bloating, or unexplained weight loss

How Dr. Scott Diagnoses This Condition?

Dr. Scott uses a step-by-step approach:

Medical History and Exam

He reviews your symptom timeline, stool changes, epigastric pain, diet, medication use, and any family history of GI disorders.

Stool and Laboratory Tests

Comprehensive stool studies include:

  • Fecal lactoferrin and calprotectin to detect intestinal inflammation
  • Occult blood testing for hidden bleeding
  • Fecal fat analysis to evaluate malabsorption

Blood Tests

Blood work checks for anemia, inflammatory markers (CRP, ESR), pancreatic and liver enzyme levels, and nutritional deficiencies.

Imaging Studies

  • Abdominal ultrasound to assess the liver, gallbladder, pancreas, and detect fluid or masses
  • CT scan or MRI enterography for detailed visualization of bowel wall and surrounding tissues

Endoscopic Evaluation

Upper endoscopy allows direct inspection of the esophagus, stomach, and duodenum for ulcers or gastritis. Colonoscopy examines the colon and terminal ileum, with biopsies as needed.

Advanced Testing (if needed)

When standard tests are inconclusive, Dr. Scott may recommend:

  • Capsule endoscopy to visualize the small intestine
  • Motility studies for suspected functional disorders
  • Endoscopic ultrasound for detailed assessment of the pancreaticobiliary system
Dr. Scott
Treatment

Our Team offers a full range of care for fecal abnormalities.

1. Lifestyle and Diet Changes

  • Eat smaller, well-balanced meals with less fat
  • Drink more water to stay hydrated
  • Avoid spicy foods, caffeine, and alcohol
  • Use a food diary to track foods that cause symptoms

2. Medications

  • Antibiotics or antifungals for underlying infections
  • Anti-inflammatory medicines for inflammatory bowel disease
  • Enzyme supplements to support pancreatic function
  • Fiber supplements to improve stool consistency

3. Minimally Invasive or Advanced Procedures

  • Colonoscopy with biopsy to evaluate inflammation or disease
  • Endoscopic treatments for bleeding or strictures
  • Capsule endoscopy to visualize the small intestine
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What does a positive fecal lactoferrin test mean?

A positive lactoferrin result indicates inflammation in the intestines, which may be caused by IBD or an infectious process.

When should I get a fecal fat test?

You should consider a fecal fat test if your stools are greasy, float in the toilet, or you're losing weight without trying.

How do you treat abnormal bowel movements?

Treatment varies but often includes dietary modifications, medications, and, when needed, minimally invasive procedures.

What is the ICD-10 code for fecal abnormalities?

The ICD-10 code for other fecal abnormalities is R19.4.

Can diet help with fatty stools?

Yes. Reducing dietary fat and using pancreatic enzyme supplements can improve fatty stool symptoms.

How soon can I get an appointment?

Most new patients are seen within one week of scheduling their initial visit.

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