Answer: A - Steatorrhea may be caused by a disruption in the activity of pancreatic enzymes that help to digest fat. It may also be caused by inadequate bile salts, which are needed for fat absorption. Steatorrhea is both a consequence of alcohol abuse, as well as an incentive to stop or curb drinking. Steatorrhea and increased fecal nitrogen excretion are prominent features of alcohol-abusing patients with exocrine pancreatic insufficiency and advanced ALD. However, increased fecal fat excretion has also been reported in alcoholics without cirrhosis or chronic pancreatitis. The counselor can play a role checking in on the client's health and make sure he or she sees a physician if needed.
