Which stool description indicates malabsorption in a child with cystic fibrosis?

The characterization of stool as large and foul-smelling is indicative of malabsorption, especially in the context of cystic fibrosis. Children with cystic fibrosis often experience pancreatic insufficiency, which means their bodies do not produce enough enzymes to adequately digest and absorb nutrients from food. This malabsorption leads to the presence of unabsorbed fat in the stool, resulting in steatorrhea, which is characterized by bulky, greasy, and particularly foul-smelling stools.

The size of the stool can be attributed to the excess fat and undigested food particles. Additionally, the strong odor is related to the presence of unabsorbed nutrients and fat. Cystic fibrosis-related malabsorption can significantly affect a child's nutrition and growth, making it essential for caregivers and healthcare providers to recognize these signs in order to intervene appropriately.

The other stool descriptions do not correlate with the typical malabsorption patterns seen in cystic fibrosis. Soft stools might indicate regular bowel activity without malabsorption, loose stools with bits of food may suggest other gastrointestinal issues, and hard stools with streaks of blood could signify constipation or anal fissures rather than malabsorption.