Comments on: Let’s talk about bile acid

By: katescarlata

katescarlata — Sat, 08 Aug 2015 02:10:42 +0000

In reply to Angie. Great questions, Angie. A reduced fat intake may reduce bile acid release--but some people make more than they need regardless of what they eat. And soluble fiber may help absorb some of the bile acids and help reduce the diarrhea for some folks.

By: Angie

Angie — Fri, 07 Aug 2015 16:42:20 +0000

Kate, great read! I am a nutrition student who also suffers with IBS, I am wondering if decreasing soluble fiber intake will decrease bile excretion from the body, and maybe reduce the short transit time of my meal resulting in less diarrhea? Also, will decreasing fat in the diet also restrict the amount of bile secreted in the first place?

By: katescarlata

katescarlata — Thu, 28 May 2015 01:07:57 +0000

In reply to Marie bueno. Hello Marie, Typically bile acid induced diarrhea post gallbladder removal settles down after a few months. But, a low fat diet can be helpful.

By: Marie bueno

Marie bueno — Thu, 28 May 2015 00:23:30 +0000

Kate, I had my gallbladder out, what would be precautionary things I should do to prevent these issues.

By: katescarlata

katescarlata — Mon, 18 May 2015 01:34:17 +0000

In reply to Emma.

If he responded to the antibiotic for tooth infection…than that tells you something. Rifaximin is often used for small bowel overgrowth–but other antibiotics can be used as well–flagyl, cipro, etc. Testing for small bowel overgrowth is not always accurate—so I would discuss this possibility more with the GP or gastroenterologist. Bile acid diarrhea can be due to small bowel bacterial overgrowth–so this should be thoroughly explored.

By: katescarlata

katescarlata — Mon, 18 May 2015 01:29:40 +0000

In reply to Anita. Thanks for sharing, Anita!

By: Anita

Anita — Thu, 14 May 2015 22:13:04 +0000

Please go to http://www.bile.org.uk for more information about this condition from suffers.
There is also a support group on facebook https://m.facebook.com/groups/176952655839795?ref=bookmark

By: Emma

Emma — Thu, 14 May 2015 17:30:47 +0000

Thank you for your reply Kate.
Scott has has stool samples tested (though not where a daily sample was given) and some sort of breath test (sorry can’t remember the name). Specialists have ruled out any kind of bacterial problems. When would they have tested for Pancreatic insufficiency? Is this something he should discuss in his next appointment?
He has tried the Fodmap diet and finds it quite frustrating as it includes lists of foods that make him worse. The Dietician at the hospital discharged him from her care as eliminating certain foods/drinks do not make much difference to his condition.
Scott once found that a certain antibiotic (metronidazole for a tooth infection) he was taking stopped the diarrhea for a few days and he did have a regular bowel movement . The diarrhea returned after about 3 days though. This was discussed with the Specialist as Scott thought perhaps this pointed towards it being bacterial & was keen to see if they could investigate it further. He’s read about a specific antibiotic (Rifaximin) prescribed for travellers diarrhea (USA only) that clears up a lot of people with chronic bowel issues, but they can’t prescribe that here for Scott’s condition even though we begged to be able to just try it. I have noticed that his breath often smells sweet or fermented and this has been mentioned to the specialist too. Is it worth going for further bacterial/parasite testing?
His current specialist has stopped investigations after the diagnosis of severe B.A.M and in the last appointment I attended with him it was heart breaking being told there is nothing they can do for him but he has to learn to live with it!
He is self employed as a heating engineer and has a toilet in his van so he can at least try and leave the house to go to work. If there are further investigations/test you think might be beneficial or certain areas you think are worth researching we would be very happy to hear any advice you have.

By: katescarlata

katescarlata — Thu, 14 May 2015 02:10:46 +0000

In reply to Terri.

Perhaps–if you diet is low enough in fat–it might not trigger a major issue w/ diarrhea. If you notice that diarrhea occurs with a heavy fat meal, maybe. Try to see if there is a pattern to when you have diarrhea–that may help you determine the cause or lead you down the path to determine the cause.

By: katescarlata

katescarlata — Thu, 14 May 2015 02:08:41 +0000

In reply to EMMA ECCLES. Emma, perhaps there are other reasons in addition to BAM that your fiance is dealing with diarrhea. Could SIBO be an overlapping issue, pancreatic issues?