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Bile Acid Malabsorption

Digestive Health | Last Active: 2 days ago | Replies (13)

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@beebe

Hi Nycole!
I developed bile acid malabsorption after a complicated Appendix surgery which resulted in removal of part of my small intestine among other things. The lower portion of the small intestine is where your digestive bile is reabsorbed, so when that gets removed the unabsorbed bile goes into the large intestine and causes the loose stool.
My Surgeon was not very helpful with the loose stool issue, they recommended Citracell, which I had to take an enormous amount of and which also has the side effect of disturbing the mucous layer in your small intestine which is where your digestive bacteria live; when it gets thinned out enough you get leaky gut and digestive sensitivities to foods that use to digest well.
My primary care physician checked with a gastroenterologist and told me I had bile acid malabsorption. She suggested I try Cholestryamine, a bile acid sequestrant, which worked dangerously well. It made me so constipated it was scary. I finally figured out that calcium carbonate is constipating for me. I also take magnesium glycinate instead of citrate as the citrate encourages loose stool and through trial and error I found some probiotics that firm up my stool (SFI Health Ther-Biotic Synbiotic).
I think bile acid malbsorption if pretty common among people who have a portion of the small intestine surgically removed and am surprised you have run into physicians who are clueless. Every gastroenterologist should be aware of this issue.
With the removal of your gall bladder you are overproducing bile acid so would have a more severe problem than I am experiencing. I have read that for some fortunate people the bile acid problem resolves over time, hope you are one of the lucky ones!!

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Replies to "Hi Nycole! I developed bile acid malabsorption after a complicated Appendix surgery which resulted in removal..."

Hi Mycole and Beebe-
My GI put me on cholestyramine and I did take it for about 8 mo. until I discovered two things. First of all, even though I took precautions I started to develop cavities. (I actually rolled the powder form into tablet form to bypass having to drink the sugary substance.) Second of all, after deep-diving into research produced an article that said that it can cause liver damage, although I'd have to go through all of my research papers to show exactly where I found it; something which I could do if need be. So, I decided to substitute with acacia 'Senegal' powder. So far so good. It has been regulating the bile salt for me pretty well. Next step for me to take care of is to get tested for any and all deficiencies that the bile acid malabsorption has caused. It seems to be rearing its ugly head and is actually something that I'm blaming on my GI doc because they haven't been listening to me. I have known for some time that I have been suffering from fat and sugar malabsorption but since my stool tests appeared to be normal they refused to acknowledge it. Well, we know our own bodies and since weight loss is telling me (common sense) that I am not absorbing nutrients that they're tests were inaccurate. They were supposed to tell me to eat a high-fat diet prior to taking the test and they did not. Hope this helps somone.