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@doublej

Short version: I had my gallbladder removed. Diarrhea for a year now. I have tried a bunch of things to stop the diarrhea (some independently and some with my main doctor). I want to try a bile acid medication like cholestyramine. What kind of specialist should I be consulting? A gastroenterologist? Some other specialty?

Long version:
* I had always had the ability to digest anything. Almost never had an upset stomach.
* I started having a complete loss of appetite some evenings, occasional queasiness, and diarrhea a couple times a week. A scan showed I had gallstones.
* I had my gallbladder removed in March of 2021. So it's been a year since surgery.
* After the surgery things got worse and stayed worse. I’ve had daily diarrhea unless I was constantly taking loperamide and/or Pepto Bismol (and sometimes I’ve had diarrhea even though I was taking anti diarrhea medication).
* I found a daily level of loperamide that made me regular, but at that dosage the side effects were too much. I dropped the loperamide dosage to what I could tolerate, and it’s not enough but helps.
* Tried eating very low fat. Did not help.
* Tried smaller servings, did not help.
* Tried eliminating caffeine. That may have made a very tiny difference, but barely enough to notice.
* My doctor had me try citrucel fiber. Just made my daily diarrhea start earlier in the day with more urgency.
* My doctor had me try hyoscyamine ER 0.375 mg 2x a day. That was awful. Much worse diarrhea and lots of side effects.

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@doublej
There are many post on Connect with this subject that you can get an array of advice.

Diet . low fat, low sugar.. including sugar substitutes. You need to eat foods with soluble fiber such as bananas, oatmeal, and many more.. just look up soluble fiber foods. Psyllium powder or other forms of it should help bulk things up. Taking a probiotic helped me tremendously. I tried many cheap ones … giving each one two week chance. I tried Align and it is the one that helped me most. I still have “dump days”, but things are mostly firm now. Some people add prebiotics to the mix with good results… but I think it comes naturally with the soluble fiber foods.

You need to keep a food journal to help figure out what is on your “no list”. Everyone is different! I had to give up raw salad… now because of other stomach problems nothing raw .. fruit and veggies either canned or cooked soft and meat very juicy tender.
ZeeGee