More crap literally (gross)

snicklefritz
on 8/1/08 5:13 am, edited 8/1/08 5:13 am - Cincinnati, OH
Well I thought I had heard it all. Awhile back I posted about having the constant diarhea and that the nut thought I was blleding. He sent me to the gastro doc who did an EGD and found a couple of erosions, which I understand are baby ulcers. Then they thought it was IBS and they gave me medicine for that. Nothing is working. I am going 5-6 X a day usually right a meal.

I'm telling this to him and he starts asking me questions like are they oily - (yes). I had my gallbladder removed in 2004. He says he thinks it is bile acid. I'm like WTF. Apparently bile acid or bile salts. Here is what I found out.

Some individuals, however, are troubled by persistent diarrhea after their gallbladder is removed. The symptoms may vary, but most patients complain that they often experience urgency and watery diarrhea shortly after eating. The diarrhea may even force them to stop and head for the closest bathroom before they finish the meal. This is especially embarrassing when it occurs at work or when dining out with friends. Many patients with this problem become reluctant to eat away from home.

Bile salts are the culprit

Bile is a thick yellow fluid made by the liver. It helps you digest the fat in your diet. Between meals, liver bile is stored in the gallbladder, a little sac beneath the liver. When you eat, the gallbladder squeezes and releases the stored bile salts into the small intestine to help with digestion. After food is digested and absorbed, the bile salts are reabsorbed at the end of the small intestine and recycled to be used over and over again. When the gallbladder is surgically removed, the liver must make more bile salts, and more are released between meals beca use there is no place to store them. The increased amount of bile salts can sometimes overwhelm the small intestines' capacity to reabsorb them. The excess spills over into the large intestine, or colon, where bile acts somewhat like a laxative, leading to diarrhea.

It won't go away. It can be controlled. I am on a new med called WELCHOL. He says I should know by Monday if it works. The good news is I have to go on a low fat diet. No choice now. Also have to avoid meat he said so I'll be heading back to supplements if this works. So if you know someone who had the GB removed and this develops. Have the doc check bile salts
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