Diarrhea Color and Consistency
Posted 16 August 2011 - 01:23 PM
Posted 16 August 2011 - 02:01 PM
Posted 17 August 2011 - 09:43 AM
Posted 17 August 2011 - 10:06 AM
Posted 17 August 2011 - 10:21 AM
Posted 17 August 2011 - 11:30 AM
Hi BayRat!I'm honestly not sure if they have or not. I can tell you I don't know what Bile Salt/Acid Malabsorption is, so I'm guessing they probably haven't (at least not specifically). I agree that the yellow/orange kind is the WORST. That's where I get into the sweats, shaky, nausea, SEVERE lower abdominal pain (always below the belly button and feels like someone is stabbing my in the gut with a huge butcher knife! I actually stop breathing because it's too painful), and it literally feels like I'm pooping out acid!I am reading the information from the link you sent to me and it does state that the test used to diagnose the disorder isn't licensed in the USA, where I reside. I'm wondering how difficult it would be to have a test performed that would show definitive results?Update: I just found this as well. If I do have this disorder, I'm not sure if I'll be able to use the treatment. I have Hypothyroidism. Based on the below, it sounds like this will make my hypothyroidism worse (and that could eventually kill me)."IndicationSince bile acids are biosynthesized from cholesterol, the disruption of bile acid reabsorption will decrease cholesterol levels, in particular, low-density lipoprotein (commonly known as "bad cholesterol"). Therefore, they may be used for the treatment of hypercholesterolemia and dyslipidemia.In chronic liver diseases such as cirrhosis, bile acids may deposit in the skin, causing pruritus (itching). Hence, bile acid sequestrants may be used for the prevention of pruritus in patients with chronic liver disease.In addition, diarrhea may be caused by excess bile salts entering the colon rather than being absorbed at the end of the small intestine (the ileum). The condition of bile acid malabsorption occurs after surgery to the ileum, in Crohn's disease, with a number of other gastro-intestinal causes, or is commonly a primary, idiopathic condition. The SeHCAT test can be used for diagnosis. Bile salt diarrhea is a side-effect of gallbladder removal. Bile acid sequestrants may reduce diarrhea in these patients.Bile acid sequestrants may also be used to treat hyperthyroidism as an adjunct therapy. By inhibiting the enterohepatic circulation, more L-thyroxine will be lost through defecation, thus lowering body thyroxine levels."
HiYa rchippendale, welcome to the forums! There's no such thing as TMI here, it's the nature of this forum that we get into 'unsavory' topics concerning GI functioning. Has no doctor/GI looked into Bile Salt/Acid Malabsorption? Quite common after gallbladder removal. The green-to-yellow colored poops (that can burn and irritate anal tissues) and indigestion are typical indications of this condition, developing diarrhea issues, too. And no, it's not consistent. One day the poo is normal brown, next it's green. There's many meds to help, bile salt/acid binders like Questran.(Oh yeah, the condition can come about immediately after gallbladder removal, or years later)
Posted 17 August 2011 - 12:53 PM
You are (if it is indeed bile acid/salt malabsorption). I don't suffer with this nasty condition, but I understand it can be quite painful. Take care to clean yourself well, use non-alcohol wet baby wipes if you can.Oh heck, it's getting complicated. Generally, unless contraindicated, docs just try you on the med and see how it goes. Many IBS-D sufferers, with or without gallbladders, are simply tried on such a med just to see if it helps. Diagnostics can be run to verify, but generally if it works and the risk:benefit is tolerable, well, they don't ask Why too much.If you think this Bile Maladsorption suggestion has merit, potentially treating it will absolutely require consulting with your Doctor/GI because of your Thyroid complications. There may be other ways & meds that'll integrate and account for both conditions. It's just a place to start, something to rule in/out. Your symptoms could always be something else, totally unrelated to the cholecystectomy.Wikipedia is handy for a jumpoff research platform, but I'd not rely solely on it's contents. The downside of Wikipedia is it's open access to editing. They try to do a good job with verifying the information, but it's always in flux. For solid medical info stick with the trusted reliable names like:Medline PlusMayo Clinic
...and it literally feels like I'm pooping out acid!
Posted 18 August 2011 - 10:29 AM
Posted 16 September 2011 - 04:53 PM
Posted 17 September 2011 - 07:16 PM
Posted 17 September 2011 - 08:33 PM
Posted 24 October 2011 - 03:15 PM
I don't know about the liver enzymes, but that could be a very interesting connection to look into. Also, I'm sorry, but I don't know what the name of the alternative test is, only that I've read there is one. My regular doctor won't order it, and I'll probably have to see a specialist. You'll have to ask your doctor if they will order the test or if you need to see a gastroenterologist first to get the test.
Thanks, Almost Dreamless!It's been brutal. While sometimes it is brown, it is usually yellow/orange or green. I also always seem to have elevated liver enzymes. He thought I might have a fatty liver and I was supposed to go in for an ultra sound but it never got scheduled and has since fallen off the radar. Could BAM be linked to my elevated liver enzymes? I'm on PubMED now and holy #### there are a lot of articles on BAM! Thanks for the resource! Do you by any chance know what the name of the alternative blood test(s) is called?
Posted 25 October 2011 - 11:40 AM