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What Causes Bile Acid Malabsorption?

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Posted on Thu, 26 Mar 2015
Question: What type of doctor do I need to see for bile acid malabsorption? Would it be a gastro?
doctor
Answered by Dr. Grzegorz Stanko (16 minutes later)
Brief Answer:
Gastroenterologist is the correct address.

Detailed Answer:
Hello!

Thank you for the query.

Yes, generally gastroenterologist is a doctor you should consult. If you are certain you have mentioned condition, Crohns disease should be considered as a reason. Colonoscopy is necessary to rule it out.
Cholestyramine treatment can help in case of bile acid malabsorbtion, when the reason can not be established.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Grzegorz Stanko (13 minutes later)
Gallbladder was removed last summer and has happened ever since....every single time I eat anything, from a peanut to a steak. Can Crohn's disease result from gallbladder removal? What is dumping syndrome? Thank you so much for your help!
doctor
Answered by Dr. Grzegorz Stanko (10 minutes later)
Brief Answer:
Gallbladder removal is an obvious reason of chronic diarrhea.

Detailed Answer:
Gallbladder removal is a very common reason of increased bile secretion to intestines what leads to chronic diarrhea. Usually this symptom disappears after 3 months from surgery. Sometimes it can take longer. So I do not think Cronhs is the reason at your case as you have more obvious reason (gallbladder removal).
Crohns can not result from gallbladder removal.
Dumping syndrome is related to stomach surgeries. Due to vagal nerve irritation foods can cause diarrhea, nausea, vomiting, face redness, sweating, weakness.

Post cholecystectomy, you get diarrhea, bitter taste, lack of appetite, due to constant bile secretion to intestines. No vagal nerve affected.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (12 minutes later)
Last question I promise, how is bile acid malabsorbtion diagnosed?
doctor
Answered by Dr. Grzegorz Stanko (18 minutes later)
Brief Answer:
SeHCAT scan can tell about bowel function.

Detailed Answer:
A test called SeHCAT can be done. It is a marked acid (radioactive) which you swallow. After 3 hours you take the first scan. Second scan is done 7 days later.

Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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What Causes Bile Acid Malabsorption?

Brief Answer: Gastroenterologist is the correct address. Detailed Answer: Hello! Thank you for the query. Yes, generally gastroenterologist is a doctor you should consult. If you are certain you have mentioned condition, Crohns disease should be considered as a reason. Colonoscopy is necessary to rule it out. Cholestyramine treatment can help in case of bile acid malabsorbtion, when the reason can not be established. Hope this will help. Feel free to ask further questions. Regards.