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Doctor insights on: Bile Acid Malabsorption Treatment

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Coeliac D trying to gain weight, there is fat malabsorption, is there any way to ameliorate this other than bile acid sequester? Thank you any tips?

Coeliac D trying to gain weight, there is fat malabsorption, is there any way to ameliorate this other than bile acid sequester? Thank you any tips?

Time: If you have truly avoided all gluten, the small intestine will eventually heal up and start absorbing the nutrients within a few months at the latest. Just give it time. If you still fail to gain weight after 3 months, check with your GI again to see if there may be something else causing your weight loss issue. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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My B12 is at 200 ng/L lab reference is 130-800. I have bile acid malabsorption. Is this level acceptable for everyone, or could I benefit from more?

My B12 is at 200 ng/L lab reference is 130-800. I have bile acid malabsorption. Is this level acceptable for everyone, or could I benefit from more?

Could use more: It would be prudent to consult your doctor for the need to take supplemental vitamin B12. It can given as an injection, a pill to be swallowed or a pill kept under the tongue. Your doctor who knows more about your health would be able to advise better. ...Read more

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Can you take zofran and metoclopamide together. I have bile acid malabsorption and have nausea and bad upper stomach pain every day?

Can you take zofran and metoclopamide together. I have bile acid malabsorption and have nausea and bad upper stomach pain every day?

Ok, but...: There are no interactions between the two, so they can be used at the same time. But there is potential for side effects, especially of the metoclopramide. Therefore, you should follow whatever regimen your G.I. Dr. Believes is best. Good luck. ...Read more

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I hav barretts oesophagus & vomit a lot, bile acid malabsorption with loose stools recently been getting a fever after eating a meal what cud this be?

I hav barretts oesophagus & vomit a lot, bile acid malabsorption with loose stools recently been getting a fever after eating a meal what cud this be?

Fever: Your fevers are nonspecific and not clearly related to the barretts or malabsorption syndrome as neither of these conditions are usually accompanied by post prandial fever. Are other symptoms like abdominal pain, sweats and chills or cough also occurring then? Infection or noninfectious inflammation are to be considered. See your MD for further evaluation and testing. ...Read more

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What are the diseases associated with the presence of bile acid and acetone bodies in urine?

What are the diseases associated with the presence of bile acid and acetone bodies in urine?

Reflux, Atresia, DKA: Bile is a greenish golden color secretion, produced by the liver ; is stored in gallbladder. Bile leaves from gallbladder through bile duct and helps in absorption of fats. Bile duct may be obstructed, causing gallstones. Biliary atresia, biliary cirrhosis, biliary cholangitis, pancreatitis ; bile reflux are bile related conditions. Acetone bodies are ketone bodies and can cause dka, ketoacidosis. ...Read more

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Can eating before a bile acid blood test affect the results. When testing for pregnacy cholesatsis?

Can eating before a bile acid blood test affect the results. When testing for pregnacy cholesatsis?

Cholestasis: It is not necessary to be fasting before serum bile acid testing for cholestasis of pregnancy. Not all patients with cholestasis will have abnormal blood work. Some physicians will try a medication called Ursodiol in patients with suspected cholestasis. If the itching resolves on this medication then this can confirm the diagnosis. ...Read more

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Pregnant 26+5 by scan. Bile acid sent was 11.9 reported. Started on UDCA tab. Any effects on baby? Baby wt estimate d by scan 750g and told? IUGr.????

Pregnant 26+5 by scan. Bile acid sent was 11.9 reported. Started on UDCA tab. Any effects on baby? Baby wt estimate d by scan 750g and told? IUGr.????

Cholestasis: Your pregnancy is at risk due to fatty liver, so there is a strong chance your baby will deliver prematurely if this does not improve soon. The ursodeoxycholic acid you are taking helps to reverse that trend, so hopefully this will get better. Trust your OB, and stick to the diet they likely put you on to help, and hopefully your liver gets better soon... ...Read more

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Does eating before a bile acid blood test affect the results?

Does eating before a bile acid blood test affect the results?

Depends...: ...on the reasoning behind the test: e.g. non-fasted blood draw to rule out Gilbert's would alter results. ...Read more

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I've heard of bile acid secuestrants as an alternative to statins for high cholesterol. What are the negatives to using them?

I've heard of bile acid secuestrants as an alternative to statins for high cholesterol. What are the negatives to using them?

Partly helpful.: While bile acid sequestrants can help lower cholesterol, statins not only lower the LDL ("bad cholesterol"), but also have what are termed "pleiotropic effects" upon endothelial function, the stability of atherosclerotic plaques, decreasing oxidative stress and inflammation, and inhibiting the clotting response. Statins seem to have antitumor and other effects as well. ...Read more

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What is the definition or description of: serum bile acid elevated?

What is the definition or description of: serum bile acid elevated?

Maybe big trouble: We check for several nonspecific liver tests like ast, alt, alkphos, bili and one specific GGT test for alcoholism (and others). We worry when these increase 2x, 3x, 4x etc. Bile acid (bilirubin) can increase in a newborn and cause jaundice, which is temporary and treatable. In adults, an elevate bili can be ominous possible heralding hepatitis, disease, or blockage of some type. ...Read more

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Will the bile acid in my bowel movements irritate my rectum?

Will the bile acid in my bowel movements irritate my rectum?

Yes: It is not the bile acid - it is the acidity of the food that creates this issue - food becomes acidic if it is high in animal protein people who do not digest this has higher Lactic Acid formation, food rich in trans fat (fried foods, oils) and food rich in sugar burns the mucosa of gut where there are toxic focal sites - they loose intestinal lining and this burns when it comes across bile acids. ...Read more

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25 weeks pregnant & have yellow in my eyes under the lid & also underneath my eyes, im also suffering from bile/acid coming, but have tablets for it?

25 weeks pregnant & have yellow in my eyes under the lid & also underneath my eyes, im also suffering from bile/acid coming, but have tablets for it?

Liver check: If your eyes are yellow then see your doctor and asked to be checked for jaundice. This is a liver disorder that can cause yellow eyes. You mention Bile/acid. If you mean heartburn the over the counter heartburn medications are safe for use. If you were referring the blood test serum bile acids then this yellowing of the eyes could indicate a more serious condition called cholestasis. See Obgyn. ...Read more

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15 weeks pregnant. Mild itching 4 weeks on legs-Lotion helps. Normal LFT's. Do I need bile acid test for ICP?

15 weeks pregnant. Mild itching 4 weeks on legs-Lotion helps. Normal LFT's. Do I need bile acid test for ICP?

BAisconfirmatorytest: Most LFT (liver function test) panels include the total & direct bilirubin, which measure a part of the bile acids. If the direct or both r elevated, it cd be consistent w/ ICP. However, u could also have a bile stone causing similar symptoms (& elevated or normal bilirubins). TTYD or gastroenterologist for an exam & testing for diagnosis. Bile acid (BA) tests take longer & is da confirmatory test ...Read more

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I have itching, I am 37 weeks pregnant. My blood analysis is normal only ast is 79 and alt 115, alk phosphate-185!!! Bile acid-10!!! Can I have cholestasis?

I have itching, I am 37 weeks pregnant. My blood analysis is normal only ast is 79 and alt 115, alk phosphate-185!!! Bile acid-10!!! Can I have cholestasis?

Yes: It sounds as though you do have pregnancy induced cholestasis. Delivery will usually resolve this within a few days. Babies may have a slight increase in being born with meconium issues when born. Cholestasis does not usually lead to any long term liver disease in the mom or child. Please talk with your OB. Ultrasound of the liver and gallbladder may be done to rule out any other causes. ...Read more

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What are symptoms and signs of sucrose malabsorption? What are treatment options?

What are symptoms and signs of sucrose malabsorption? What are treatment options?

Cramps and diarrhea: Sucrose Malibu sorption is caused by a lack of sucrase isomaltase enzymes. Symptoms may include cramping diarrhea hypoglycemia. It is important to be on a sucrose free diet in order to avoid the symptoms. ...Read more

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Low functioning gallbladder causing bile reflux. What is the best treatment for this?

Low functioning gallbladder causing bile reflux. What is the best treatment for this?

Not sure..: That I understand the question. Where is the bile reflux? Do you mean reflux up the esophagus with heartburn? Bile refulx gastritis? There is no relationship between a low functioning gallbladder and esophageal reflux. See a gastroenterologist for a full evaluation. Gallbladder surgery would increase bile into the intestines and might increase bile reflux gastritis. ...Read more

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What are tests and treatment for bile reflux disease?

What are tests and treatment for bile reflux disease?

Ph-impedance: This is a test that requires a tube that passes through the nose and in to the stomach and stays there for 24 hours. If looking specifically for bile reflux, stay on anti-acid medications. I will tell you about liquid reflux, and on medication that would typically be non acid liquid and/or bile. Its important to correlate your symptoms with these reflux events. May need a referral to a GI doc for This. Hope this helps! ...Read more

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What kind of monoclonal antibody is used for treatment bile duct cancer?

What kind of monoclonal antibody is used for treatment bile duct cancer?

Nothing good yet: There is as of yet, no proven monoclonal antibody (moab) for this type of cancer. For some of the GI cancers, anti-egfr antibody like cetuximab (erbitux) has been modestly useful. You can ask your oncologist whether he/she will consider adding this moab to your chemotherapy regimen in case you are still on chemo or being offered chemotherapy with Cisplatin and gemcitabine. ...Read more

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For constipation, does eating more fats and oils (such as plenty of olive oil) a good treatment? Does bile secreted after oily food make bowels move?

No, try fiber: Fatty / oily foods lead to constipation--or worsening of it. Some theoretical role for mineral oil as not absorbed, but better using fiber-rich foods and can take MiraLAX (polyethylene glycol) to get things started. ...Read more

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Can there be a treatment for bile duct cancer if the doctor says they can't operate?

Bile duct cancer: Yes;
1. You can play.
2. You can put a stent in to keep it open or
3. You can put a drain in so bile comes out in a bag.

But discuss with your Dr who knows you best. Good luck. If it is you you are talking about I would take care of everything you need to take care of soon. But as Yogi said its hard to make predictions. Especially about the future. ...Read more

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What's the average time a person can live with advanced pancreatic cancer? Treatment for 5 months. No more chemo for last 3mnts. New bile duct block.

Prognosis poor: Unresectable pancreatic lesions with metastasis respond temporarily to Gemzar+ Abraxane for several months. Process enhanced with hyaluronidase enhancing response for several more months. With no treatment progression takes place. Bile duct block needs stenting otherwise jaundice destroys liver. New immunotherapeutic trials targeting mutated MUC5ac ongoing at several large centers. ...Read more

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Advance liver cancer, liver size 21cm no obstructed bile ducts, bilirubin 10.81, mild ascites. What treatment would work now? Is chemo still an option?

Advance liver cancer, liver size 21cm no obstructed bile ducts, bilirubin 10.81, mild ascites. What treatment would work now? Is chemo still an option?

Liver cancer: Advance liver cancer, liver size 21cm no obstructed bile ducts, bilirubin 10.81, mild ascites.what treatment would work now? Is chemo still an option? ANS: Please discuss with your Dr. We cannot give good advice without seeing you. ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: Even though you have had your gallbladder removed. You still can form stones within the common bile duct. Which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

Malabsorption (Definition)

Inadequate digestion of fat, carbohydrate and protein absorption. Sx are lbm, abdominal bloating, gas ...Read more


Bile (Definition)

Dark green to yellowish brown fluid, produced by the liver for digestion of fats ...Read more