Doctor insights on:
Bile Acid Malabsorption Treatment
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
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?
Yes...: Theoretically yes. Practically negligent.Get a more detailed answer ›
I think I have bile acid malabsorption but my doctor has diagnosed IBS. I've had two episodes of folate anaemia, chronic acidic diarrhoea, LIF pain?
Digestive Problems: Look into glyconutrients and consider digestive enzymes. If you would like to discuss further contact me. ...Read more
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
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
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
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
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
Depends...: ...on the reasoning behind the test: e.g. non-fasted blood draw to rule out Gilbert's would alter results. ...Read more
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
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
Cold burning from anal area all the way up to bladder area in 4 day bouts. Gallbladder removed so could this be bile acid irritation? Prostate ok.
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
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
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
I'm 35 weeks pregnant w severe itching all over. Dr req uric acid blood test to rule out cholestasis. I thought I needed a bile acid test!
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
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
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
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
Bile reflux after gallbladder surgery, taking 4 packets of cholestyramine daily, not working well anymore, what is the next step in treatment?
Bile duct cancer:
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
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
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?
I have gastropathy secondary to bile fluid & mild melanosis coli with looping of sigmoid colon. My value bumps bile into stomach not bowel. Treatment?
Dumping: You would be best to find a surgeon or gastroenterologist who could help you with your problem. ...Read more