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Doctor insights on: Bile Salts Itching

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Hurts in upper abdomen under right rib cage when bending. Skin itches and is sensitive to touch?

Hurts in upper abdomen under right rib cage when bending. Skin itches and is sensitive to touch?

Consider shingles: If you had chickenpox earlier in your life, you should think about shingles (Zoster infection). Check if a rash is starting and try to see if the painful/sensitive area of the skin is in a swath or rectangular area. If so, this is likely to be Zoster and you should consider visiting your doctor. If none of that applies, maybe provide more info like any lifting or recent injury... ...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 hb is 10.4 and billrubin and bile acide salt is normal, but I suffer by too much itching all over the body, can u help please?

My hb is 10.4 and billrubin and bile acide salt is normal, but I suffer by too much itching all over the body, can u help please?

Anemia: Iron-def anemia has been associated with itching thus you need to find out the cause for the low hgb level. Otherwise, I agree with Dr Hagreb's statements. ...Read more

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What are the side effects of cholerestamine? For bile salts?

What are the side effects of cholerestamine? For bile salts?

Numerous: Some more common side effects of Cholestyramine include mild constipation, diarrhea, stomach pain, nausea, loss of appetite, weight changes, bloating or gas, and hiccups or a sour taste in your mouth. There are others as well, and if you experience serious ones, such as black, tarry stools, blood in the urine, persistent constipation, or severe abdominal pain, you should call your doctor. ...Read more

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What is bile salt disease? And can it ever go away if properly treated?

What is bile salt disease? And can it ever go away if properly treated?

Yes, if treated.: Bile is secreted from the liver and stored in the gallbladder. After a meal the gallbladder contracts and the bile enters the small intestine where it emulsifies fat ands aids fat digestion. The bile is reabsorbed in the terminal ileum. Surgical removal of the terminal ileum causes bile to enter the colon causing diarrhea. It can also lead to bile acid deficiency and fat malabsorption>steatorrhea ...Read more

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What are bile salts (cholestyramine)?

What are bile salts (cholestyramine)?

Bile binders: These salts bind bile and take it out of your system. They can be helpful in some situations. Cholestyramine also lowers cholesterol indirectly. ...Read more

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What triggers your body to make bile salts?

What triggers your body to make bile salts?

Genetics: Production of bile salts is one of the many crucial functions of our liver. This is an innate metabolic function programmed by our genes. Bile salts are essential for proper digestion & detoxification. Unfortunately gallbaldder removal interferes with having adequate bile to digest fats, so it may be wise to take ox bile supplements. Certain herbs & foods can stimulate bile production. See comment:. ...Read more

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Can you tell me name of the test to identify bile salts?

Can you tell me name of the test to identify bile salts?

Rarely used...: Here's your reference:
Br Med J. 1979 Mar 10; 1(6164): 644–646.
PMCID: PMC1598241
Bile salt tests in clinical practice.
K W Heaton ...Read more

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Help can bilirubin and bile salts be the same as bile pigments?

Help can bilirubin and bile salts be the same as bile pigments?

They are not: Bile salts are synthesized by the liver from cholesterol. Bilirubin is a breakdown product of hemoglobin. ...Read more

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Is there a way to decrease the ammount of bile salts your body makes after gallbladder surgery?

Unfortunately no.: No. However, the reason you are probably having diarrhea is bile is constantly being introduced into the small intestine and not being completely reabsorbed before entering the large intestine. This causes irritation of the right colon and thus diarrhea. You can bind the bile by taking metamucil and thus decrease the irritation. ...Read more

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Is there a medication I can take to ease the frequency of my bile salts after gallbladder removal?

Is there a medication I can take to ease the frequency of my bile salts after gallbladder removal?

Not required : Even after removal of gall bladder bile salt metabolism will be same most bile salts are absorbed by gut and recirculated. ...Read more

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I had my gallbladder removed in September. I've been experiencing increased acid reflux symptoms since. Could this be healed by taking bile salts?

I had my gallbladder removed in September. I've been experiencing increased acid reflux symptoms since. Could this be healed by taking bile salts?

Acid reflux: Acid reflux may be a separate problem, more noticeable since your gallbladder surgery. Start with TUMS (calcium carbonate), (calcium carbonate) they are inexpensive and available without prescription. Then get in to see your regular doc, report the results with TUMS (calcium carbonate). You may need a prescription or EGD, (a scope to look at esophagus and stomach). Be well. ...Read more

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Take 6 x625mg cholestagel for bile salt malabsorbtion, doctor wants to increase to 8 x625 is this more than the recommended maximum dose?

Yes: That would be higher than the recommended maximum dose of 3750mg a day. Would expext higher incidence of side effects. Whether a higher dose is more effective, I cannot say. ...Read more

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How long should I wait to workout with weight post gall bladder surgery... It's been 1 week and I feel very fatigued also shoul i now take bile salts?

How long should I wait to workout with weight post gall bladder surgery... It's been 1 week and I feel very fatigued also shoul i now take bile salts?

Activity post gb sur: I would avoid heavy lifting or strenuous activity for at least a few weeks. Any activity causing pain should be avoided. Otherwise, most aerobic exercise should be ok. No reason to take bile salts after gall bladder surgery. Your body will continue to produce its normal bile. ...Read more

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I was told I would not need digestive enzymes/bile salts after gallbladder removal... Why then do naturopaths promote taking them? What is best?

Training: You do not need them. Naturopaths are trained differently and so are thought the you do, though there is no scientific evidence to back that. The gallbadder is like a reservoir only. It only is a storage site. The salts, etc, are still produced and released whether there or not. ...Read more

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I take cholestyramine powder for bile salt diarrhea from gall bladder surg. It has worked for many years ... Not the past 6 mo. Any suggestions?

I take cholestyramine powder for bile salt diarrhea from gall bladder surg. It has worked for many years ... Not the past 6 mo. Any suggestions?

See a GI doctor: Your current loose stools may or may not be related to bile salts. Just because you are having this does not necessarily mean that the Cholestyramine is not working. Something new may be in progress. Go get seen and hopefully this will clear up soon. Good luck. ...Read more

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Can removal of your gallbladder increase your risk for colon polyps or colon cancer because of bile salt being directly dumped into your large bowels.

Can removal of your gallbladder increase your risk for colon polyps or colon cancer because of bile salt being directly dumped into your large bowels.

No: Past medical studies did not link gallbladder surgery to colon cancer. Most all the bile is reabsorbed by the small intestine & returned to the liver, with or without the gallbladder. Excess bile getting to the colon will cause diarrhea. ...Read more

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For MD: Does reflux/gastritis have any effect on bile production? Does reflux/gastritis increase bile production? What causes itching during reflux?

For MD: Does reflux/gastritis have any effect on bile production? Does reflux/gastritis increase bile production? What causes itching during reflux?

Where do you itch?: Acid reflux or bile reflux have no connection with itching Bile salts are blamed for itching only if their blood levels are high which can happen with liver diseases. Get your liver functions tested if itching is the major issue with you. ...Read more

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GB removed 2 yrs ago. Left w/ abd. Burning/ itching. Stretta, Linx /duodenal switch 3 wks ago (bile reflux). What causes internal abd. Itching?

GB removed 2 yrs ago. Left w/ abd. Burning/ itching. Stretta, Linx /duodenal switch 3 wks ago (bile reflux). What causes internal abd. Itching?

Internal itching: Do you have itching anywhere else? Talk to your surgeon to see if you need a full work up or Consult with us to determine if you need further evaluation. ...Read more

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Hi I'm 6 wks pregnant and feeling itching all over my body I read it means something wrong with liver bile is it true I'm worried about my baby?

Hi I'm 6 wks pregnant and feeling itching all over my body I read it means something wrong with liver bile is it true I'm worried about my baby?

Yes and no: Itching is not an uncommon problem with pregnancy and believed to be partly from the bile issue you mentioned related to hormonal changes. However, there may some unknown mechanism involved as well. Antihistamine does not work well but worth a try. Be sure to apply moisturizer after bathing. Try OTC Gold Bond anti-itch or TriCalm. This does not impact the baby. Talk to OB as well. ...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?

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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Can cholestasis of pregnancy cause long term inflammation to common bile duct? Can hormones affect liver enzymes and itching during period?

Can cholestasis of pregnancy cause long term inflammation to common bile duct?  Can hormones affect liver enzymes and itching during period?

Possibly: The itching is from the cholestasis as it causes the bike to go up and this causes the itching. The inflammation can persist, but can also resolve. External hormone use has to be processed by liver first, so they can place "pressure" on the liver, as can Tylenol, (acetaminophen) and any other medications typically. ...Read more

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Pain and itching in left upper abdomen — what can it be from?

Pain and itching in left upper abdomen — what can it be from?

?Acute?: Shingles/herpes zoster: flare of varicella (chicken pox virus) can start with one sided pain, itch, maybe feverish, then blistery rash over the course of a few days. Only in people who already had chick pox, not vaccine. Can lead to painful nerve irritation. Get seen early, get rx early to try to prevent this complication. Vaccine may help prevent shingles, but only 50% effective, less than flu. ...Read more

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22yr oldmale softyellowstools, upper abdomen/back pain, itching — blood test ultrasound, hidascan,all normal, fear of pancreascancer, anxiety??

22yr oldmale softyellowstools, upper abdomen/back pain, itching — blood test ultrasound, hidascan,all normal, fear of pancreascancer, anxiety??

Test for hepatitis: Pancreatic cancer is pretty rare in a 22 yr old. Hepatits, though, is pretty common and itching is often prominent. It may not show up on the first test. Keep seeing your provider, who is obviously doing all the right things. You should avoid all drugs, alcohol, and medications until this is sorted out. ...Read more

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22yr oldmale softyellowstools, upper abdomen/back pain, itching — blood test ultrasound, hidascan,all normal, fear of pancreascancer, thank u doctors?

22yr oldmale softyellowstools, upper abdomen/back pain, itching — blood test ultrasound, hidascan,all normal, fear of pancreascancer, thank u doctors?

Unlikely cancer: Pancreatic cancer is usually detected on abdominal ultrasound which you had. Your symptoms sound more like a stomach or esophagus, acid or bile related problem. ...Read more

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22yr oldmale softyellowstools, upper abdomen/back pain, itching — blood test ultrasound, hidascan,all normal, fear of pancreascancer, toughts? Doctors?

Abd pain and itching: With the negative tests you mentioned, it certainly does not sound like GB problems.
Many times withe the GBUS they will also look at the pancreas. Your age is certainly against this being pancreatic cancer.

There are many other possibilities, and you should continue to seek medical help until the Dx is made. ...Read more

Bile (Definition)

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


Dr. Jack Mutnick
1,079 doctors shared insights

Itch (Definition)

An itch is an irritating sensation that causes one to have the urge ...Read more