chronic diarrhea pre and post gall bladder removal

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AmyH34
New Member


Date Joined Apr 2006
Total Posts : 1
   Posted 4/6/2006 8:03 PM (GMT -7)   
Hi All,
I am concerned for my mother and hope someone may have insights.  She was diagnosed with IBS years ago and had D over the years but never too severe.  A few months ago the D got much worse - debilitating - and she was tested for gall bladder function which was very low so 2 months ago her GB was removed.  She has had chronic D ever since and has been on anti-D meds ever since.  When she tries to stop taking them she basically has severe bile salt D all the time.  She can only eat chicken, rice, eggs and bread.  I am wondering 1)is this as good as it is going to get for her 2)is there any health problem with taking Chlomid indefinitely to control the D and 3)are there any safe natural remedies that may be helpful to her?  As you can imagine, she is weak, possibly malnourished and definitely quite uncomfortable.  Any input is most appreciated!
Thanks,
Amy

hisangel2
Regular Member


Date Joined Oct 2005
Total Posts : 54
   Posted 4/6/2006 8:47 PM (GMT -7)   
I, too have IBS, and I have had it since childhood. I suffer from bouts of D, then bouts of C. While I was having to go from doctor to doctor, before being diagnosed with Fibro (I was having severe problems in other areas, as well), they thought possibly my back problems were stemming from my gall bladder. They removed it in Feb of 05. I have had bouts of severe D ever since. I sometimes have to leave my shopping cart at the store and run home. I have been driving home from church and not make it home in time. It can be very frustrating and I cannot take anything, because then I have C. I just go from one extreme to the other. I wish I could be of help to your mother. This has to be very discouraging to her.

I have gotten better over a period of time, by the way. It has been over a year since my GB surgery, and the D usually gets really bad if I skip a meal, then eat a regular size meal. I try not to skip meals. I try to snack a little before I go out for a meal (maybe some crackers), so that I won't have an accident while I am out. I try to choose carefully what I eat and not have fried foods. I have also found out I cannot have tea. I don't know what it is about it, but it really makes me feel terrible (cramps and all). I have heard a lot of people tell me that they had D after their surgery for about a year, then it stopped. I guess they didn't have IBS before.

Best of luck to your mom in finding someone to help her.
FMS, DDD, Osteoarthritis, Hysterectomy in '92,
Back surgery in '83, Osteopenia, DeQuevains Disease,  Adult Tonsilectomy (very difficult), Gall Bladder Surgery in 2005, migraines, IBS, TMJ, RLS, CFS, Depression, Trochanteric Bursitis


Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/7/2006 8:55 AM (GMT -7)   
WELCHOL!!! Hie thee to a G.I. doctor and beat him about the head until he gives you a presciption for Welchol. It will cure that bile diarrhea in a thrice. (Man, the medieval is coming out of me today, lol.)

I have had my gall bladder out three years. I got the Welchol about a year afterwards when I went to my g.i. complaining of getting diarrhea after eating. The Welchol is a cholesterol medicine, but with an interesting side affect: it soaks up your bile.

How many pills you need to take will depend on how severe the diarrhea is. My doctor told me to start with one a day and work my way up. When you start to get constipated, back off a little. I liken it to having diabetes. Everything a diabetic eats and does affects his blood sugar for the day. The same is true of us. Everything we eat and, to some degree, our stress levels, affect our gut function. So just like a diabetic has to adjust his insulin everyday, so we have to adjust our Welchol as needed. I usually only need one a day, but if I've eaten something I shouldn't or have picked up some stomach bug or gotten really stressed out, then I need to take two. I have taken as many as 4 in one day, but that was when I ate some sausage gravy, so I don't eat that anymore. Some people here take as many as 6 a day. Whatever it takes to stop you up (without really stopping you up). If you develop a normal daily dose, but then have a bad day, go ahead and pop another one; you can take them as a preventative and as a reactive treatment.

I've been on the Welchol two years and my m-i-l has been on it a year or so now too. I told her about it; I think she does two or three pills a day. It's given her her life back. She used to not be able to eat all day if she was giving an afternoon lecture because eating would make her stay in the bathroom all the rest of the day, but now she takes her medicine and is fine to do her lectures and travel and everything. I can eat just about anything I want too--even pizza. The only things I have to avoid are the gravy, caffeine and raw apples. And even then I can tolerate all of those things in small portions when my stomach is not aggrevated. I can even do fried food, although I generally avoid it just in case. Some friend foods--my grandmother's, Chick-fil-A's--are much better on me than other's.

The other thing you can try is calcium. One lady on here uses it exclusively for her bile diarrhea, but I don't have so much luck with it taking full care of my problems. Also, I know the Welchol will work pretty well instantly. Take one and 30 minutes later you should be better. If not perfect, take another one. I haven't tried just popping a calcium pill to see if it works in 30 minutes, but I kind of doubt it. It's a supplement, not a medicine, so I don't think it would react as fully. But I do use calcium in conjunction with the Welchol because, unfortunately, you can't halve Welchol pills (because they are too big to fit in a pill cutter), and sometimes I need a Welchol and a half. So I take one calcium pill to substitute for the half I need. Inape on this forum did all the research for the calcium supplements and came up with Caltrate 600 w/ vitamin D as the supplement you should take for diarrhea. Other calcium supplements put magnesium in their mixes to keep people from getting constipated, but the Caltrate 600 has low amounts of magnesium and it has a constipating effect. A lot of women are already on calcium supplements, but it has to be that kind with the right balance of magnesium to calcium in order to absorb the excess water in the intestines. Otherwise your calcium will have little to no effect on your bowel movements.

Oh, and you don't need to take an anti-diarrheal pill with the Welchol; it works all on its own. And my doctor told me that it stays almost exclusively in the gut and doesn't really get absorbed into the bloodstream, so there was little to no worry about it interacting with any other medicines, no concern about taking it long term and it doesn't have any side affects that I'm aware of, other than making you constipated if you take too much. Just watch yourself and if you go to eat something you know will aggrevate your guts, take a pill beforehand. And if you are a little constipated today, skip tomorrow's dose or just take one calcium pill instead. Feeling like you have diarrhea coming on? Take one before it gets full-blown. You just have to listen to your body and learn to adjust to suit it and, when need be, head it off at the pass.

Foggie
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Date Joined Apr 2003
Total Posts : 924
   Posted 4/8/2006 8:42 AM (GMT -7)   
Hi Amy,
I had an awful lot of problem for years and then I had the big one.(the only gb attack I really had) It takes a while to get back to normal afterwards. Unfortunately, right after my surgery, I began taking a statin drug and actually spent the next three years with D problems. I'd take it before bed then a few hours later (while I was sleeping) I'd wake up--and even sometime wouldn't quite make it. I could not eat certain foods either as they would make the problem worse. Along with that also came the pain. (the rolling on the floor type)

I don't know if your Mom has any other related health problems that could be complicating things. I wonder if she may have begun any new meds? Has she been seen by a gastroentenologist? Do they think this may clear up eventually or should she be considered for more testing? I didn't underestand what was causing my problem but it concerned me enough to have both scopes. Luckily all is OK and once I stopped the statin--I feel 100% better! The thing was, I had to figure this out for myself! None of the doctors even mentioned the possibility and the gastro guy just wrote me a script for another new drug which gave me terrific pain in the gutt! I stopped that one right away. I now take one of the cholesterol-lowering drugs that work mainly through the digestive track and so far I have had no negative reaction. I still have IBS symptoms but not nearly as severe. I hope things begin to improve for her really soon. After a while, that can really work on you--you're afraid to go out or go anywhere out to eat-it becomes life-altering. I hope she seeks another opinion or they try to figure out why this is happening to her. There's got to something that will help make her symptoms more managable.

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/11/2006 12:05 PM (GMT -7)   
I had my gall bladder out and with that came D. It depended on what I was eating. If I ate something that produced too much Bile, I would get the D as well as a "burning ring of fire".
Sometimes, there would be diluted blood present as well. This I would get (diluted blood) if I ate hot spicy food - which I do not any more. Sometimes if felt like I scorched myself inside.
The blood would not be in stool, but present when I wiped. Sometimes it would not be diluted, it would be bright red on the tissue. He suggested that I have irritated the skin outside the anus, due to the wiping as well as from wiping.

I visited my surgeon who told me the following. When you eat spicy food, or have too much bile, this will irritate the lining of the colon. When the colon gets irritated, it releases water (for lack of a proper term) to protect the lining. It is the build up of this water that causes the D. Bile is an irritant. It is common to have the "buring ring of fire" after a bowel movement if there is too much bile, as the bile is irritating the anus.

He suggested that when I eat things that are fatty in nature, to take some Metimusal. The Metamusal actuall obsorbs the access bile. Take it before hand.

He further suggested that when I go out for dinner, take some Metamusil before leaving the house, as cafe food is always fattened up so that it tastes better.

I have tried both, and have had success. No D and no burning ring of fire.

Foggie
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Date Joined Apr 2003
Total Posts : 924
   Posted 4/12/2006 7:16 AM (GMT -7)   
Dear Beau,
That makes a lot of sense. Isn't it nice when a doctor actually takes the time to explain something like this? We can make some adjustments when we understand. I would think a surgeon could perhaps make a list of some of these things and maybe give them to patients so they can be prepared (and not alarmed) when these things occur. I know now that it not good to skip meals either because that also causes burning belly for me. Anyway, thanks.

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/12/2006 10:47 AM (GMT -7)   
you are welcomed!

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/12/2006 3:59 PM (GMT -7)   
It's great when some people can control their bile problem with diet (and some go back to normal right afterwards), but then there are a lot of us who have to have medicine to fix it.  I don't need my medicine if I'm on a really low fat diet, but it's from one extreme to the next--a low fat diet gives me severe constipation.  It's easier for me to eat more fat and take the Welchol than eat a little fat and try to live with the constipation because I don't like taking laxatives.  Not only was there that instance where I pooped on myself after taking one (talk about making you shy of using them again!), but they're not as safe on the old guts as the Welchol. 
 
Someone here at work was telling me that the gall bladder helps regulate the appetite and when you don't have it you are more prone to radical shifts in eating--from not wanting anything to eat for long periods of time, to wanting to eat everything on your plate and then some.  I know there are days that I just can't seem to feel full, no matter what I eat.  And other times I don't get a hungry feeling, I just feel a little sick to my stomach.  Has anyone else noticed a wild variance in their eating habits and the way they feel hungry and full?  I'm really trying to work on getting my appetite back in line to something approaching normal. 

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/13/2006 8:23 AM (GMT -7)   
Further to my post yesterday... I went to visit my local pharmasist who I find is a wealth of information. She advised that after gall bladder surgery, there are two types of people. Those who can eat anything, and get away with it, and those who cannot. I happen to be one of those who cannot - without producing too much bile. When I endulge, and eat fatty stuff, I produce lots of extra bile, which irritates the colon, and the colon produces a watery substance to protect itself from all of the extra bile. This extra water gives you the D. But because the bile is so irritative, it can cause your colon to feel like it is scorched, will cause lots of irritation to the anus, even bleeding when you wipe.

She recommended a lotion that baby's use to coat the anus to prevent the burning that is caused from the bile, as well as heals the irritated skin.

She also suggested that I go back to visit my phyician and advise him that I need a medication that will help control the bile. It is apparently the same medication that is used to control high cholestral. So I am going this afternoon to get the med.... and see if it will relieve the diarreha.

This medication will also slow down the urgency process, whereby lessening the number of times that I need to go to the washroom (3 - 4 times per day) since I had the gall bladder operation. Apparently with too much bile, the body wants to rid itself of the bile, hence, always going to the bathroom....

Once I get the name of the recommended medication, I will pass it on.....

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/13/2006 12:03 PM (GMT -7)   
It's Welchol. Same thing that I take. I rarely have problems anymore.

Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 4/13/2006 1:41 PM (GMT -7)   
The generic name of this medication is cholestyramine.  I have it in a powder form that I'm supposed to mix with applesauce.  GNARLY, that's what it is, but it does tend to bring down the number of times I go to the bathroom. 

Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 4/13/2006 2:45 PM (GMT -7)   
Really, I didn't know it came in generic. No one's ever offered it to me. But I definitely don't want a powder to mix with anything; pills are too easy and convenient.

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/18/2006 8:04 AM (GMT -7)   
Yes, it is called cholestyramine. Just picked it up the other day, as previously posted. For some reason, it seems to make my stomach rumble all the time, as if I was hungry allt he time. didnt fel hungry, but it was like the food was just galloping thru me. And may be my imagination, but it seems that I go to the washroom more than I did before - however I have not had any D since last week....

JEFF123
Regular Member


Date Joined Apr 2006
Total Posts : 40
   Posted 4/18/2006 8:46 AM (GMT -7)   
Check out the drug questran sopose to bind the bile acids in the intestines and prevents the bile them from reaching the colon ,shuuld stop ibs if its gallbladder. I havent tried it my self Ive asked my dr for the drug and I pray it works...goog look GOD BLESS

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/18/2006 9:41 AM (GMT -7)   
Several ladies on here have been on questran and did not like it because it causes them bad gas. They switched to the Welchol and said it was much better for them.

I haven't noticed that the Welchol makes my stomach rumble--in fact, it doesn't rumble much even when I'm hungry. It could just be a difference in our personal systems, but it may be a difference in the powder vesus the pill. While I'm a big believer in generics, I know that not all generic drugs are made alike. For instance, I went to get a generic Depo Provera shot and the liquid was so thick my mother could hardly get it to inject, and then it hurt like all get out. I have never had that problem with the name brand stuff, so I swtiched back. Someone else on here said that she was on this certain drug and it worked, but when she got it in generic it stopped working and when she mentioned it to her doctor or pharmacist, she was told that yes, generic drugs are made with the same medicines, but they can use different fillers (the non-active ingredients listed) and even different coatings on the pill. She thought her problem was caused by a thinner coating on the generic pill that was allowing it to dissolve too early in her digestive system. I think she went back on the name brand stuff.

So, you might want to try the Welchol pill and see if that makes a difference in your stomach rumblings. It may be that the pill doesn't get as broken down as quickly as the powder.

A lady I work with said that she had read that the gall bladder regulates appetite and that without one you can go from extremes easily--from not wanting anything to eating everything and not being full. I've certainly been that way, unfortunately more towards the latter condition. But I was like that before I went on Welchol, so I don't think it is caused by that. Some of it, too, I blame on learning bad eating habits when I still had my gall bladder; I learned to eat extra when I wasn't sick to make up for when I was sick and I had to learn to eat even when I didn't feel hungry because an empty stomach made me feel sick and also because I didn't get normal feelings of hunger; I just felt sick. I'm still trying to overcome my bad eating habits.

JEFF123
Regular Member


Date Joined Apr 2006
Total Posts : 40
   Posted 4/18/2006 11:06 AM (GMT -7)   
Ive been going to overeaters anonymous how program very helpful to know were not alone with eating problens.....hang in there. I just herd from dr she said we talk about it when i come in...

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/18/2006 11:46 AM (GMT -7)   
I was just looking around online and I think that cholestyramine is generic for Questran, not Welchol. Which would explain why one is a powder and the other a pill.

Good luck with your program, Jeff. I've been using this webpage as help: http://www.nourishingconnections.com/'

Specifically I have been using their chart on recording what you eat and how hungry or full you are (you probably have to do something similar for your program). Once you get fairly conscious about your food, it's a lot easier to back away. And then there's the old wive's tale of chew your food really well before you swallow. It used to be that you did that to keep from getting choked, but try paying attention to your chewing sometime and make a conscious effort to chew more. Man, was I surprised at how little I chewed before swallowing! Well-chewed food with lots of saliva mixed in can only help your digestion.
 
Keri - All I did was make your link linkable.  :-)

Post Edited By Moderator (7Lil) : 4/18/2006 1:19:38 PM (GMT-6)


Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/20/2006 12:04 PM (GMT -7)   
Hi there, thanks everyone for the info,

Can you get Welchol in Canada....

Regards!!

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/20/2006 12:48 PM (GMT -7)   
I don't know, Beau. It was still kind of new when I got on it, but that was two years ago, so maybe it's made it into Canadian markets.

Hey, how ironic would it be for a Candian to get prescriptions online from an American drug store instead of the other way around? Lol. If it's not available to you, that may be an option, so long as your doctor will write the presciption for it. The chemical name of it is colesevelam hydrochloride (625mg) (it may be called by something other than "Welchol" in Canada, so look for it by its chemical name)

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/21/2006 8:22 AM (GMT -7)   
Thanks for the info - I will check into it!

Have a good day

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/21/2006 9:07 AM (GMT -7)   
:-) I hope you get some relief from your burning diarrhea. In addition to the Metamucil--which I think you said helps you--you can try calcium supplements. I think that's all Inape uses to treat her post-gall bladder syndrome. Me, I need the Welchol and sometimes calcium too, so I'm a harder case, but if you're not too bad most of the time, then the calcium may can do the trick for you. In the US the supplement of choice for treating diarrhea is Caltrae 600 w/vitamin D. I don't know what name it might go by in Canada, but it's a pretty big name brand.

Beau2006
Regular Member


Date Joined Apr 2006
Total Posts : 387
   Posted 4/24/2006 11:23 AM (GMT -7)   
Question - does the Caltrae 600w/vitamin D cause constipation. After having that fissure after taking too many Tylenol 3 - I wory about the constipation thing - and drinking lots of milk and eating yogurt - that would not do it?

Thanks for your help
Have a nice day

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/24/2006 1:01 PM (GMT -7)   
Yes, I got help from just eating a cup of yogurt a day, but then I got bored with the yogurt, so I went on the supplements. I've never been much of a milk drinker.

Calcium period can cause constipation--be it in Caltrate 600 or yogurt or milk. But if you have diarrhea, it usually does nothing more than balance you out. It's not as harsh as Imodium, which makes me severely constipated.

Also, just monitor yourself. If your stools seem a bit hard and/or a little hard to pass, don't take your next dose of calcium. When they start getting loose again, take a pill. It's never done anything worse than make my stools a little hard to pass; I've never really had to strain hard or anything. Imodium has definitely messed me up worse than the calcium.

lnape
Regular Member


Date Joined Mar 2003
Total Posts : 185
   Posted 4/24/2006 4:51 PM (GMT -7)   
Here is the calcium information. I know it is a lot to take in but it may be will worth it to see if this simple solution can offer you the relief it has me and many others. You need to follow it as close as you can to get the best results. I know it sound too simple to work but it really does help a lot.

This is what has helped me for more than 7 years with almost daily attacks of urgent diarrhea after having my Gall Bladder removed. Calcium is known to be constipating so if you are that IBS type do not take it. All calcium is not the same. Here is the what and how to take the calcium information if you suffer from diarrhea.

Calcium is an OTC supplement we all do not usually get enough of. No Rx is needed to purchase this.

When you take calcium about 40% of the dose gets to the bones the rest is eliminated in our waste. The calcium goes to the intestines and soaks up excess fluids and binds them together and they are gotten rid of in our waste.

This is a process that can be continued by taking the calcium carbonate on a daily basis thus giving a more formed BM.

There is calcium carbonate which helps us with diarrhea and there is calcium citrate which is more easily absorbed by the body and gets to the bones but is not as helpful in controlling diarrhea.

A lot of the calcium supplements contain a 2 to 1 ratio of calcium to magnesium. Magnesium is not helpful for us with diarrhea only causing more in most cases. So, do not purchase this combination. It will only make things worse. Also if you are taking a multi vitamin with magnesium this may be a source of some of the problem if you are having diarrhea. Also for me vitamin A, C, and E seemed to cause me stomach upset. If you check this out your will see they too can cause diarrhea. It is better not to take a multi vitamin while trying to get the calcium to help.

The dose to take is different for everyone. I must take 3 a day one at each meal and it does not make a difference if I take it before during or after just take it regularly. Taking them at least 4 or 5 hours apart is also necessary so the calcium has time to go through the system and soak up excess bile and water. Sometimes, because of the long number of hours between dinner and breakfast it may be necessary to adjust your timing to taking one at bedtime with a small snack to get better results if you are a person who usually suffers from diarrhea in the mornings. I think the way it works is the dose you take prior helps with the current meal and the distress it may cause.

The most success has come from using any formula of calcium supplement that is like Caltrate 600 Plus with Vitamin D and Minerals in the purple and white box. This information is from the many users that have sent me emails and of the posters on the web sites I have dealt with. I hope this will help anyone wishing to try it and I am always here to answer any questions for you. I have a lot of feed back form many users.

You must also have some testing done to be sure you are not dealing with anything more serious. This is most important.
There are other things to consider. If you take any other meds check the side effects and also check with the Doctor or Pharmacist to see if taking calcium will interfere with your other medications and how you might take them. I know if you take thyroid meds it is important not to take the calcium at the same time but you can take the thyroid meds one hour before you take calcium or 4 hours after taking the calcium. The calcium will soak up the thyroid medication and you will not be getting the benefit from it. You should also look at the side effects of any other meds you may be on this can contribute to the success or failure of using calcium to help to control your diarrhea. You may also consider if you are constipated and taking calcium this may be the reason for your constipation. You can most likely switch to another form of calcium to relieve this also.

The only side effect is at the beginning of taking the calcium, you may have some gas or indigestion but this usually goes away soon after taking a regular dose for a few days as your body adjusts to the added calcium. For most it is about 3 days and it is important to start with the lower dose so you don't have the added distress and think the calcium is not helping but making you worse.

Starting with 1/2 tablet doses with each meal will lessen this problem and it may be enough to control the diarrhea attacks without making you constipated.

Constipation can be a problem so be careful not to take too much. It is safe for most of us to take 1800 mg a day as long as your body processes calcium correctly and you do not have some underlying problem. Check with your Doctor.

I had my gall bladder removed in 1976 and from that time on I had suffered urgent attacks of diarrhea. It is now known to me that is called Bile Salts Diarrhea. This happens to a good percent of people who have had their Gall Bladder Removed. I Went through a lot of test but nothing else could be found. I took many of the meds for bowel spasms and cramps over the years but nothing ever seemed to help. I started to take a calcium supplement to help prevent bone loss in later years and from the first day I felt relief. I was pretty much a prisoner to the bathroom or had to go without eating to be able to leave the house.

I must take 1 tablet with each meal and the diarrhea does not come back if I miss taking it I get diarrhea. It is a trial and error situation to find the right amount that may help you.

The way it works is the calcium carbonate it a binder and when you take it only about 40% of the calcium gets to the bones and the rest is gotten rid of in our waste. During that process it gets to the intestines and soaks up excess bile and water and helps give a more solid BM. Now that you have no gall bladder the bile fluid goes directly into the intestines and causes irritation and diarrhea. That burning yellowish color that you may see is the bile. The calcium carbonate soaks this up and no more diarrhea. It works great for a lot of us and you just have to take the calcium regularly and do not miss.

I started with Caltrate 600 Plus with vitamin D and minerals and it does seem to make a difference in the ingredients of calcium... This one seems to do the best job for most. You can buy other store brands of calcium with the same ingredients that work just as well but they need to have the same ingredients. I get Member's Mark Brand from Sam's Club you get 300 tablets for 8.99. I know Walgreens has their brand with the same ingredients and if you live in the UK Boots has been reported to have something similar. Let me know if you need more help. You won't be sorry if you try it.

I suggest starting with 1/2 tablet with each meal at first this may be enough to control the diarrhea if not in a few days up the dose to 1 tablet with each meal or any combination there of. The side effect is constipation so if you feel it coming on just stop taking it until you have a BM then start back on a lower dose. It is important to use a calcium that is as much alike as the Caltrate brand from the feedback I have gotten.

Let me list the ingredients:

Vitamin D 200 IU (The sunshine vitamin needed to help the body absorb calcium)

Calcium 500 or 600 MG (This should be calcium carbonate form) (Calcium is the most abundant mineral in the body. It is essential for maintaining strong bones and teeth. Calcium is vital to muscle and nerve function, blood clotting and metabolism.)

Magnesium 40 MG (No more than this amount because magnesium will cause you to have diarrhea but because calcium is constipating the magnesium helps to counter act that effect) (Magnesium is essential to build bones and is needed for muscle function, energy metabolism, trans-mission of nerve impulses and to make genetic material and protein.)

Zinc 7.5 MG (Zinc is necessary for some metabolic processes, normal growth and sexual development, and proper immune system functions.)

Copper 1 MG (Copper promotes iron absorption and is essential to red blood cells, connective tissue, fibers and skin pigmentation.)

Manganese 1.8 MG (Maganese plays an important role in metabolism and is also needed to build bones and tendons.)

Boron 250 MCG. (Improves calcium and magnesium retention. Similar improvements can also be seen in Vitamin D deficient post menopausal females.)

There are other brands with the same ingredients so get something as close as you can. Then start with 1/2 tablet with each meal and in a few days if this is not enough to control your diarrhea then up the dose to 1 tablet with each meal. If you feel you are becoming constipated then cut back on the dose. You may have to stop the calcium completely then start back after you have a BM at a lower dose.

It has been working since the first day I started taking it July 1998 and as long as I take 3 a day (this is the amount I must take it may be different for you) I remain diarrhea free. No cramps, bloating or diarrhea. No stomach noises, gas or pain. If I should happen to have a case of diarrhea for who knows what reason it is very short lived and not the pain involved like before and this I am sure happens to even normal people. It is usually a one shot deal and it is over.


The dose you take with each meal is not the dose that is helping you at that meal it is the prior ones that have time to works their way through you system to soak up excess bile and water in the intestines.

It also works for those of you who still have the gall bladder.

Take Care,

Linda

LNAPENTS@netscape.net
yeah


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 4/25/2006 12:27 PM (GMT -7)   
Jeff, I have had a revalation that might be helpful for you in trying to quit overeating:

I eat until I am no longer hungry, rather than trying to eat until I am full. This has greatly reduced the amount of eating that I do. I don't know if it's that or the exercise I've been doing lately (or both), but at least my clothes aren't as tight as they were three-four weeks ago.

It may sound like a silly, obvious sort of revalation to some folks, but I really made my eating habits crazy when I had the gall bladder problem because I would eat when I could to make up for when I couldn't, so I think my definition of "full" got changed. And I think there may be some truth to the notion that your gall bladder controls your appetite to some degree. I have literally had days where I ate almost non-stop all day long and never could have that sensation of a full belly. At the very least I got in the habit of eating before I felt hungry because when I had my bad gall bladder, I just felt sick and nauseated instead of having the regular hungry, belly-growling sort of feeling, so I tried to not let myself get hungry.

But now, after keeping track of my food and how hungry I feel when I eat it (nourshingconnections.com), I have decided, you know what, I don't need to feel full after every meal. It's enough that I don't feel hungry. So I'm learning to quit eating when I no longer feel hungry. I tend to make more food than I need to feel not hungry, so I will put the leftovers in the fridge with the promise that if I get hungry later, I can eat the rest of it. Somedays I do get hungry later, but a lot of times I will get busy and forget about it and not really get hungry until it's almost time for my next meal anyways. I've been just eating a piece of fruit for breakfast several hours after I wake up and that carries me through to lunch. Funny, I used to eat more than that and would get real hungry just before lunch, but somedays now I even take my lunch late because I'm just not hungry. I don't think that I think about food as much, because I'm not constantly looking for the time and stuff to eat because before anytime was a good time to eat. Now I don't often eat when I'm not hungry, and even then I usually only take a little bite of something just for the taste.

My eating habits are just so totally different now that I wait until I am actually hungry to eat rather than trying to feel full all of the time.
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