Burning acidic diarrhea- possible Gall Bladder issues

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IBS sufferer
Regular Member


Date Joined Apr 2006
Total Posts : 41
   Posted 6/12/2006 10:48 PM (GMT -6)   
Along with all of my other stomach and IBS problems I have noticed that my BM sometimes are yellowy almost foamy diarrhea that burns like hell. Some sites have stated this could possibly be related to Gall Bladder issues... Anyone have any information on this?
 
Thanks!

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 6/13/2006 9:49 AM (GMT -6)   
The yellow, burning stuff is bile acid. This can be caused by a bad gall bladder, but sometimes people who have IBS-D also have this problem--not because their GBs are bad but because, I think, that their food and digestive enzymes (including the bile) are running through their guts so quickly that they don't have time to be absorbed properly. If you can't get the water and bile absorbed from your food as it should be, you end up with diarrhea.

The symptoms of gall bladder disease include some, but not necessarily all, of the following: nausea, vomiting, a feeling of being stuffed even after eating a very small amount of food, pain in the upper abdomen, but usually on the right-hand side specifically and maybe down the whole right-side of the torso, pain in the right arm, shoulder and down to the elbow, an inability to lay down while nauseated, diarrhea which is usually yellow or greenish in color.

If you suspect gall bladder problems, you should have a hida scan. Ultrasounds are usually preformed first to check for stones, but gall bladders can be bad without having stones and you have to have the hida scan to check for functionality as well (unless, of course, they find stones right off the bat).

If you don't suspect gall bladder problems, you can still take what post-gall bladder patients take to absorb the excess bile. I take Welchol and have only good things to say about it. Some people take Questran, but I have heard a number of people complain about excess gas with it. It also comes in a powder, whereas the Welchol comes in a pill. But both are cholesterol medicines which just happen to have the side effect that they absorb extra bile in the digestive tract and keep people like me from having bile poops all the time. I almost never have diarrhea anymore since I started taking it. I take one Welchol a day and most of the time one calcium pill a day to help boost it a little. Depending on what I've eaten and how my body is reacting (like to stress), I may have to not take the calcium or take an extra Welchol. You should go to your G.I. and tell him that you are having bile in your diarrhea and that you need some Welchol or Questran to stop that. It's bad enough to have diarrhea without having it burn you a new one too.

IBS sufferer
Regular Member


Date Joined Apr 2006
Total Posts : 41
   Posted 6/26/2006 12:58 PM (GMT -6)   
Thanks for the info. I don't have the burning all the time. It is sporadic. Was yours continuous or sporadic?

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 6/26/2006 3:06 PM (GMT -6)   
When my gall bladder wasn't acting up, I could have normal, non-bile poops. Even now that I don't have one, I can still have regular poops, even when I'm not on medicine, but I have to be on a very strict low-fat diet in order to manage that.

alicesun
New Member


Date Joined Oct 2008
Total Posts : 1
   Posted 10/22/2008 8:36 PM (GMT -6)   
Google Habba Syndrome.  I would also look into Celiac Disease or maybe just gluten intolerance.

Canyonbabe711
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Date Joined Mar 2006
Total Posts : 1451
   Posted 10/22/2008 8:50 PM (GMT -6)   
Have you kept a food diary. It may be some specific foods.

kix
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Date Joined Jan 2010
Total Posts : 1
   Posted 1/6/2010 8:29 AM (GMT -6)   
i have a gastroesophageal reflux disease (GERD) my doctor gave me NEXIUM 40mg my stomach felt fine i don't have this acid coming up while i am sleeping ... i have been using for 4 days now ... today i had my worst diarrhea ever never had such a thing before ... acidic painful diarrhea
i dont know is it the medicine or its something i ate last night .. i dont know anymore

Weston178
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Date Joined Mar 2010
Total Posts : 1
   Posted 3/30/2010 2:19 PM (GMT -6)   
Wow Kix, WOW

khs10206
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Date Joined Sep 2010
Total Posts : 1
   Posted 9/13/2010 9:17 AM (GMT -6)   
IBS sufferers:

My mother was diagnosed with Irritable Bowel Syndrome in early 2003-2004. After being diagnosed she still continued to experience all of the symptoms (on the medication, too) and then some. After several years of discomfort and getting so sick that she couldn't even keep vitamins in, we thought she was literally a goner. She went to the doctor time after time telling them she didn't think that she had IBM afterall, and of course they didn't listen. Well, she was getting so bad that not only could she not eat anything with gluten in it, but she could only eat raw veggies and drink homemade chicken broth. After three days of this, her system shut down even more, and she no longer could eat anything-she couldn't even keep water down. She lost a tremendous amount of weight in no time at all; she was able to wear the same size clothing as my 14 year old size 0 sister. Back to the docs... This time she went to the emergency room, and they refused to help her because she didn't have insurance. So, long story short, we met a nice, caring doctor that took her on for less than half the price. They did test after test, ruling out colon cancer, IBM, Celiac disease and a handful more. Eventually, when we thought it was too late, she was FINALLY diagnosed with insufficient pancreas. Her pancreas doesn't make the enzymes necessary to break down and digest food. He started her on the medication, and boom! Within only a few short days, she was able to eat ANYTHING she wanted to..things she hasn't been able to eat for YEARS; gluten, chocolate, pizza-just regular food.

Bottom line, if you're experiencing more and you find yourself literally not being able to keep anything in, please get that checked out. Irritable Bowel Syndrome is just an "easy" diagnosis when the doctors can't seem to find anything else wrong.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 9/14/2010 2:41 PM (GMT -6)   
While I am glad they finally figured out your mothers issues and helped here.

This

"Irritable Bowel Syndrome is just an "easy" diagnosis when the doctors can't seem to find anything else wrong."

Is not accurate, it is a distint clinical entity and its no longer a diagnoses of exclusion. This is important, IBS is not just any gi symptoms, there are very specific symptoms for an IBS diagnoses.

You mom had red flag symptoms the doctors should have caught to rule out an IBS diagnoses. Some of this is because they have learned a lot more over the last 5 to 10 years, especially the last five.

What your saying though is important and again I am glad they found the problem. It sounds like the intial doctor/s didn't know what they were doing.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

1+1=2
Regular Member


Date Joined Sep 2005
Total Posts : 24
   Posted 10/15/2010 5:51 PM (GMT -6)   
I think Keriamon hit it right on the head as to cause and remedy

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 10/16/2010 2:00 PM (GMT -6)   
Some people actually get thier GB out when they really have IBS. That is one reason why diagnoses of IBS is so important. You don't want to confuse the two conditions.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 10/16/2010 2:35 PM (GMT -6)   
This is just for the info and a new study. But interpretating it one should be very careful, because of forward statements like this.
 

Expert Rev Gastroenterol Hepatol. 2010 Oct;4(5):561-7.

Defining primary bile acid diarrhea: making the diagnosis and recognizing the disorder.

Walters JR.

Section of Hepatology & Gastroenterology, Department of Medicine, Imperial College London and, Imperial College Healthcare, London, UK. julian.walters@imperial.ac.uk

Abstract

Chronic diarrhea due to bile acid malabsorption may be considered as contributing to the diagnosis when it results from secondary causes, such as ileal resection affecting the enterohepatic circulation. However, the primary form (also known as idiopathic bile acid malabsorption) is not well recognized as a common condition and patients are left undiagnosed. Primary bile acid diarrhea can be diagnosed by the nuclear medicine 75Se-homocholyltaurine (SeHCAT) test, although this is unavailable or underutilized in many settings. A systematic review suggests that approximately 30% of patients who would otherwise be diagnosed with diarrhea-predominant irritable bowel syndrome or functional diarrhea have abnormal SeHCAT retention. Serum 7α-hydroxy-4-cholesten-3-one can also be measured to show increased bile acid synthesis. The reasons for the lack of recognition of primary bile acid diarrhea are discussed, and these are compared with the other common cause of malabsorption, celiac disease. The lack of a clear pathophysiological mechanism has been a problem, but recent evidence suggests that impaired feedback control of hepatic bile acid synthesis by the ileal hormone FGF19 results in overproduction of bile acids. The identification of FGF19 as the central mechanism opens up new areas for development in the diagnosis and treatment of primary bile acid diarrhea.

PMID: 20932141 [PubMed - in process]

But interpretating it one should be very careful, because of forward statements like this.

"A systematic review suggests that approximately 30% of patients who would otherwise be diagnosed with diarrhea-predominant irritable bowel syndrome or functional diarrhea have abnormal SeHCAT retention"

There are very specific symptom clusters for an IBS diagnoses. The word "suggests" means they need to do more work on this to clarify. Not that 30 percent have "SeHCAT retention" and not IBS.

 

 

 

 


IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

TDMJ
New Member


Date Joined Jun 2011
Total Posts : 1
   Posted 6/27/2011 12:01 AM (GMT -6)   
In my case, I always get it when I eat processed foods such as processed meals, processed meats, fast and junk foods, etc. On the other hand when I start eating healthy fiber-rich nutrient-dense foods such as fruits and vegetables and whole grains I never have any digestive problems. So in my case I'm pretty confident it's food. What are you eating? 99% of people suffer from digestive disorders due to eating crap and not because they have some health problems.

bfcuellar
New Member


Date Joined Dec 2011
Total Posts : 1
   Posted 12/22/2011 4:49 AM (GMT -6)   
okay bare with me here, i hpe this info helps someone, so last year i had gaul bladder taken out, i had the burning runs after and was given cholestramine to drink everyday, and i was fine, and actually got off of it after a few weks, then this past october, had the burning runs again, andf i got back on the cholestramine, this time it did not work, so went to my gi doc and they put me on zenped before every meal, as well as cholestramine 3 times a day, now it seems to be working but, if the stomach burning runs comes back, they will have to go back in to remove what they called a bile duct, which serves no purpose, but can make alot of bile one does not need, it is a more serious surgery, and it usually happens to a small few patients who had their gaul bladder out...hope this helps someone, happy holidays to all.

monkeyfairy7
New Member


Date Joined Aug 2013
Total Posts : 2
   Posted 8/12/2013 6:33 PM (GMT -6)   
I've been having stomach and bowel problems for about 2 years now. Ever since I was diagnosed with clostridium difficile in 2011 I've had problems. I had my gall bladder removed that same week that I was hospitalized for the c. dif and have recently been treated for h. pylori infection in my stomach, which took several months to get rid of. My doctor wouldn't listen to me and told me I just had too much stomach acid and gave me some Omeprizole. I knew there was something else wrong with me but he wouldn't listen so I went to see a colleague of his who ordered an endoscopy which showed my stomach lining to be seriously inflamed and red. They took a biopsy of it and it ended up being h. pylori infection. H. pylori is a common bacteria found in the stomach's of more than half of the human population but few actually ever have it become a problem. Well, mine did. It became so over grown that I've had sharp pains in my stomach, random burning diarrhea, and pain after eating, excessive burping, and acidic gas. My primary doctor didn't put me on the right antibiotics the first time so my infection lasted for several months until he FINALLY got it right and put me on Flagyl and ugh, some other antibiotic, I can't remember the name of it. Also, Omeprizole and 4 chewable tablets of bi****h 4 times daily. After one month of taking THAT round of antibiotics, he tested my stool for the h. pylori, which came back negative. Well, all of the research I've done and several doctors I've spoken to, say that stool samples are not an accurate way to test for h. pylori. The two tests that should be performed are an endoscopy and a breath test. Now that my symptoms are back (and with a vengeance I might add) my doctor wants me to give a stool sample again. I told him I wanted an endoscopy but he isn't willing to order the test! I think I am just going to go back to his colleague who ordered the initial test for me several months ago. In fact, I think I will ask my insurance if I can just switch to her permanently, since she actually listens to me and seems like she actually knows what she's doing. Does anyone on here know anything about h. pylori infections and have some advice for me? I'm really sick and tired of being sick and tired!!!! I'm in a lot of pain, too, and the only relief I can get is if I go to an emergency room, which, obviously, I cannot do. My doctor seems to think that prescribing pain medication for my PAIN will result in an addiction to pain meds. Although he may be right about that, how are people who are in a lot of pain supposed to get any relief??? I hear a lot about how people who have chronic pain most of them can't get pain meds because they're "addicting" but if the person who has chronic pain that never goes away is going to need that pain medicine for the long term, why does it matter if they get addicted to it? People who take anti-depressants are addicted to their meds and have to be weened off of them so how is it any different?? I am tired of being in pain all the time and being told that I can't have any pain medicine because the doctors don't want me to become addicted. I have a permanent, debilitating spinal deformity that's a birth defect that will cause more and more pain as I get older and now I'm almost 40 and there's nothing the docs can do to help me. I had to practically BEG my doctor and go to SEVERAL Dr visits, one after another, and another, and another, every time telling him I was in pain and begging just for some TRAMADOL, which hardly does anything but is better than nothing. I just don't see what the big fat deal is.

Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1955
   Posted 8/14/2013 1:43 AM (GMT -6)   
The Ulcerative Colitis forum here is quite active and I think even though you don't have the UC diagnosis, the questions you are asking might be answered more rapidly over there.

You've been thru so much and I feel for you.
- Rectal CA 4/29/99, Stage I, 90% sigmoid/15" of colon/GB removed, temporary colostomy, reversed 6-26-99
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Colace 50 mg, twice daily + Probiotic: Renew Life/Ultimate Flora/50 Billion count, twice daily + Cholestyramine 1 T daily
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