ibs-d 5yrs post gb removal?

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whatamess
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Date Joined Feb 2007
Total Posts : 3
   Posted 2/18/2007 5:30 PM (GMT -7)   
Is it possible to develop bile salts diarrhea that long after gall bladder removal. All of the posts and info I read points to symptoms occurring much sooner than this. Until 6 months ago I was as regular as can be, then within a week or two, all messed up. Can't eat normally or anything. Been to the doctor, all manner of tests performed, no conclusive results. Doc says must be ibs, gives me a script for dicetel to help cope with cramping, sends me on my way. Since then I have been on my own to find out what works and what doesn't(dicetel doesn't)(calcium supplementation and diet modification does to some extent) some times for days at a time nothing works and I feel like I'm just along for the ride. I recently learned of people using Questran or Welchol to control diarrhea after gb removal and I am wondering if it is likely to help me any. Any advice is welcomed and appreciated.
Thanks.

TexasJen
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Date Joined Dec 2006
Total Posts : 649
   Posted 2/18/2007 5:44 PM (GMT -7)   
Calling Keriamon! She's the one with the best info on tackling BSD with welchol. No doubt she'll be along soon with some words of wisdom. :-)
Living in the Republic of Texas minus a gallbladder, appendix, uterus, and 18" of colon; but living with my wonderful husband, 2 dogs, 1 cockatiel, and 2 gold fish. 


7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 2/18/2007 6:51 PM (GMT -7)   
Hi whatamess,
Welcome to HealingWell! :-)
It's true Keriamon is our very experienced member with D caused by gallbladder removal. She takes both Welchol and Caltrate + Vitamin D daily to control her symptoms. We have another member, lnape (Linda), who uses only Caltrate + Vitamin D to control her bile D. I'll bump her thread.
Co-Moderator for the IBS Forum
 
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Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 2/19/2007 2:30 PM (GMT -7)   
Since you've been regular for so long, it does seem a bit odd that you'd suddenly have problems. Are your stools light/yellowish in color and do they burn? If not, then that's a pretty good indicator that you're having something other than a bile problem (Lord knows there are enough cases of Salmonella and E. coli going around). If you have yellow, burning poop, then yep, you're having a bile problem. If the calcium alone isn't enough, then definitely try the Welchol. That's what helps me and many others.

Have you had problems with acid reflux (GERD)? My G.I.'s N.P. told me that sometimes the bile goes up, and sometimes it goes down. In most people, it has a predictable pattern of always up or always down, but your body can change over time, and if you've been having bile reflux up, it may have just started refluxing down (D).

Now, if you're not having bile poop, then you may just have a stomach bug that's gotten stuck in there. That's how I tell the difference between post-gall bladder problems and other types of bowel problems: bile content. Try some Activia yogurt once or twice a day and see if that helps. If so, keep it up for 3-4 weeks, and you should be right as rain again. If you can't tolerate yogurt, then try a probiotic, like Culturelle or Digestive Advantage.

whatamess
New Member


Date Joined Feb 2007
Total Posts : 3
   Posted 2/19/2007 8:26 PM (GMT -7)   
Thank you for your reply. yeah I don't have yellowish burning poop, but I have had problems with acid reflux a few times now. The doctors diagnosis was IBS ( for my current stomach problem ), but all the meds he/we have tried so far have not worked. So here I am looking for new ideas. Would it be O.K. to use the activia yogurt at the same time as the calcium protocol or will this just make it too difficult to tell which one (if any) is helping.

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 2/20/2007 9:11 AM (GMT -7)   
No, it's okay to take calcium and yogurt. One, the yogurt has calcium in it anyways, and can help on that level, as well as the probiotic level. Secondly, since this isn't a bile problem, you shouldn't have to stay on the yogurt and calcium forever anyways, so it really doesn't matter which one helps more. You may even find that the probiotics help your acid reflux. It all depends on if it's bile that you're refluxing or if there are bad bacteria in there (or just an imbalance) that's setting off your stomach acids. The last bout of trouble I had, after taking an antibiotic, gave me some heart burn. That's mostly gone away now, though. Of course, calcium can help cut the acid and the irritation caused by the acid in your stomach and esohpagus (yogurt being better for this so high up than the pill). My mother has always treated her reflux with milk. There's evidence now that the fat in the milk makes you make more acid, but I think her acid is bile, not stomach acid, and so that may be why she feels better than most people after having a glass of milk or a milkshake. At any rate, the yogurt should have enough benefits to squelch any extra acid it may (or may not) produce.

Try the yogurt once or twice a day and start out with one calcium pill a day and see what that does. If it doesn't do enough, up your calcium pill to two or three a day and get two yogurts a day. If you start getting constipated, cut out the calcium and just stick with one or two yogurts a day. Do that until you've been normal for three weeks, then go off everything and see what happens (if anything).

whatamess
New Member


Date Joined Feb 2007
Total Posts : 3
   Posted 2/20/2007 9:20 PM (GMT -7)   
Thank you so much for your help. I'll give it a go and post my results along the way. :-)
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