Welchol is the drug of choice for absorbing bile. It works with or without a gall bladder, although if you are pooping sludgy, gritty or sandy-looking material, I don't know how much it can help. It won't help pain or nausea or anything else related to a bad gall bladder, so if you're having those things, you will need to have it taken out to relieve them. Also, I don't think Welchol works anywhere but in the intestines, so it won't help when you have bile refluxing up into your stomach.
Welchol is a prescription drug, which you can only get through a GI doctor (because they're the only ones that know about it), but, in the meantime, start taking two Caltrate 600 w/ vitamin D pills a day. Some people can get by on just those alone, and, of course, they're OTC.
I know this is a very old post. I'm hoping for some help. I might have posted somewhere else about this but I can't remember. I have bile reflux due to my gallbladder being removed. I have tried everything. I have Welchol and tried probably 2 pills months ago and then stopped for whatever reason. I sometimes get the bile diarrhea but not very often. I was thinking of trying these again to see if it will help at all. My throat, mouth, stomach, intestines always feel like they are on fire. PPI's make things worse.
Any other suggestions? I'm losing wieght (already thin) due to this and super depressed.