I have enjoyed the information sharing and support. There seems to be a wide variety of health issues but D is the most discouraging thing people seem to be dealing with and pain.
It's good to find somewhere with all the information I needed in one place. It helped me enormously when I was struggling to get the help I needed from my doctor.
There is a wealth of information on your site and I found it particularly helpful to read the stories from people who I know went through the same thing as me.
I've found the site very informative and it helped me to better understand my condition just after I'd been diagnosed.
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What is Bile Salt Malabsorption?
Bile Salt Malabsorption (also known as Bile Acid Malabsorption -
Bile Salt Malabsorption
Bile is essential for us to digest fats that we eat. When we eat, bile is released from the gallbladder into the small intestine where fats are broken down and absorbed into the body. Normally most of the bile is then reabsorbed from the small intestine and recycled, with only a small amount reaching the large intestine (colon), where it is removed in the stools.
People with problems reabsorbing bile acid (bile salt malabsorption) have more bile than normal in the colon. This extra bile makes the colon release more water and speeds up the time it takes for waste to pass through the colon. This results in chronic watery diarrhoea.
Bile salt malabsorption is found in a number of conditions. For example, it can be caused by diseases of the small intestine, such as Crohn's disease, and it is seen in people who have had an operation to remove or bypass their small intestine. However, sometimes it occurs when the small bowel appears normal; the reason for bile salt malabsorption in this situation is not known.
Although not life threatening, bile salt malabsorption can have a big effect on lifestyle and quality of life because the increased need to pass motions may limit the person's ability to travel and leave the house.
There are three classifications for the cause of Bile Salt Malabsorption:
- Type 1: Secondary to ileal resection, or ileal inflammation,
- Crohn’s disease, ileal resections
- Type 2: Idiopathic / primary bile acid malabsorption
- Type 3: Secondary to various gastrointestinal diseases
- Cholecystectomy, small intestinal bacterial overgrowth, post radiation, coeliac disease, chronic pancreatitis