Mystery Diarrhea: BILE ACID DIARRHEA Explained!

I never full understood or appreciated this cause of diarrhea until I started GI fellowship. It is one of the most satisfying GI conditions to treat!

Remember this is for educational purposes and not medical advice. I can try to answer questions in the comments but if you're concerned you have this then you would be best served talking to your doctor about it!

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All content is intended as medical education or entertainment and is NOT intended to be medical advice. If you have any symptoms concerning you, please schedule an appointment with your doctor.

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[CarrieMK]

That’s really interesting! I love how you presented it in such an easy-to-digest format. 😁

[notyourbusiness]

You just gotta love a teacher that is as enthusiastic as him.

[katlady]

So those of us lacking a gallbladder aren’t crazy! Yay!

[daiseysthebaby]

I’ve learned more about poop than I ever thought I needed to know. Doc Schmidt is the best teacher and has the most fabulous wigs!!😍

[stephanieronczka]

Yep, after I had my gallbladder out, despite a low fat diet, I always had diarrhea. It took a year to figure out what it was!! They called it post-cholecystectomy dumping syndrome

[julieebeem]

what?!? i was told its just a long-term effect of no gallbladder anymore! you have given me a glimmer of hope.

[nailsarelife]

I will definitely have to bring this up with my doc. I'm not okay, and we need to figure out why.

[belgadog]

Thank you so much, Dr Schmidt. So many people are suffering from this (BAM) and are told, its irritable bowel syndrome.

[UnicornsPoopRainbows]

My sister and I have digestive issues. I've managed to figure out mine but my sister's is still a mystery. We often find out about different conditions, see if the symptoms fit, and take it to her doc. This type of video really helps.

She's tried the only GI specialist in network in her area and it wasn't a good visit.

I'm not suggesting anyone use YT as a replacement for a doc but doctors are human and can't know/remember everything. I just really appreciate this type of content, especially for people who cannot afford a ton of visits and tests. It can cut down on diagnostic time

[cexilady]

After having my gallbladder removed this makes a lot of sense!!

[greydaze]

Very interesting! I subscribed to your channel just before I was diagnosed with Crohn's Disease, so while I enjoy your skits, these kinds of videos are helpful to know, even if they don't directly apply to me (yet). It's good to know what questions to ask my own gastroenterologist.

[mitersaw]

Primary BAM/BAD is estimated to be 3 times more common than Crohn’s disease. Further, it’s estimated up to 1/3 of patients diagnosed with IBS-D actually have BAM.

Type 1 BAM is related terminal ileal resection or terminal ileal disease (eg. Crohn’s)

Type 2 BAM is idiopathic. Although a lot of research is pointing to a deficiency in FGF19 in 70% of the these patients.

Type 3 BAM Is related to gallbladder removal, pelvic radiation…

Labcorp now offers a blood test. 7AC4 blood test. Mayo Clinic Laboratory offers the more accurate 48hr stool test. Canada and many countries in Europe offer the SeCHAT scan.

[jilliandarr]

Thank you for this. I don’t have a gallbladder and I’ve had diarrhea issues almost daily ever since it was removed.

[jeanmarierock]

You speak so fast, yet make it easy to understand! Thanks Doc💕👍🙏

[andreamorey]

Omg this sounds like it! Ive had this for like 20 years, right after eating or even drinking water, with "flares", and no one has ever had a solution or even an answer. Thank you!!

[ariannaangelynnlane]

this may be the answer to the mystery my mom has had since giving birth to my brother a decade ago! shes tried so many diets and remedies and never really seen improvement. im sending this to her right now

[patriciabennett]

Great educator. Brilliant content. A caring doctor helping everyone. You teach in a great way . So nice to see you Dr. Schmit. Wishing you and your family the very best. Thank you so very much. Kindest regards.

[teresamiller]

Doc makes GI stuff extremely interesting. Never thought I would want to hear more about poop but, that just means your a superb doctor.

[pochopmartin]

I'm an anesthesiologist and your videos keep giving me great insights into other parts of medicine I haven't encountered since med school. My Mom recently had a cholecystectomy and had been having chronic diarrhea since. Thid cause never occured to me but I'll have her bring it up with her GI. Thanks doc Schmidt!

[maya-muce]

i’m sitting on the toilet rn with bile acid diarrhea, what a coincidence