Bile Acid Diarrhoea

Professor David Sanders, Consultant Gastroenterologist, Royal Hallamshire Hospital, Sheffield

Second National Dietetic Gastroenterology Symposium, Sheffield, May 2019

[justinzaff]

I've had IBS + Crohn's for more than 25 years .
I've spent that whole time listening to Gastroenterologists .
This guy in the YouTube video is saying things I've never heard the other docs say, and they make sense .
He is a free thinker not bound by medical 'pursuation' I believe, refreshing .

[anargyulyumov]

God bless doctors like you. Your approach deserves respect. IBS is an umbrella term and should be treated as such. It seems so obvious to follow up with the possible conditions within the IBS circle yet so few doctors are willing to do that. Thank you very much for your work and effort.

[Ivearted]

What an awesome find! I just found out I have this after years of my doctor telling me it was anxiety… I just turned 40 yesterday and I’m much more excited about the future now that I have some answers! ❤️🙏❤️

[judil]

After 30 years I finally caved and made another appointment with a gastroenterologist. Was told IBS forever, then suddenly this doc already has done tests showing the bile acid issue and elevated inflammation. Am now awaiting biopsy results. It's a new world out there.

[elsiesalas]

I've had this for more than 40 yrs. I've seen many gastroenterologist and they all said the same thing, IBS. Thank you for sharing your knowledge. ☺️

[relaxmore]

Starting my Colestid medication tomorrow! Thank you for this video because of it I talked to my doctor about this and she prescribed me. Long time IBS-D sufferer with nothing that have helped me.

[sarahbernstein]

WONDERFUL presentation! Learned some new things I had not heard before. I was diagnosed a year ago after 10 years of confusion. Cholestipol has changed my life.

[kierlak]

We need more doctors like him ! Open-minded, curious, questioning. And he's absolutely right - IBS is often a "lazy" label when doctors don't want to investigate further

[theultimatereductionist]

I have suffered EXTREME relentless chronic diarrhea and colitis lower intestinal pain since October 2002.
My GI started me on Cholestyramine 4 weeks ago. IT IS A MIRACLE DRUG! IT STOPPED MY DIARRHEA & MY LOWER INTESTINAL PAIN!!

[mktthatsme]

My doctor told me nothing about this before my gallbladder was removed in 2011. I've just now figured out what is wrong in 2019...it has been a long time suffering.

[lovelifeandcrafts]

I fall into this. As a baby i was told slow bowel, then all the way till I was 20 i was told numerous times it's IBS. For years I've been given every IBS tablet, sachet, capsule and tried all the diets. At 25 i have diarrhea or loose sulphuric acid, often yellow /green stools. I get very nausious often times daily, i have fatigue, restless sleep /can't sleep quickly and migraines. I eat fruit, veg and drink 3 litres of water daily not including the hot drinks. I've tried every other diet : fad or nom fad. Yet nothing worse. I struggle to lose weight despite my norm of going 3-10+ times a day. It's horrible. No matter what I eat or drink it just goes through: could be in 30 minutes or every 2 hours. Additionally, i get excruciating abdominal pain. I have to use the disabled bathrooms because there are so many nasty people in the world who likes to ridicule you when you really need to go. It smells, it's noisy and it's not controllable. I do take anti diarrhoea tablets if i really have to when I'm out but I have to buy them myself OC. If it works it might last 6 or 8 hours and come back or if I'm lucky 1-2 days before it comes back with a vengeance. I'm waiting for an appointment with gastrology as I've been to a plethora of GPs throughout my life and they don't have any other tests to try as I've done them all but my results always come back as normal. Talking about toilet issues is hard as its taboo for some reason as many believe that they either don't poop or it smells like roses and glitters too. Most of my family have the opposite issue so I'm the only one who has this one. Hugs. It's nice to watch a video where we're not just shoved under a rug because they have no answers. 🇬🇧. Xx

[rumdeal]

Presented with great humour and very informative 👌

[hugocnx]

Taking the med Colestyramine seems to be a good indicator for having BAM. If the watery stool stops you have BAM. But it is just a band aid, it doesn't heal BAM. Wished there was an answer to that. I take Colestyramine after I diagnosed myself and doctors here didn't have a clue. Actually, what causes BAM? In my case I believe it happened after two ERCP's where a stent was inserted in the bile duct (1) and later removed (2). Of course GI doctor said that never happened. Yeah, on his watch maybe. Good luck everybody.
See also post of The Ultimate Reductionist about 7 posts below.

[dawntyson]

I am 46 years old white Scottish female diagnosed at 19 yrs old with IBS through hospital admissions. At 39 yrs old I was diagnosed with non alcoholic fatty liver disease. At 45 I had my gall bladder removed due to being full of stones and I now have bile acid diarrhoea (undiagnosed). My oldest son was born 23 years ago with Biliary Atresia and had a liver transplant at 4.5 years old. My Aunt had primary cancer of the liver and my mum has liver sclerosis and my two sisters have fatty liver disease also and one has celiac disease. I wonder how much of this is genetics?

[margaretmorgan]

Thank you for your help in understanding this condition, I have multiple problems with my digestion and finally after 30yrs my gastroenterologist is now looking into this as well as pancreatic insufficiency. Therefore the treatment which I will have, and hopefully a better quality of life.

[shannon]

Sooo, the BIG question - what's the cure?

[juliecorbett]

Hi
I so feel for you. Have been on the exact same journey. Xx

[truthalwayswins]

Identical to myself, had an colonoscopy and during the process I asked the Doctor why are you sad, he said “I can’t find anything” I replied that’s “good right?” he said yes, but my job is to find something, so they sent me on my way, so I live on a anti-diarrhoea pills, no SeHcat scan, nothing, I also suffer from gout as well so my life is hell

[LB-swkm]

So what do we do to fix this?
Did I miss that part ?

[nikzentertainmentnetwork]

Excellent video but there was no mention of Diet??