Dr. sivanath
Internal Medicine
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Patient's Query
Hi doctor,
I have some doubts regarding short gut syndrome. I have done GI resection from distal ileum to proximal colon when I was a kid due to necrotizing enterocolitis. I have chronic steatorrhea. On one hand, binding bile salts improves diarrhea and it also diminishes the pool of bile salts that help for fat digestion. On the other hand, supplementing a diet with bile salt increases fat digestion by helping with diarrhea. But it exacerbates diarrhea as they end up in the colon. Is there a way to treat this problem?
Hi,
Welcome to icliniq.com.
It does not appear that you have a removal of gall bladder. So taking exogenous bile salts will not help you. Steatorrhea can be managed by taking medium or short-chain fatty acids. Consult a dietician to know some other options. Cholestyramine is prescribed for diarrhea. If the symptoms of diarrhea are disturbing you, then you can take anti-motility agents. GLP1 (glucagon-like peptide-1) analogue can help you. Taking fiber content in the diet can help some people. Try to take less amount of oxalic acid in your diet.
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Internal Medicine
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