Bile acid loss syndrome
Imagine that you always have diarrhea, flatulence and an unpleasant feeling in your stomach without knowing exactly why. Maybe you have already left out different foods or various examinations behind you, but there seems to be no clear trigger. Could it be that you suffer from the bile acid losing syndrome (GSVS)? This condition is not only uncomfortable, but can also severely affect your daily life.
The Bile acid loss syndrome is a disease in which there is one excessive loss from bile acids. Gallic acids are substances that are produced in the liver and stored in the gallbladder. You play one important role in fat digestion and the absorption of fat -soluble vitamins. After a meal gives yours Gallbladder, the intermediate memory of the bile, which in the small intestine. Although the bile fluid largely consists of water, the bile salts are the decisive helpers. They disassemble fats into tiny particles, so that fat -adapting enzymes It is easier to work - similar to detergent. In addition, the bile neutralizes the acid meal porridge from the stomach and helps to discharge unwanted fabrics such as medication and bilirubin over the chair. Your body recycled Most of the bile salts by picking them up again in the terminal ileum (the last section of the small intestine) and attributing them back to the liver. Of the two to four grams of bile salts that circulate daily, only about five percent are excreted. If this cycle does not run optimally, bile salts get into the Colon and can The unpleasant Symptoms of the bile acid losing syndrome trigger.
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Causes of bile acid loss syndrome
The bile acid loss syndrome can have different causes and relationships:
- It often occurs after surgical removal of the terminal ileum, since this area is mainly responsible for the re -resorption of the bile acids.
- Even in chronic inflammatory bowel diseases such as Crohn's disease, bile acid losing syndrome can occur if the ileum is affected.
- Another possible cause is functional disorders of the gallbladder or biliary tract, in which the bile acids cannot be excreted or resumed correctly.
- Hormonal changes, such as an underactive thyroid, could increase the risk of bile acid loss syndrome.
- Incompatibilities such as histamine intolerance and celiac disease are related to bile acid loss syndrome, because an imbalance of bile acid in the intestine can change the intestinal flora.
- Conversely, dysbiosis can also lead to problems with bile and liver.
- The small intestinal misalignment (SIBO) is also a possible trigger.
- People with irritable bowel syndrome (RDS) also show more often symptoms that are associated with bile acid loss syndrome. Recent studies indicate that up to 30 % of patients with irritable bowel syndrome could actually suffer from undetected bile acid loss syndrome.
- There are also connections to metabolic diseases such as non-alcoholic fatty liver disease (NAFLD) and diabetes mellitus. Both diseases are related to disturbed fat recycling, which in turn can lead to increased bile acid release.
- Other causes: gastric surgery, pancreatitis, removal of the gallbladder
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Possible symptoms
One of the main symptoms of bile acid loss syndrome is chronic diarrhea, which is often described as watery. This diarrhea can set itself spontaneously after eating or even spontaneously. Many affected people also report flatulence, abdominal cramps and urgent bowel movements. Due to the constant loss of bile acids, there can be a lack of fat -soluble vitamins (A, D, E and K), which in turn can trigger different deficiency symptoms. Other possible symptoms:
- fatigue
- General malaise
- Fatigue
- Oily chair
- Hair loss and greasy hair
- Itching all over the body
- Skin diseases such as acne, eczema and impure skin
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Diagnostic procedure
The diagnosis of bile acid loss syndrome can be difficult because the symptoms are unspecific and can easily be confused with other diseases. Often the syndrome is only determined after a long time of suffering and by the exclusion of other causes. In addition, the symptoms are often pushed to irritable bowel syndrome. An important method for diagnosis is the determination of the bile acids in the chair. Once the values are increased, this indicates a loss of bile acid. A blood test can also be helpful to determine deficiency symptoms. Another diagnostic method is the Sehcat test, in which radioactively marked bile acids are administered in order to check their re-resorption in the intestine.
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Treatment
If you diagnose a bile acid loss syndrome, there are various approaches on how you can alleviate your symptoms. A crucial part of the therapy is nutrition. You should make sure to consume mostly low -fat meals, as fats stimulate the release of bile acids. If, in addition to the diarrhea, greasy chairs already occur, it is advisable to consume less than 30 grams of fat per day. A supplement with medium -chain fatty acids can also be helpful, as these can be easily absorbed by the body. Sufficient fiber can also help, since fiber bind bile acids and thus reduce diarrhea. For example, psyllium husks are particularly suitable here. In addition, it is advisable to forego certain foods that make your symptoms worsen, such as dairy products or heavily spiced dishes. You can also take a healing earth, mostly it is enough to take 1 teaspoon after meals. However, healing earth should not be taken together with Colestyramin or other medication.
In some cases, taking bile acid binders (such as cholestyramine) may be necessary to bind the excess bile acids in the intestine and to alleviate the diarrhea. However, these drugs can also have side effects, such as constipation or flatulence, and should therefore only be taken under medical supervision. Another important point can be the supplementation of fat -soluble vitamins in order to prevent deficiency symptoms. Vitamin D preparations, as well as vitamin E, A and K should also only be taken in consultation with your doctor and tested in advance by a blood count. Supplementation of vitamin B12 could also be necessary, since this is also absorbed in the terminal ilenium and can be in the deficiency if the intestine is disturbed.
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Naturopathic approaches
On the one hand, you can bind the bile acids with different preparations and, on the other hand, make your everyday life easier, which is often affected by diarrhea. Active ingredients that bind the bile acids are, for example:
- Healing earth, clay
- Coffee coal, birch carbon
- Psyllium husks
You should usually do these funds 15 to 30 minutes after the meal take. However, one is from one Advised to not advise against ownership, since these funds can also have undesirable effects. You should only have an experienced therapist after a detailed Chair analysis be prescribed.
Of course, it is not the goal to take these means for a lifetime. The goal should always be with one Mucous membrane therapy to remedy a misalignment and the Return resorption of the bile acids to restore through the small intestine. There are different mucosal therapy microbiological preparationsthat contain lysed, i.e. dissolved bacteria in cell -free solutions. Often aqueous concentrates of Metabolic products the bacteria used to activate and calm the mucous membrane. In the further course of the treatment, taking Probiotics missing bacterial strains are supplemented.
An important part of the therapy is also the restoration of the Acid-base household. Here can ground Psyllium husks are used, but other fiber also have a positive impact on the PH value of the intestine, which is often disturbed by the increased rinsed bile acids.
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Herbal healing approaches
In herbal medicine, antispasmodic, anti -inflammatory and soothing plants are used. Bitter fabrics such as dandelion, thousand -sham -plated herb and artichoke help to stimulate digestion and are taken before meals. These plants can promote digestion as a tea, tincture or powder and are good for health.
You can find that in our organic bitter herb tea:
- Peppermint leaves
- Mador
- Fennel green sweet
- Dandelion herb
- Lemonness leaves
- cardamom
A tea with yarrow, chamomile, caraway and fennel helps with abdominal pain and cramps. Warm -warm body wraps can also be beneficial. In the event of diarrhea, chamomile tea can help. To support the liver, Maria duk is suitable, which is available as a tea, powder or capsules. A lot of drinking generally helps to relieve the skin.
In addition to these therapeutic approaches, we have other tips for you that can help you to better deal with bile acid loss syndrome: As with most gastrointestinal diseases, stress reduction is an important point, since stress negatively influences the gastrointestinal tract. For example, integrate breathing exercises or relaxation techniques such as yoga, meditation or autogenic training into your everyday life. Regular exercise can also have a positive effect on digestion and should be part of your everyday life. You don't have to do high -performance sports - even regular walks or light exercise exercises can do a lot. Also pay attention to sufficient fluid intake, especially if you suffer from diarrhea. Select still water and unsweetened teas.
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Conclusion
The bile acid loss syndrome is an underestimated and not very well -known disease, which can, however, have a significant impact on the quality of life. If you suffer from chronic diarrhea, abdominal pain or other unspecific symptoms, this could be an indication of a bile acid loss syndrome. As with histamine intolerance, the diagnosis often requires patience and a thorough examination, but there are effective measures that can help you to alleviate the symptoms and get your life under control. With the right nutrition, the use of bile acid binders and an adaptation of your lifestyle, you can get many of the stressful symptoms under control and enjoy your everyday life again. Do not forget that if you suspect a bile acid loss syndrome, you should always see a doctor in order to obtain a precise diagnosis and suitable therapy. This is the only way to ensure that you get the best possible treatment and avoid long -term health damage.
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SOURCES
From those affected for those affected
We are Thomas and Michaela Zinser, founder of Histaminikus.
Because of the own histamine intolerance of Michaela and our son, we founded Histaminikus. The frustration does not find any suitable histamine food has spurred us to develop low -histamine food.
We would like to give you back a piece of quality of life. Feel free to look around with us.
Kind regards
Thomas and Michaela