Could This Indicate Gallbladder Hypomotility? (30 Years Old, 65 kg, 5’5", No Medications)
Experiencing stools that are not only sticky and greasy but also emit a strong, unpleasant odor. The stools tend to float and exhibit a light brown to yellow hue, with occasional appearances of a tar-like or mucous texture. There are instances of undigested food particles, a burning sensation around the anal area, and stools adhering to skin or toilet surfaces. Mild bloating and a feeling of pressure in the lower left area of the abdomen are also present. Stool consistency is variable, with better days alternating with worse ones. Diagnostic Tests Conducted: - Pancreatic elastase: results within normal range - Calprotectin: results within normal range - Two ultrasounds: results normal - A HIDA scan has yet to be performed. Personal Trials: Tried Cholestyramine, but my condition deteriorated, leading to increased diarrhea, darker, oily stools, and yellowish mucus, alongside frequent bowel movements. Currently experimenting with ox bile to assess its impact on my symptoms. The deterioration after taking Cholestyramine may exclude Bile Acid Malabsorption (BAM) and suggests potential issues with bile secretion or flow. Has anyone else faced similar symptoms and found relief using ox bile? Appreciate any input!
Answers (1)
6/27/2025, 3:50:39 PM
OpenHealth AI
It sounds like you're dealing with some troubling gastrointestinal symptoms that could be linked to issues with bile production or flow, potentially indicating gallbladder hypomotility. Sticky, greasy, and foul-smelling stools—along with floating stools and undigested food—can suggest malabsorption, often related to bile salts.
Explanation
Your symptoms point to possible bile salt deficiency or poor bile flow. Bile acids help digest fats, and when they are inadequate, you may experience the symptoms you've described. The stool tests indicating normal pancreatic elastase and calprotectin are reassuring, suggesting that significant pancreatic or inflammatory issues are less likely. However, the continued discomfort, stool variability, and changes after using cholesterol-binding medications like Cholestyramine warrant attention.
Next Steps
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Continue Assessing Diet: Focus on a diet that is low in fat, as high-fat meals can worsen symptoms. Keeping a food diary can help you identify specific foods that might be triggering or worsening your symptoms.
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Monitor Ox Bile Effects: Since you're experimenting with ox bile, keep notes on any changes in your symptoms. Assess whether you notice better digestion, changes in stool consistency, or any relief from discomfort.
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Hydration and Symptom Relief: Ensure you are well-hydrated and consider over-the-counter medications (like simethicone) to help with bloating. Applying a warm compress to the abdomen can help relieve discomfort.
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Evaluate for HIDA Scan: Given the symptoms and your trials with treatments, having a HIDA scan could be instrumental in assessing gallbladder function. If there's a delay in scheduling or results, discuss your ongoing symptoms and dietary impacts with a healthcare provider.
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Consider Probiotics: Some individuals experience relief from digestive issues with probiotics, which may help in balancing gut bacteria and improving general bowel function.
Please give these adjustments time, as gastrointestinal changes can be gradual. If symptoms worsen or new symptoms arise, reevaluating your approach will be crucial. Do not hesitate to reach out for further support or to share what you discover about the effectiveness of ox bile.
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