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Question
Posted by: Esmi | 2008-12-05

Chroniese Diarree

3 jaar gelede is my galblaas verwyder. Van toe af sukkel ek met chroniese diarree a.g.v. die oormatige galafskeiding. Ek was by ' n gastroë nteroloog en het verskeie medikasies probeer gebruik waarvoor ek egter sensitief is. Ek gebruik Questran Lite om die diarree te probeer stop. Die afgelope paar maande wil dit nie help nie. Ek gebruik ook mineraal en vitamienaanvullings. Het u enige raad? Of ' n ander medikasie wat meer doeltreffend is? Baie dankie!

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Our expert says:
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Hi there Esmi

Having a cholecystectomy (gall bladder removed) is not a typical cause of chronic diarrhoea. More typical reasons are listed below.

There are many causes of chronic diarrhoea; these may be different for children and adults. Causes of chronic diarrhoea can be grouped into two categories: diarrhoea caused by an infection and diarrhoea not caused by an infection. Sometimes, the cause of chronic diarrhoea remains unknown.

Diarrhoea caused by an infection may result from:

Parasites, such as: Cryptosporidium parvum, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia, microsporidia
Bacteria, such as: Campylobacter, Clostridium difficile, Escherichia coli, Listeria monocytogenes, Salmonella enteritidis, Shigella
Viral infections, such as: HIV, rotavirus, Norwalk agent

Diarrhoea not caused by an infection may result from:

Antibiotics, high blood pressure medications, cancer drugs, Crohn’s disease, colitis, diabetes, thyroid and other endocrine diseases, food additives (sorbitol, fructose, and others), food allergies, previous surgery or radiation of the abdomen or gastrointestinal tract, tumours, reduced blood flow to the intestine, heredity--certain diseases occur more often in related family members, travel.

Having seen a gastro-enterologist should have excluded the potential medical casues, but if full, and repeated stool analysis, has not been done, please consider a second opinion.

The gall bladder's function is to store the bile which helps with the digestion of fats. I would suggest a totally fat free diet for a period of 2 - 3 weeks as it is possible to you are very sensitive to certain fats.

Avoid caffeine, alcohol and processed foood of any sort.

Long bouts of diarrhoea can deplete the intestinal system of the 'friendly bacteria' that are extremely important in the optimum functioning of the digestive system. I would, therefore, suggest a course (at least 6 weeks) of high doses of the probiotics. Health food stores will have a range of high quality products to choose from.

If this does not make a significant difference I would caution you not to continue 'self medicating', even with 'natural' products, and consult with a nutritionist or another gastro-enterologist for more definitive assessment and diagnosis.

Regards

Kevin

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Hester | 2009-04-01

I sometimes suffers from a runing tummy and also sinus conditions.
What vitamins is important. I am 62 years old

Hettie van der Merwe

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