Expert opinion

Professor Julian R.F. Walters 

Consultant Gastroenterologist and Professor of Gastroenterology, Imperial College London, London, UK

Professor Julian R.F. Walters

Are the current treatments for bile acid diarrhoea (BAD) effective, and is it likely that in the future there will be better treatments for BAD?


Current therapies, such as colestyramine and colesevelam, bind and eliminate bile acids from the colon. These drugs prevent the excess bile acids causing watery faeces.

Further evidence suggests that the primary defect is due...

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Job number: JB57410GBl(1) Date of Preparation: June 2020

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How common is bile acid diarrhoea (BAD)?
Professor David S. Sanders 

How common is bile acid diarrhoea (BAD)?
Professor David S. Sanders 

Professor Sanders argues that many patients presenting with irritable bowel syndrome (IBS) have underlying diseases. He explores a series of studies that suggest approximately 25% of patients presenting with IBS symptoms have BAD as the underlying cause. 

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