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gutNEWS.org

A source for healthcare professionals to access the latest data and information on the diagnosis, treatment and management of patients with gut related disorders

Patient Support

A resource for gastroenterologists including a series of patient information sheets that can be e-mailed to, or printed out for patients.

What is bile acid diarrhoea?

BAD is a type of chronic diarrhoea, caused by excess bile acids reaching the colon. It can be a very painful and debilitating condition causing numerous episodes of watery and urgent bowel motions sometimes resulting in faecal accidents.

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What is irritable bowel disease?

Inflammatory bowel disease (IBD) refers to a group of disorders that cause chronic swelling and longterm inflammation of the digestive tract or gut.

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What is irritable bowel syndrome?

Irritable bowel syndrome (IBS) is a common disorder of the colon which results in chronic, painful spasms. It can also cause bloating and either constipation or diahorrea, or sometimes both.

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GutNews.org focuses on three key areas of interest:

IBS-D BAD IBD

Challenging current views on bile acid diarrhoea and malabsorptiom

Kurien M et al. Frontline Gastroenterology 2018;9:92–97.

Guidance for the use of tauroselcholic (75selenium) acid (SeHCAT) for the investigation of diarrhoea due to bile acid malabsorption (BAM) in patients with diarrhoea-predominant irritable bowel syndrome (IBS-D) and or Crohn’s disease without ileal resection is outlined in diagnostics guidance 7 (DG7). A review of DG7 in 2012 by the National Institute for Health and Care Excellence (NICE) determined that SeHCAT should be recommended for research purposes only. This study describes relevant information made available since this review and investigates the economic consequences of misdiagnosis or inefficient treatment of bile acid diarrhoea (BAD) and BAM.

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