Chologenic diarrhea – diarrhea caused by a violation of the absorption of bile acids.
* resection of the small intestine,
* inflammatory changes in the small intestine, of various nature ( including Crohn's disease).
* disorders of bile secretion (diseases of the gallbladder, cholecystectomy, etc.).
* the stool is frequent, watery, has a bright yellow or greenish color,
* characterized by pain in the right iliac region, which appears during palpation of the caecum and ascending intestine,
* chologenic diarrhea is characterized by persistent chronic, but not progressive course.
The diagnosis is established on the basis of:
* collecting and detailing patient complaints, interviewing medical history, and reviewing previous examinations,
* determination of the presence of excessive bacterial growth in the small intestine,
* determination of the daily loss of bile acids with feces by spectrophotometric enzyme method.
The selection of therapy is carried out individually.
The effectiveness of therapy is evaluated:
* clinical improvement, i.e. reducing the number of bowel movements and changing the consistency of feces,
* control analysis of feces for the content of bile acids in the dynamics during treatment.
Only in the MCSC you can conduct a fecal analysis for the content of bile acids to confirm the diagnosis of chologenic diarrhea!