Mystery Diarrhea: BILE ACID DIARRHEA Explained!
Вставка
- Опубліковано 30 вер 2024
- I never full understood or appreciated this cause of diarrhea until I started GI fellowship. It is one of the most satisfying GI conditions to treat!
Remember this is for educational purposes and not medical advice. I can try to answer questions in the comments but if you're concerned you have this then you would be best served talking to your doctor about it!
For more Doc Schmidt content, check out my website: www.docschmidt...
Want me to make you a personalized video for you or your friend? Check me out on Cameo!
v.cameo.com/DF...
Want to connect with me and watch more content?
Find me on TikTok!
vm.tiktok.com/...
And Instagram!
...
All content is intended as medical education or entertainment and is NOT intended to be medical advice. If you have any symptoms concerning you, please schedule an appointment with your doctor.
Join my channel to get access to perks! Click link below:
/ @doc_schmidt
That’s really interesting! I love how you presented it in such an easy-to-digest format. 😁
Haha, unlike the food
Glad you enjoyed!
Was that intended?
@@Doc_Schmidt ok but how do I get YOU as a specialist. Because… this applies to me and my doc likes to gaslight the heck out of me regardless my factors, history, and symptoms.
I’m thinking more like …GI auctioneer …😂
Thank you for this. As you were speaking I was vigorously crapping into the toilet, a pile of wet, runny dookie in the toilet, while the toilet water was splashing up. Me screaming while my family wondered “wth is she doing” this video helped me so much to understand what was happening in my bowels. Thank you.
Great info Doc..Have anyone ever mention that you talk like speedy Gonzales 🥸
I went from racing to the bathroom 10-20 times a day then taking the pill I became horribly constipated. It was gastric bypass that naturally stopped the chronic diarrhea and finally get normal stools with a regular routine. Still yellow despite what I eat. Always need to watch out for carbs and greases.
Could please do a segment on chronic pancreatitis .
Ate something that irritated my small intestine and ended up with bile not being absorbed. Bile acid diarrhea is horrible very painful. But being very careful with diet and staying away from fats for about 2 weeks let everything heal . I slowly increased fats bact to normal. All is well. Offending food item is now off my diet list. If it burns burns burns that's bile. Stop the fats and see your doc.
Great info.
Is there some way to reduce the speed of the video?
This makes me wonder if theres a medical reason why i cant eat onions, i doubt its an allergy as i CAN eat them, if i power through it (because i generally just dislike onions) but usually like 30 ir 40 min later i get stomach cramps and makes me want to go throw them up. I say i doubt its an allergic reaction as i get zero swelling, i have touched them and have eaten them in other means, but for whatever reason raw onion usually makes me throw up
Bike acid binder available without a prescription????????
What is given as a bile acid binder?
What is the meds?
I eat an apple. Seems to help. 🤷♀️
You really know your shit.
Always
I hate this so much that I love it
Why the hell was that so funny
Best comment! 😂
Should be a motivational poster on every GI office
So those of us lacking a gallbladder aren’t crazy! Yay!
It's strange because I had to complete opposite happen since I lost my gallbladder
See ive been having issues and now I understand 😂 imodium to the rescue i guess
The diarrhea struggle is real I still have to be careful after 19 years without a gallbladder.
@@frostyxmeboi8878cholestramyne will stop the bile diareah
@@nancpanc1 Hey..How did you manage your symptoms. I am dealing with this issue since 1 year and medical treatments are of no help.
You just gotta love a teacher that is as enthusiastic as him.
Love the medical knowledge as well as the funny skits!! Thank you for sharing the laughs and education with us!
I’ve learned more about poop than I ever thought I needed to know. Doc Schmidt is the best teacher and has the most fabulous wigs!!😍
Thank you! 😁
Yep, after I had my gallbladder out, despite a low fat diet, I always had diarrhea. It took a year to figure out what it was!! They called it post-cholecystectomy dumping syndrome
Were you able to fix it?
I assume you got it taken care of? And if so, how/with what type of medication?
Low fat diet is the cause
Very interesting! I subscribed to your channel just before I was diagnosed with Crohn's Disease, so while I enjoy your skits, these kinds of videos are helpful to know, even if they don't directly apply to me (yet). It's good to know what questions to ask my own gastroenterologist.
Hi, fellow crohnie here! I hope you're doing well. If you don't mind, may I ask how long you've had it, and if your treatment is helping what it is?
Take care!
@@tgbluewolf I was diagnosed this past October, but had previously-unexplained anemia and vitamins B12 and D deficiency since 2014 or so. I'm on Inflectra infusions, have been since December, and while my numbers (and life!) are better, I'm not in remission yet.
Greetings, I was diagnosed with Crohn's in 1992/1993 area...it was a lengthy process. I take Questran to monitor my diahrea, but that's pretty much it for now. It took years to get that point.
I will definitely have to bring this up with my doc. I'm not okay, and we need to figure out why.
Yeaaa would've been nice if instead of so many advances in cosmetic surgeries if those efforts could've gone towards the great mystery of the human gut
Don't be afraid to demand a referral to a GI, if you are just brushed off by your primary
Hope you got it figured out
Having this exact issue dumping soon as i eat and bo test has given me an answer
You find a solution? Or a diagnostic?
what?!? i was told its just a long-term effect of no gallbladder anymore! you have given me a glimmer of hope.
Primary BAM/BAD is estimated to be 3 times more common than Crohn’s disease. Further, it’s estimated up to 1/3 of patients diagnosed with IBS-D actually have BAM.
Type 1 BAM is related terminal ileal resection or terminal ileal disease (eg. Crohn’s)
Type 2 BAM is idiopathic. Although a lot of research is pointing to a deficiency in FGF19 in 70% of the these patients.
Type 3 BAM Is related to gallbladder removal, pelvic radiation…
Labcorp now offers a blood test. 7AC4 blood test. Mayo Clinic Laboratory offers the more accurate 48hr stool test. Canada and many countries in Europe offer the SeCHAT scan.
Thank you so much, Dr Schmidt. So many people are suffering from this (BAM) and are told, its irritable bowel syndrome.
After having my gallbladder removed this makes a lot of sense!!
Wait... What crappy place are you at that this wasn't explained to you as a possible side effect?
When did you get it removed? If it hasn't been long you might get lucky and your body adapts after a few weeks making it stop (it atleast did for me :'))
@@lara-chan7482 I wasn’t explained to that it could happen for the rest of my life, and October 2020…….
@@cexilady3333 ouf, well I did some research beforehand anyway and found some story's of life-long diarrhea. I really hope you find a cure, cause after such a long time I doupt it'll change on it own.
Me too. This was like I just found a piece of a puzzle. I was told a could react to fatty foods after the gallbladder operation. But there's no difference between fatty and non fatty foods for me... Its all the same, running to the toilet minutes after every meal, whatever I eat.
My sister and I have digestive issues. I've managed to figure out mine but my sister's is still a mystery. We often find out about different conditions, see if the symptoms fit, and take it to her doc. This type of video really helps.
She's tried the only GI specialist in network in her area and it wasn't a good visit.
I'm not suggesting anyone use YT as a replacement for a doc but doctors are human and can't know/remember everything. I just really appreciate this type of content, especially for people who cannot afford a ton of visits and tests. It can cut down on diagnostic time
I hope you've figured it out and she's feeling better.
i’m sitting on the toilet rn with bile acid diarrhea, what a coincidence
Thank you for this. I don’t have a gallbladder and I’ve had diarrhea issues almost daily ever since it was removed.
Me too. I had mine removed 12 years ago.
Same here. Welchol will do you wonders. Just try to figure out the dose. I take 3 in the morning.
No gall bladder means a lifetime of issues. Colonoscopy,scopes on esophagus, intestinal blockage,chronic diarreah,chronic constipation. Hemorrhoids. Causing rectum tears. Those are fun.
Can i ask why they removed your gallbladder. Im hoping mine is not diseased, had diarrhea for last 45 days. Think its BAM.
@@glengarbera7367 do you have any weight loss problems..I have yellow fatty stools and weight loss..also have bad smell in breathe due to this problem...please reply..your symptoms
..
Sending to my kid with the evicted gallbladder
Yep..no gallbladder here lol…hello 💩
I went to the ER for blood in my diarrhea after having diarrhea for months and losing weight dramatically without a diet change, and they just said it's anxiety and now I don't go to the doctor anymore 🤣
How are you feeling now? Still have loose stools or blood. I didnt go to the docter for the past year, now i have even more problems. Saw your comment, and wanted to ask how you were now..
Horrible...
Hey Doc. Is this common with post Gastric Bypass and cholecystectomy (10 years? What is the test please?
Thanks!!
i think its called Sehcat test
Few questions:
Could a scope confirm this? I'd imagine the colon would be irritated and inflamed if the acid is going down there.
Related, does having this condition also increase the chances of colorectal cancer?
Technically no. You don't eat anything the day before your colonoscopy so the irritation /inflammation would be long gone.
No, scope can just exclude other stuff. You need a SeHCAT test to confirm.
I had 2 scopes bevore my SeHCAT. All normal in blood and scopes but SeHCAT positive.
@@puo2123what kind of test is this
@@sueleach8189 its a nuclear medicine test. You get radioactive bile acid and the retention is measured
Cholestyramine is awful! lol in my experience anyway.
None of the bile acid binders ever worked well enough for me to beat just plain ole loperamide at helping my diarrhea, even though mine is 100% from bile acid not being reabsorbed.
I had my terminal ileum removed approximately 30cm and then an additional 12cm (years later when my ostomy was reversed) following a stricture that eventually caused a complete bowel obstruction.
Love your informative GI videos! I wish this stuff was around 20 years ago when I was a newly diagnosed young teenager going through the worst of my Crohn's
Since it wasn't mentioned in the video, the bile sequestrant the doctor is referring to is called Colesevelam. The powder form I find disgusting, but there is a pill form (Welchol brand name). Relatively cheap and does wonders. If you have diarrehea after removing your gallbladder this might solve your problem. No doctor ever told me about it though, I had to figure it out myself!
Thanks for sharing 👍
You can buy capsules empty in mass quantities for fairly cheap too if you can stand the powder a 00 or 000 capsule or two should hold enough for a dose I'd imagine if you really can't stand the powders
@@artemisameretsu6905 Never thought about that. But is it effective to directly swallow the powder as a capsule form and not dissolve it in water? I wonder.
@@stnln2180How long does. It take to start working
Does this still work for you, I just got prescribed this stuff
Another cause of BAM is SIBO when bacteria create biofilm in the terminal ileum which prevents reabsorption of bile
Doc makes GI stuff extremely interesting. Never thought I would want to hear more about poop but, that just means your a superb doctor.
This is actually one of the reasons I am trying to keep my gallbladder as long as I can. That and I was a surgical tech for years and I know how badly wrong that surgery can go. I take that stone breaker supplement when I have a flare up and it definitely works
Sounds like most people after eating Taco Bell 💨
I see you are a GI doctor. I am curious if you ever have to watch your women patients deficate??? I am thinking about becoming a GI expert so I can do that. I find womens rectal are fascinating.
Please respond to me !!! I have orange diarrhea and it's after i eat for me i have binge eating too because i never feel full or satisfied ever i eat all day and my stomach is empty why is that I'm gaining weight too a lot of it yes i had gallstones so i had to take some bile i also took a lot of laxatives because before i can constaption i also took other things for blood sugar and vomiting Please help me 😭🙏😭
I do have same issue long tile ago especially when I eat ant fatty food I get immediate diarrheas reaction from any food
Great educator. Brilliant content. A caring doctor helping everyone. You teach in a great way . So nice to see you Dr. Schmit. Wishing you and your family the very best. Thank you so very much. Kindest regards.
You speak so fast, yet make it easy to understand! Thanks Doc💕👍🙏
Wow, I totally get this sometimes!!! With very fatty foods or eating fatty foods on empty stomach.
I get diarrhea like once a week and I can’t figure out why 🥴😐😔
My dad had this when his gallbladder was failing. It was scary he couldn't eat anything and he lost a bunch of weight. He didn't know it was his gallbladder, though, because it didn't have the typical gallbladder pain. Took like two months before we convinced him that it was his gallbladder and he needed to go to the doctor.
As someone with Crohn's, this may be extremely helpful to me one day.
Thanks!
Hi, fellow crohnie here! I hope you're doing well. If you don't mind, may I ask how long you've had it, and if your treatment is helping what it is?
Take care!
@@tgbluewolf I was diagnosed 2019, and attempted to manage it with a mesalamine formulation called Pentasa, and by altering my diet. I had limited success, and started on an immunosuppressant called remicade in 2021. Ever since I've felt MUCH better! I have energy again, and feel happier, all because my intestinal pain is virtually non-existent.
HOLY FUCK THANK YOU FOR THIS VIDEO!!!
So cool to hear somewhat involved and convoluted concepts in a simple way! Thank you 😁😁
But we need bile to absorb nutrients or our metabolism is wrecked ,the binder takes it all along with bile.
Ox Bile supplements are wonderful
I underwent a resection in May 2019 to remove my damaged ileum. I had chronic diarrhea for about 4 years. Last week, I was put on a pill for bile acid malabsorption, and I saw a very dramatic, positive improvement over night!
Do you take welchol? How many pills?
this may be the answer to the mystery my mom has had since giving birth to my brother a decade ago! shes tried so many diets and remedies and never really seen improvement. im sending this to her right now
Holy crap (PUN INTENDED) that's whats been happening to me since I had gallbladder removed and a fundiplication. I need a G.I. doctor. Thanks!!! It's been going on for years.
Ohhhhh, that’s why that’s been happening since I had my gallbladder removed.
I had my gallbladder out and this absolutely makes complete sense. I also have problems with the excess bile irritating my stomach.
Hi, google bile reflux. it happens to some people. do you throw up bile ?
@@belgadog99 no I don’t throw up but I get horribly nauseated, that will last for hours, and I’ll have pain where I used to have a gall bladder. When I get “bouts” it leaves me so exhausted and drained. I’ve had an endoscopy which didn’t reveal much besides the bile irritation. Probably too much info. there 🤣
@@suzy_____ I cry a lot. Honestly. I take prescription strength Pepcid every night and I take Amitriptyline to help with the IBS. If I can rest, I do as much as I can. No idea what else to do. Then it passes for a little while. We are traveling to places this summer that have better food practices and I am really curious to see how I will feel eating that food. I hope better because I am so terrified of messing the trip up with my stupid stomach issues.
Very interesting! I have a severe and difficult to treat case of chrons disease and have had to have my gallbladder removed due to the organ dying (fun stuff, non-vital organs shut down and cease to function when you are severely sick for a long period of time). I will have to keep this information in mind.
Awesome! I'm calling my doctor tomorrow. I've had diarrhea every time I don't eat enough since I've had my gall bladder out. I didn't think there was anything I could do about it.
Wow, amazingly I actually understood everything you said!
can Bile Acid Diarrhea cause backpain, my gaubladder was removed about 12 or 13 yrs. ago.and i just developed Bile Acid yellow oily Diarrhea about 2 mos. ago.and now i have sudden backpain for about 2 weeks.
I'm an anesthesiologist and your videos keep giving me great insights into other parts of medicine I haven't encountered since med school. My Mom recently had a cholecystectomy and had been having chronic diarrhea since. Thid cause never occured to me but I'll have her bring it up with her GI. Thanks doc Schmidt!
Hi @Doc_Schmidt. Thank you so much for the information.🙏 It's invaluable.
Thank you! Cant find a family doctor here in Canada...but if i wait for 3 hours outside a walk in clinic or go to an emergency room and the doctor isnt deflated or angry...they may take my suggestion and i could get a prescription
Ya this was something no one warned me about when I had my gallbladder removed .
Luckily (?) I have a lot if other chronic conditions for which half the medication cause constipation. So that + no gallbladder now just makes everything “regular”.
Thank you. I've been suffering from this since 2010 after I had my gallbladder removed. I literally poop bile. Bright yellow poop it's disturbing and after I eat I go immediately. This video just helped me thank you
😮thank goodness...its that extra bile, no gallbladder😢... tyvm, will discuss with PCP😊
I think I just might be lactose intolerant because I just drunk strawberry milk and it was 14 g of protein
Bile Acid Stomach Reflux - can you please 🙏 do a video on that? This was great! I had many tests for stomach pain after MANY tests & some procedures, they found bile in my empty stomach after me *smelling* Subway making bread on the way to my endoscope- causing me burning and pain all my life, when smelling food, Aniexty, gum after brushing my teeth, having shower, many other things. Since I've always had it all my life, I always thought these were hunger "pains" & couldn't imagine how people could NOT eat. I carry food with me constantly, usually gives my stomach monster something to consume.
Stomach ulcer meds didn't help, NO H. PYLORI either & PPIs made this worse for me (although I realize people can have many conditions at once.) I wish I would have listened to my GI doctor when she asked if it could be Aniexty. She was right, also have IBS. It took me getting an Endoscope in a hospital, walking by Subway on an empty stomach. The bread smelled wonderful, yes waiting for my Endoscope was painful on my empty stomach but GI Doctor found my Bile Reflux in stomach, stomach polyps. (No colon polyps.)
Although I've had stomach pain all my life, this was all found in my 30s after I had gallbladder removal, hiatal hernia repair and also found out I had slow motility esophagus & swallowing.
Hint to others.. ask to pay for digital pill test for Acid Reflux- Not the WIRE in your throat for 24hrs - pain every time I swallowed.
Woooooo 😮 could you speak any faster??? I am glad I am not your student 🙏 you are definitely a good doctor😊 believe me I don't have any more questions I need to dissect the information you have just provided😊Thanks
Omg this sounds like it! Ive had this for like 20 years, right after eating or even drinking water, with "flares", and no one has ever had a solution or even an answer. Thank you!!
Did some digging and found a scholarly paper that recommended fiber supplements three times a day. Works for now. Cheaper than bile supplements. But, like he said, talk to your doc. Don’t get medical advice from YT. Or any socials.
Ive been dealing with this for 5 years since having my gallbladder out. Binders work but ONLY when Im one them but that still doesnt rule out a sudden urge to poop on myself. So I cant really go ANYWHERE.
Let me also mention throwing up bile is ABSOLUTELY HORRIBLE. It is nasty.
Could bile acid binder stop the pancreas stones? Can you even get stones from pancreas without gallbladder? Definitely seeing gallbladder stones. Not kidney stones.
This actually makes me angry!! After getting my gallbladder removed I have had daily issues since 2020!!! I could have skipped the colonoscopy and genetic testing for Crohns by just trying a bile binder?? For the love of pete
Dr… you “nail it” that was my problem I sufre sor more that 40 years and finally try wit a (very young and beautiful) doctor, she prescribe Cholestyramine in powder packs of 4th. and y had enoje one week of Greg recovery!!!! No more colics!!!
I've had this. Not comfy. Showed up after the chemo killed my gall-bladder. Eventually, it went away because my system just needed to adjust to not having a gall-bladder anymore. Also, I have to be sure that I distribute my fat intake throughout the day pretty evenly. Too much fat at once or too long without it and it comes back. Fortunately, I don't need to avoid fat. I can still have pizza and fried chicken, and french fries... just not all at once.
I had my gallbladder removed two years ago and thankfully have never experienced bile acid diarrhea, in fact I have opposite of it and frequently have to take softeners, probiotics and laxatives. I just wish I could have normal movements.
Please answer my questions (Important)
I'm from pakistan. Here is my story
I have GERD issue since 18 years old and i had used antacid for it. And i was fine after that.
Then i age 30 i had gallbladder attacked due to blocked by the stones. Then after surgery my gallbladder is removed.
I don't have GERD issue now due to diarrhea! Now my question is that after 6 months i have problem like whenever i eat right after 10 to 20 minutes my stomach cramps started and i will rush to bathroom and there is diarrhea.
Please suggest me what is the issue? Is it lack of bile or lack of stomoch acid or what?? I am so worried and there is no good doctor here to answer my question. Please help
After being removed 50 cm small bowel, started me diarrhea, today after 2 years living with medicine questran 4g, I was 26 years old when it happened, this destroyed my life,it suck!
Dr. Schmidt, this seepage of excess bile into the v intestines can also be caused by a loss of muscle function and slacked elasticity of the pylori valve (pyloris.).I have suffered from this for decades. It is uncomfortable/painful as hell. The worst.
I was undiagnosed with entamoeba histolytica for 2 years and trichuris for 1. Due to gastroenterologists and PCPs not running and serial ova/parasite testing. Do you test your patients for parasites? Spoken as an American, DVM, who saw a tropical medicine MD that reported >70% of Americans have GI parasites that are undiagnosed or misdiagnosed as “IBS”. Do you test for parasites? Do you get taught about them at all as a human doc, because millions are being undiagnosed and it’s such a simple problem to treat depending on the organism. Please spread awareness and please, as someone who suffered and also who diagnoses parasites daily, please know they exist and people need basic tests run too.
Can this be caused by autonomic nervous system malfunctions, too? Cause I spray acid if I am spooked awake, triggering my nervous system to go haywire.
Taking Propranolol, Ajovi, and Ritalin has reduced the chances of it happening by a ton, it used to be pretty much every morning regardless of how I was awoken.
Ritalin has been the absolute most helpful.
It's also not uncommon for me to have elevated bile levels in my bi-yearly blood and urine tests. And to have massive light yellow logs that shave off 5lbs of my weight- that usually coincides with my ketones being extremely high.
I'm not asking for a diagnosis, only theory on the possibility, food for thought. I could always google it if I wanted to self diagnose (or just ask my doctor next week)
Also describes a common allergy. Soy is a large culprit because of the MSG and preservatives in everything.
Yea and I’m guessing it burns too. Of course I don’t know from experience…. Yea, that’s my story and I’m sticking to it.
Hint to others.. ask to pay for digital pill test for Acid Reflux- Not the WIRE in your throat for 24hrs - pain every time I swallowed you'd be amazed how many times a min people naturally swallow, even if they aren't eating or drinking. I will also ask what happens for each tests. Getting tubes up my noses with no pain killer or being put to sleep was not explained to me. Neither was the option to swallow a digital pill. I would have paid $$$ to avoid that 24hr wire.. it is so painful, I wouldn't recommend it to depressed people, it could be tempting to be life ending, it is so painful in throat & ears. Nothing will take away the searing pain. Fortunately, as soon as it was removed, I was glad to be alive and was ready to eat.
This is so interesting! My friend doesn't have a gallbladder so her symptoms make wayyyy more sense now. If you could talk about functional dyspepsia I'd really love to hear your thoughts!
I just got Dx with this mess. 5 years after gall bladder removal. I don’t know how to manage it. Doc wasn’t much help.
I was just talking to a friend about this... maybe. The worst type of diarrhea. The yellow poostorm. Very liquid, very rank and hard to clean. And it does resemble bile. Had not occurred to me before.
Does this cause bad pàin to. What if you don't get improvement then what can't they just fix the P valve if you get bile reflux.
For me I just didn't know i was lactose intolerant until i was 34. I was never a dairy fan, and i kind of think subconsciously somewhere I knew.
In regard to your patients taking a 'bile-binder,' have you noted any remarkable fat-soluble vitamin deficiencies?
Can u do a clip on irritable bowel syndrome. It a sudden onset,often instantaneously, it happens with liquid or regular diet. Using immodium to help control diarrhea, it is helping, however even without eating or small amount one lives with abdominal cramping,pain and frequent stools ,to thebpoint u just stay home. Can u do a clip on it? Thx
I read it before my gallbladder was taken out. It’s a weird thing to experience. It stopped when I became pregnant weirdly but thankfully 😅
I'll bet that's me. I'm without gallbladder.
Thanks. This sounds like me.
Thank you for this. I've actually been told very little about what it's like to live without a gallbladder, I've just been finding it out the hard way. I also find that there's very little out there that I can digest in the form of media that will enlighten me as to how I can change the things that really suck about it. Thank you so much please make more lol. Particularly, and I'm sure that you won't actually have the capacity to do this or desire. But I'm pretty sure that it's affecting my skin health. I've had full body folliculitis ever since I got it taken out. Pretty sure that's due to the fact that I can't absorb fat soluble vitamins like vitamin A. Among other things. But I feel like that has a big part to do with it. Anyway thanks again
OK, but if it is secondary bile acid diarrhea meaning the C4 is not elevated and FGF19 then there is no overproduction and normal amounts are not absorbing. So doesn't that mean if you take a binder you will absorb even less? You won't get diarrhea, but don't you need that bile to absorb your fats or other things?
Bile acid diarrhea is terrible. I had it briefly a few times but only when I ate deep fried Kentucky fried chicken omg water came right out my butt onto floor. Luckily I was at home alone. It's the bad oils I can't tolerate anymore especially canola oil, seed oils. I have no problem with ghee butter olive oil tallow meat fat. My liver and gallbladder are not working good for a few years from stress and toxic chemical American food
Hmm does this apply to those with a j pouch bc colon cancer required removal
Of the colon and then the gallbladder? Makes sense
I have this after my gallbladder removal and I can’t get any doctor to give me a binder. I’ve lost 20 pounds and look anorexic.
This is happening to me now. Never had this issue in my life until I started eating carnivore. Every meal causes it for several hours. Last week I went for 3 days and became dehydrated.