How to Spot Bile Acid Malabsorption: 10 Tell-tale Signs

3. Bloating: BAM’s Inflated Issue

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Bloating BAM's Inflated Issue
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Bloating is another symptom commonly associated with BAM. It’s a sensation where the abdomen feels full, tight, or distended. Often, it’s not just a feeling; the abdomen visibly expands. This bloating is primarily due to the disturbance in the balance of intestinal gases, a direct outcome of bile acid’s presence in the colon.

When bile acids aren’t efficiently reabsorbed, they alter the gut flora. This change in microbial balance can lead to increased gas production in the colon. The result? A distended abdomen and that uncomfortable sensation of fullness.

While bloating is commonly associated with a host of digestive disorders, what sets BAM apart is its persistence. It isn’t just after a heavy meal or a particular food but is a more constant companion. For those with BAM, it’s not uncommon for the bloating to worsen as the day progresses.

This constant sensation of fullness can be quite distressing. It can influence clothing choices, hinder mobility, and even impact posture. Beyond the physical, the visual distension can impact self-esteem and confidence, especially in social settings.

There’s a silver lining, though. Lifestyle choices, including dietary habits and physical activity, can influence bloating’s intensity. While the root issue is the presence of bile acids, understanding and managing triggers can offer some respite. (3)

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