
29/07/2025
What is BAM?
When bile acids (which help digest fat) aren’t reabsorbed properly in the small intestine, they spill into the colon—causing Diarrhoea, bloating, and urgency.
Common in people with:
- Crohn’s disease (especially after ileal resection) I've got this myself.
- IBS-D
- Gallbladder removal
- Longstanding IBD remission but ongoing gut symptoms
Symptoms often mistaken for IBS:
- Bloating
- Frequent, loose stools
- Urgency (even at night!)
- Gas or pain after fatty meals
Good news: BAM is manageable!
Ask the IBD clinic about:
- SeHCAT scan (this is how I was diagnosed
- Bile acid binders (I have this every morning)
- Nutrition tweaks to support fat digestion
Still having symptoms despite IBD remission? Let’s dig deeper, contact me for an appointment.