What most doctors don't tell you about BAD
Bile Acid Diarrhea (BAD), also known as Bile Acid Malabsorption (BAM), is common in those with Crohn's Disease, but often overlooked in the clinical "flare-up" conversation.
Is this your gut?
If you have had a **terminal ileum resection** or extensive inflammatory damage to the small intestine, your body can no longer reabsorb bile acids. These acids escape into the colon, acting as a salt that pulls water in—causing watery, urgent, and frequent bowel movements.
What you'll find in this guide:
- The Fat Burden: How to calculate your "bile acid threshold" and reduce symptoms without starvation.
- The MCT Oil Protocol: Using C8 MCT as a primary energy source that bypasses the need for bile acids.
- Psyllium Husk Basics: Why a simple fiber source is your strongest tool for thickening stools and feeding the microbiome.
- The Sequestrant Warning: Why medications like Cholestyramine can sometimes worsen burnout and vitamin deficiency if not used strategically.
Note for Post-Ops: If you've had more than 50cm of bowel removed,
your nutritional needs are drastically different. This guide addresses the
specific mechanics of Type 1 BAD.