Some questions about treating BAM

Discussions on the details of treatment programs using either diet, medications, or a combination of the two, can take place here.

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ilsebb
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Joined: Mon Jun 23, 2025 5:25 am
Location: Toronto, Canada

Some questions about treating BAM

Post by ilsebb »

Hello!

I have a few questions about BAM treatment that I'm hoping for help with.

1. Timing. I recently ordered the Enterolab test to get a better hold on my already restricted diet, so it's quite possible that I am still eating things that are not helping. I got little help from pepto or budesonide, and now I'm trying pentasa. The GI has added colestipol for BAM and I have started taking 1 tab a day. Is it okay to continue to treat for BAM before I have got my diet perfectly in order? Or is it better to wait and use colestipol as a last resort if needed? I don't want to delay getting to symptom remission if I can help it.

2. If you have BAM do you need to be on BAM meds indefinitely? Or does the healing of the gut eventually eliminate the need for it?

Thanks for your help.

Ilse
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tex
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Re: Some questions about treating BAM

Post by tex »

Have you already sent your stool sample to EnteroLab, or are you still waiting to receive the sample collection kit? If you haven't already sent your sample to the lab, it would probably be better to get that done before starting to take a bile acid sequestrant. in other words, if it were me, I wouldn't change my diet or treatment right before sending EnteroLab a stool sample. It might not matter — but I'm not sure of that. If you've already sent your sample, then it shouldn't matter.

Some MC patients who have BAM seem to need to take a bile acid sequestrant indefinitely, and others are able to stop taking it after a few months or years — we're all different.

At least, that's my opinion.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
ilsebb
Posts: 13
Joined: Mon Jun 23, 2025 5:25 am
Location: Toronto, Canada

Re: Some questions about treating BAM

Post by ilsebb »

I have not yet received the lab. I could stop taking the colestipol until after I send my sample. I hadn't thought of how it might interfere, especially as I have ordered the malabsorption test? I will email Enterolab and see what they think. Thanks for the thought.
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tex
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Re: Some questions about treating BAM

Post by tex »

If you stop taking the Cholestipol, it should be out of your system in roughly 24 hours or so. Much less time, if you have diarrhea. It isn't absorbed, so it passes out of the body with stool, So the timing will depend on your bowel habits.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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