these patients will have bile acid induced diarrhoea identified by an increased serum 7a-OH-cholestenone. and will have a history of one of 1. ileal resection 2. idiopathic bile acid diarrhoea.3. post cholecystectomy diarrhoea
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients will have bile acid induced diarrhoea - frequently passing 5-7 watery stools per day Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: less than 16 years in age currently taking other anti diarrhoeals eg loperamide presence of active inflammation currently using anti inflammatory agents such as prednisolone. 5-ASA or azothioprine will be allowed if patient is in remission Patients unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the effectiveness of hydroxypropylcellulose and questran in reducing diarrhoea in different groups of patients with bile acid malabsorption. is HPC asuitable alternative to questran in these clinical circumstances?;Secondary Objective: Is the action of hydroxypropyl cellulose different from questran? - measurement of serum 7a-OH-cholestenone a marker of bile acid turnover, should help answer this question;Primary end point(s): reduction in diarrheoa Reduction in defaecation urgency reduction in stool frequency improved quality of life | — |
Countries
United Kingdom