All are features of bile acid diarrhea, EXCEPT:
The difference between bile acid diarrhea and fatty acid diarrhea Bile Acid Diarrhea Fatty Acid Diarrhea The Extent of ileal disease Limited Extensive Biile acid absorption Reduced Reduced Bile acid excretion Increased Increased Hepatic compensation by excess production Yes No Bile acid pool Normal Reduced Steatorrhea Mild >20 g Response to cholestyramine Yes No Response to low-fat diet No Yes Ref: Harrison, E-18, P-2462.
Extensive ileal involvement is seen
Hepatic synthesis compensates fecal loss
Reduced bile acid pool
Good response to cholestyramine