The Gastroenterologist And His Daughter

S04E07 |Have you heard of BAM? Decoding Bile Acid Malabsorption


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Could your IBS symptoms actually be something else? In this easy-to-digest episode, your hosts break down what BAM really is, the different types, and the key symptoms to watch out for. Before they get into it, they take a tricky question from a listener about H.pylori. 


BAM can be difficult to diagnose as its symptoms generally overlap with IBS. Wagdy breaks down how BAM is diagnosed and some very distinct features that make BAM a condition not to dismiss when consulting patients. Today’s episode covers: 

  • What BAM actually is and its types
  • Common symptoms to watch out for
  • If IBS and BAM can co-exist & how Sandra’s clients have been misdiagnosed
  • How to get a diagnosis of BAM including
  • Sandra’s main dietary goals for clients she consults
  • The type of fibre you should include

If you’re struggling with chronic diarrhoea, make sure to pay your GP or specialist a visit as the consequences if left untreated can be serious. 

Want to ask your hosts a question? Send them through to [email protected], and they’ll get back to you during one of the episodes.

Disclaimer: No personalised medical or nutritional advice can be provided, as this podcast is for educational purposes only and does not replace professional consultation. Always seek advice from a qualified healthcare provider for your individual needs.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 


For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

A resource mentioned in this episode is Sandra’s book: The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

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The Gastroenterologist And His DaughterBy Sandra Mikhail