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Conditions that may increase the risk of bile acid malabsorption may include: IBS Celiac disease Crohns disease Small intestine diseases Small intestinal bacterial overgrowth (SIBO) Pancreatic insufficiency Other pancreatic diseases Gallbladder removal, or cholecystectomy Ileal disease Ileal surgery often used as a treatment for Crohns disease Microscopic colitis Short bowel syndrome, when a large portion of the small intestine has been removed Radiation therapy for cancer Natural Strategies for Bile Acid Diarrhea There are a number of natural strategies you can use for bile acid diarrhea to improve your symptoms and well-being