Does taking sodium bicarbonate help decrease acid in intestines caused by bile salts malabsorption?

Sodium bicarbonate is commonly used as an antacid to neutralize stomach acidity and can be helpful in certain gastrointestinal conditions. However, when it comes to bile salt malabsorption specifically, the role of sodium bicarbonate is not as clear-cut. Bile salt malabsorption can lead to an array of gastrointestinal symptoms, including diarrhea and fatty stools, and may also result in excessive bile acids in the intestines, potentially causing irritation and other symptoms. While sodium bicarbonate may help neutralize some of the acid in the intestines, it is not a treatment for the underlying problem of bile salt malabsorption. In cases of bile salt malabsorption, treatment often involves dietary management and medications such as bile acid binders (e.g., cholestyramine) that can help reduce symptoms by binding to bile acids in the intestines. If you or someone is considering using sodium bicarbonate to manage symptoms related to bile salt malabsorption, it is essential to consult with a healthcare professional for a proper diagnosis and treatment plan tailored to the specific condition.