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Can having both PBC and EPI mean double the symptoms?

Yes, having both conditions can intensify digestive symptoms since they affect similar processes. PBC damages bile ducts, reducing bile flow needed to digest fats. EPI means your pancreas doesn't produce enough digestive enzymes. Together, these conditions can worsen Show Full Answer

Can having both PBC and EPI mean double the symptoms?

Yes, having both conditions can intensify digestive symptoms since they affect similar processes. PBC damages bile ducts, reducing bile flow needed to digest fats. EPI means your pancreas doesn't produce enough digestive enzymes. Together, these conditions can worsen fat malabsorption, leading to more severe:

* Diarrhea
* Stomach cramps
* Bloating and gas
* Nausea

The symptoms overlap significantly, so you might experience them more intensely than someone with just one condition. About your enlarged stomach:

A "big stomach" with PBC can have several causes:

* Bloating from gas and digestive issues - Very common with PBC, especially when fat isn't properly digested
* Ascites - Fluid buildup in the abdomen that can occur with advanced PBC
* General bloating - Many myPBCteam members report persistent stomach swelling even with weight loss

One member shared: "I've lost weight but still have a swollen stomach sometimes."

It's important to discuss this with your hepatologist to determine the specific cause and get appropriate treatment, especially if the swelling is new or worsening.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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