acholia acholia acholia is pallor of the faeces, which lack their normal brown colour, as a result of impaired bile secretion into the bowel. it can also be referred to as hypocholia. acholia is a sign pointing to reduced or lacking flow of conjugated bilirubin into the bowel, as a result of a problem in the liver itself or in the biliary tree. acholiaspecialtygastroenteritis etymology ancient greek: a + chole (without bile). cause a condition in which little or no bile is secreted or the flow of bile into the digestive tract is obstructed. the acholia is a sign of many diseases, such as hepatitis. acholia causes the color of feces to fade.