Digestive Changes After Surgery
After your gallbladder is removed, your liver will still produce enough bile to help digest your food, but it wont be stored in the same way.
Without a gallbladder to store bile between meals, your small intestine will need to rely on your liver to produce more of the bile it needs in real time.
While your liver will eventually adapt to this situation and your bile ducts may enlarge to store more bile in the absence of a gallbladder at first you may have difficulty digesting certain foods.
High-fat and certain high-fiber foods tend to be the most difficult ones to digest in the days and weeks following gallbladder removal. As a result, you may experience these symptoms:
How Do I Get Ready For A Cholecystectomy
Your healthcare provider will explain the procedure to you. Ask him or her any questions you have.
You may be asked to sign a consent form that gives permission for the procedure. Read the form carefully and ask questions if anything is not clear.
Your provider will ask questions about your past health. He or she may also give you a physical exam. This is to make sure you are in good health before the procedure. You may also need blood tests and other diagnostic tests.
You must not eat or drink for 8 hours before the procedure. This often means no food or drink after midnight.
Tell your provider if you are pregnant or think you may be pregnant.
Tell your provider if you are sensitive to or allergic to any medicines, latex, tape, and anesthesia medicines .
Tell your provider about all the medicines you take. This includes both over-the-counter and prescription medicines. It also includes vitamins, herbs, and other supplements.
Tell your provider if you have a history of bleeding disorders. Let your provider know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting. You may need to stop taking these medicines before the procedure.
If this is an outpatient procedure, you will need to have someone drive you home afterward. You wonât be able to drive because of the medicine given to relax you before and during the procedure.
Follow any other instructions your provider gives you to get ready.
Upper Right Abdominal Pain After Gallbladder Removal: 5 Causes Gastroenterologist Explains
Our content is not intended nor recommended as a substitute for medical advice by your doctor. Use for informational purposes only.
The presence of pain in the upper right abdomen after gallbladder removal is common. The condition is known as .
Postcholecystectomy syndrome is defined as the presence of biliary colic or right upper abdominal pain after gallbladder removal .
Postcholecystectomy syndrome affects at least 10% of patients undergoing gallbladder removal .
Possible causes of persistent upper-right abdominal pain are:
- Missed or recurrent gallstones inside the bile ducts.
- Surgical wound complications as neuroma or infection.
- Injury to the gallbladder bed or bile ducts.
- Sphincter of Oddi dysfunction.
- Associated conditions include IBS, peptic ulcer disease, liver pain, right-sided pleurisy, rib cage pain, pancreatitis, and others.
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How Long Does The Pain Last After Gallbladder Surgery
As we mentioned earlier, in most cases, the pain goes away after a couple of days. In some more serious cases of the postcholecystectomy syndrome, the pain can last a couple of months, especially if left untreated. This is a serious problem that requires our attention, and there should not be any hesitation about treating it as soon as possible. And if it the leftover carbon dioxide gas that has been causing your abdominal pain, the pain is expected to go away with the help of over-the-counter painkillers in just a few days.
Causes Of Sharp Pain In The Right Side After Gallbladder Surgery
Sharp pain in the upper right side of the abdomen right after gallbladder surgery is a symptom that occurs among 5 to 40% of the patients. In most cases, the sharp pain is caused by a condition known as a postcholecystectomy syndrome that causes abdominal symptoms to be present after the removal of the gallbladder. The pain, along with the other symptoms of the syndrome, can be present for a couple of days or weeks, persistent, or in some cases, unfortunately, lifelong.
When we say lifelong, we mean a pain after gallbladder removal that lasts years later after the actual surgery. The cause of the pain is either due to the sphincter of Oddi dysfunction or due to post-surgical adhesions. Both conditions cause severe upper right abdominal pain after gallbladder removal which can spread and move as far as your shoulder. Other symptoms that can occur as bloating, diarrhea, vomiting, nausea, and flatulence.
Sometimes, the pain can also be caused by the carbon dioxide gas that is being used to fill your abdomen during the laparoscopic procedure. If any of the gas is being left after the surgery, abdominal pain is expected to occur.
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Recurrence Or Missing Of Gallstones Inside The Bile Ducts
You can have a gallstone after gallbladder removal, even years later. The gallstones dont come back inside the gallbladder because they are no longer present.
The possible sites of the gallstones after gallbladder removal are :
- Missed or newly formed gallstone inside the common bile duct .
- Missed stone in the cystic duct .
- Newly formed stones in the hepatic ducts (right, left, or common hepatic ducts.
- Newly formed gallstones inside the liver .
Symptoms of gallstones after gallbladder removal:
Sphincter Of Oddi Dysfunction
The common bile duct delivers the bile to the duodenum. Then, the CBD unites the pancreatic duct near its end, forming a single duct called . The ampulla of Vater opens into the duodenum.
The opening is encircled by a ring of muscle called . Sphincter of Oddi dysfunction describes the abnormal obstruction of the bile and pancreatic secretions due to abnormal structure of function of the Sphincter.
Sphincter of Oddi dysfunction mimics gallbladder pain. Therefore, the persistence of upper-right abdominal pain can be a sign of sphincter of Oddi dysfunction.
It is rare, difficult to diagnose disease. Studies show that women are more affected by SOD than men .
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Bile Reflux After Gallbladder Surgery
Bile, the fluid your small intestine uses to digest food, is produced by the liver and flows into the duodenum, or the upper part of the small intestine. It normally cant back up into the stomach because of a one-way valve called the pylorus that lets food go down, but not up. However, if that valve becomes damaged or doesnt function the way it should, bile reflux may occur.
Bile reflux occurs when bile washes back into the stomach. If the LES is weak, bile and stomach acid may flow further back into the esophagus.
It is not uncommon for patients to experience bile reflux after gallbladder removal. Studies show that bile reflux occurs in 80% to 90% of patients who have had gallbladder surgery. So, youre actually more likely to have bile reflux after having your gallbladder removed.
Bile reflux causes the following symptoms:
- Upper abdominal pain and heartburn
- Vomiting up greenish-yellow bile
Eat Smaller Meals More Frequently
Large meals make your digestive system work harder and increase your risk of developing gas and other symptoms related to gallbladder removal.
You can stick with breakfast, lunch, and dinner, but decrease the portion sizes for each and use the leftover calories for a mid-morning and mid-afternoon snack. If you usually eat a sandwich at lunch, save time in the kitchen by preparing a whole sandwich and saving half for your afternoon snack.
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Path To Improved Health
If you have gallbladder pain and other symptoms, you may need surgery to remove your gallbladder. The surgery is called a cholecystectomy. Youll be given anesthesia, so youll be asleep and not feel any pain during the surgery.
During traditional surgery, the gallbladder is removed through a 5- to 8-inch-long incision in your abdomen. This is called an open cholecystectomy.
The more common way to remove the gallbladder is called a laparoscopic cholecystectomy. During this surgery, 3 to 4 small incisions are made in your abdomen. Then instruments are inserted through the cuts. The surgeon uses the instruments to look at the gallbladder and remove it.
One of the instruments used is called a laparoscope. This is a small, thin tube with a camera and light on the tip. The camera is used to see the inside your body. The camera shows your gallbladder on a TV screen. This allows the doctor to see the gallbladder while he or she removes it. Your doctor will do this using tools inserted in the other cuts. Your gallbladder is then taken out through one of the incisions.
After the gallbladder is removed, your doctor will clamp off all the bile ducts. He or she will close the incisions with stitches, staples, or glue. The procedure takes 1 to 2 hours. Most people go home the same day or the day after the surgery.
What Does Sharp Pain In The Right Side After Gallbladder Surgery Indicate
Have you gone through a gallbladder removal surgery to put a stop to your pain and suffering? Are you experiencing some sharp pain on the right side after gallbladder surgery? Or are you perhaps looking into the possible complications of gallbladder surgery and feel worried about the possibility of experiencing this common complication?
Do not worry, because what will follow, is a guide for gallbladder removal surgery, and most importantly, why does a sharp pain in the upper right abdomen occur.
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Add Fiber Slowly Over Several Weeks
Soluble fiber, such as oats and barley, help control diarrhea and normalize your bowel movements. But too much fiber too quickly can increase cramping and gas. Other foods that can worsen diarrhea include caffeine, dairy products, and sugary snacks.
To schedule a gallbladder consultation at Precision Surgery and Advanced Vein Therapy, call 602-393-1304 today, or click online to book an appointment with Dr. Serrano any time.
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What To Do About Ibs After Gallbladder Removal
Some people who have had their gallbladders removeda procedure known as a cholecystectomyfind themselves dealing with ongoing digestive problems. Typically, these symptoms include abdominal pain or the urgent need to run to the bathroom after eating. Here you will find out why that might be happening and what you can do about it.
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More Pain After Having My Gallbladder Removed Six Months Ago
caroljean26359 over a year ago
cheri19437 over a year ago
stephanie45344 over a year ago
Guest over a year ago
I had my gallbladder removed when i was sixteen. it was back in september. its VERY rare that kids have to get it removed, but mine was twisted so i started getting gallstones. most people only get a few, my entire gallbladder was completley covered. i was having SEVERE attacks that lasted 24 hours, and i would puke up everything, inclusing bial. i lost eleven ounds in one day from so much puking. it was the worst pain i ever experienced. all the doctors kept saying, what that it was jsut a flu or something. WRONG! after i puked up bial they finally sent me for tons of tests, blood work, untra sounds, ect. they finally found out what was wrong. IF YOUR DOCTOR TELLS YOU ITS NOTHING, GET A SECOND OPINION! they told me if i would have had one more attack that i would hav developed gang green, and most likely wouldnt have made it. so make sure you get checked!the surgery itsself isnt too bad. your really sore the next day, but then they give you pain killers and your fine. they tell ya, youll be up and around to days later, but it took me about five. you dont get complete control of your muscles back for about three months though. i still get what they call “phantom attacks” occasionally which is just a way more mild pain like the regular attacks. they hurt, but nothing compared to actual attacks.
Guest over a year ago
cathy0110 over a year ago
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Deterrence And Patient Education
Post-cholecystectomy syndrome affects about 10 to 15% of patients who undergo cholecystectomy. Patients should receive education on the possibility of development of PCS before undergoing cholecystectomy. Effective communication between the patient and physician regarding frequently associated postoperative problems will help reveal subtle symptoms of PCS.
What Can Cause Cramping In Your Bowels After A Gallbladder Removal
Removal of the gallbladder, also known as cholecystectomy, is a common treatment for diseases of the gall bladder, including symptomatic gallstones. An estimated 500,000 Americans have their gallbladders removed each year, according to John Hopkins Medicine. Although removal of the gallbladder may alleviate any disease-associated discomfort, you may experience bowel cramping once the surgical site has healed and you begin to eat as you did before surgery.
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Living Without A Gallbladder
The gallbladder is a small, pear-shaped organ that stores and releases bile, a fat-digesting juice made in the liver. Gallbladder removalcholecystectomyis one of the most common surgeries in the United States. Its a treatment for painful obstruction caused by and other gallbladder problems.
The gallbladder is not a critical organyou can live without it. But, it can take time for your body to adjust to its absence. Right after surgery, high-fat foods can cause stomach discomfort and . Many people who have their gallbladder removed are able to get relief from these symptoms by changing their diet or taking medicine. Heres what you need to know about living without a gallbladder.
Pain After Gallbladder Removal
Last November I suffered severe pains in my stomach and back and after a scan was found to have gallstones and an inflamed gall bladder. I was told that I would need to have the gallbladder removed which I did five months after being first diagnosed. In that five months I eased the discomfort by cutting out dairy food and fried / fatty food . I did get pains but were manageable. I did lose a lot of weight though, I went from 13st 12lbs to 12 stone within about three months. This was drastic as I was still eating.
I had the operation to remove my gallbladder on 4 April and came out of hospital on the same day. Unfortunately one of the “wounds” from the operation got badly infected and an abscess formed. This led me being taken into hospital for 5 days for the infection to be cut away and put on a strong course of antibiotics. Unfortunately I haven’t felt well since the gallbladder removal, leaving aside the abscess, I still get considerable pain from my stomach most days. I have to go to the toilet more which is quite loose and I get dreadful indigestion making me want to burp quite a bit. I was hoping to put on some weight as I am very thin but sadly if anything it has gone down a bit more.
My GP says I have to be patient and it will get better. Has anyone else suffered symptoms like this after a gallbladder removal ? Any comments appreciated.
1 like, 37 replies
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Traces Of Carbon Dioxide
During the surgery, air or carbon dioxide is pumped into the abdominal cavity. It is removed afterwards. But the left over traces of carbon dioxide can cause abdominal pain or back pain or right side pain after the surgery. The left over carbon dioxide causes bloating and uneasiness leading to stomach pain after the surgery.
How Do You Treat This Pain After Gallbladder Surgery
In the case of abdominal pain after gallbladder removal, your doctor will give you painkillers to help you soothe your pain. Usually, it is medications such as Ibuprofen and Tylenol that help gallbladder surgery patients. The doctor can also prescribe antispasmodics if there is a present spasm of the Oddi sphincter that has been causing the pain. Applying a cold pack to your incision might prove as helpful as well since you will probably feel pain around the incision site. Avoiding any sudden movements in the first couple of days can help you avoid the pain as well. As for foods to eat after gallbladder surgery, we recommend low-fat foods with no more than 3 gr of fat per serving.
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What Is Pain Years After Gallbladder Removal Mean
Postcholecystectomy syndrome explains the presence of abdominal symptoms two ormore years after a cholecystectomy .
Symptoms occur in about 5 to 40 percent of patients who go through cholecystectomy, and can be transient, consistent or lifelong. The chronic condition is diagnosed in roughly 10% of postcholecystectomy cases.
The pain connected with postcholecystectomy syndrome is normally ascribed to either sphincter of Oddi dysfunction or to post-surgical adhesions. A current 2008 research study reveals that postcholecystectomy syndrome can be caused by biliary microlithiasis. Approximately 50% of cases are due to biliary causes such as remaining stone, biliary injury, dysmotility and choledococyst. The staying 50% are due to non-biliary causes. This is since upper abdominal pain and gallstones are both typical but are not constantly associated.