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Laparoscopic gallbladder removal, painful, bile found, diaphragm problem, pneumonia & asthma

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General Surgeon
Practicing since : 1980
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Hello. My mom is 68 years old. She had a laparoscopic gallbladder removal 2 years ago. There were complications and she had a great deal of pain following. The next day they had to go in again and the surgeon said there was bile everywhere so we believe there was a tear of some sort made during the removal. She was okay after that but developed a problem with what we think is her diaphragm. Whenever she is sitting for a long period of time and goes to get up, she loses her breath and has to stand still for a few seconds and wait for it to come back. She has no idea what kind of doctor could address this. She had pneumonia since and minor asthma since so her lung function was checked and that was fine. It's alarming when this happens.
Thank you.
Posted Sun, 22 Apr 2012 in General Health
Answered by Dr. Rajinder Bajoria 3 hours later

Thanks for your query.

Immediate or delayed leaking of bile do occur in few patients after cholecystectomy, whether open or laparoscopic(accessory cystic duct is the most common cause ). It is good her complication was timely detected & well manged & she recovered from it.

Now her main problem is she loses her breath while standing after long sitting and has to stand for few seconds.

Orthostatic hypotension is a condition in which transient fall of blood pressure that occurs when one stands from lying or sitting position, resulting in patient not feeling well for few seconds. This needs to be ruled out as they are quite common in elderly. It has nothing to with diaphragm.

Consulting a physician or cardiologist may prove useful to make diagnosis and alleviate her suffering. Pneumonia & asthma, don`t appear to play any role in this. Proper work up & treatment will be helpful to her.

‘Hope I have answered your query, I will be available for follow ups.

“Wish her Good Health”

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