HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Abdominal Pain After Eating Post Gall Bladder Removal?

default
Posted on Wed, 4 Jun 2014
Question: My wife had her gallbladder taken out 3 years ago. Ever since then she has had bad abdominal pain especially after eating. She normally goes to the restroom right after. She has very bad nausea also. We have been to surgeons and gastroenterologists. They have run every test for ibd's. And no positive diagnosis at all. They just tell her she has ibs( aka. They just don't know what it is). In the last 6 months she has gotten off her birth control because of side effects and her symptoms have gotten much worse so we thought it might be female related. Her ob gyn thought she might have endometriosis so he did a laparoscopic exploratory but only found a small ovarian cyst. She eats maybe one meal every two days because the pain and nausea is bad. Any help would be appreciated.
doctor
Answered by Dr. Dr. Klerida Shehu (4 hours later)
Brief Answer:
ERCP recommended...

Detailed Answer:
Hi there,

I have gone through the medical history of your wife and feel sorry for the situation she is in.

As the symptoms appeared right after surgery, my thoughts go for possible:
- choledochial sludge, microcalculi, dyskinesia.

At this point, I highly recommend to run ERCP test to see intrahepatic biliar pathways in order to determine the right diagnosis.

Next, another cause could be psychological effect especially if she has suffered prior to surgery.

However, it is important to evaluate the intrahepatic biliar pathways first through ERCP, then, to confirm pscychological effect.

Meanwhile, diet changes are also highly recommended.

Hope it helped!
Dr.Klerida
If you have already ERCP results, you can send them to me to analyze them by myself. Thank you!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (15 hours later)
I dont think she has had that test. At this point were financially drained. I thought maybe the timing of the surgery was just coincidental. Her symptoms at first were typical for the surgery but got progressively worse. We are at a point now that we need some kind of answers without more tests procedures and financially draining options. I just dont understand after going to a surgeon a gastroenterologist and her ob gyn why we dont have some kond of answer other than ibs. All that means is she has a set of symptoms doctors dont know how to treat so lets just try a bunch of different kinds of meds and diets while we charge the hell out of you. We have done all this to no avail. Maybe this is my desperation talking. But there has to be something that has caused a seemingly healthy 27 year old woman after gallbladder surgery to have these problems
doctor
Answered by Dr. Dr. Klerida Shehu (28 hours later)
Brief Answer:
Causes to your wife's problems...

Detailed Answer:
Hi,

I am sorry for the financial problems you are facing.

You must understand that it is necessary to determine if your wife is having problems with choledocus first. Only these examinations could give the final word.

Depending on the findings can determine the most appropriate treatment too.

The only advise I can give is to continue with:
- pain-killers
- diet changes
- physical activity

Next, you were saying that your wife was on birth control pill until 6 months ago. The hormonal imbalance caused might also be a cause to her actual problems.

That's why it is important to look at what tests she has done and medications she is taking and diet she is following. Everything has an affect (bad or good) on our body. As our conversation is virtual, and lots of medical data is missing, I am trying to help find out what can really cause problems to your wife.

I understand she is too young to have such problems as she is going through, however, there is a solution to find out, but it has its own cost. This is a general rule for each of us (including me)!

All the best to your wife and all of you!
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Abdominal Pain After Eating Post Gall Bladder Removal?

Brief Answer: ERCP recommended... Detailed Answer: Hi there, I have gone through the medical history of your wife and feel sorry for the situation she is in. As the symptoms appeared right after surgery, my thoughts go for possible: - choledochial sludge, microcalculi, dyskinesia. At this point, I highly recommend to run ERCP test to see intrahepatic biliar pathways in order to determine the right diagnosis. Next, another cause could be psychological effect especially if she has suffered prior to surgery. However, it is important to evaluate the intrahepatic biliar pathways first through ERCP, then, to confirm pscychological effect. Meanwhile, diet changes are also highly recommended. Hope it helped! Dr.Klerida If you have already ERCP results, you can send them to me to analyze them by myself. Thank you!