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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Gallbladder Surgery With Severe Pancreatitis, Still In Pain Under Right Rib Cage, Several Bowel Movements. Reasons ?

Hi, I had gallbladder surgery 7 months ago (Dec. 07, 2012) along with a severe case of pancreatitis. I am still having the same pain under the right rib cage that I was having before my gallbladder surgery. I have been having problems with having several bowel movements over a 3 or 4 hour period ever since. (This happens 3 or 4 days a week) It is not diarrhea though. I also have had a lot of problems with nausea and vomiting since I had my gallbladder out. I have had all kinds of tests run and everything shows up ok. My Doctor has put me on 550mg of Xifaxan twice a day. What do you think my problem is? Thank you.
Mon, 29 Jul 2013
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General & Family Physician,  's  Response
Welcome to HCM.This seems to be a part of the Post Cholecystectomy Syndrome(PCS).This will include gastritis and vomiting due to bile reflux,diarrhea due to dumping of bile salts in the intestines,the pain may be secondary to spasm of the sphincter of Oddi,pain in the stump/missed gall stone in the common bile duct .A reassessment by a ultrasound and other investigations may help identify the cause of the pain.
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Had Gallbladder Surgery With Severe Pancreatitis, Still In Pain Under Right Rib Cage, Several Bowel Movements. Reasons ?

Welcome to HCM.This seems to be a part of the Post Cholecystectomy Syndrome(PCS).This will include gastritis and vomiting due to bile reflux,diarrhea due to dumping of bile salts in the intestines,the pain may be secondary to spasm of the sphincter of Oddi,pain in the stump/missed gall stone in the common bile duct .A reassessment by a ultrasound and other investigations may help identify the cause of the pain.