hi. thanks for posting query at HCM. read your question thoroughly and understood your concern. gall bladder primary role is to store bile . when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion. after gall bladder is removed, bile is continuously being secreted in small intetsine and may reflux into stomach. as a result, gastric inflammation may occur causing pain and discomfort. moreover, high fat meal induces more bile secretion further affecting gastric mucosa. advise: NO fat intake OTC proton pump inhibitor (40mg omeprazole, pantoprazole)to combat gastritis its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice: - stop any medication being used for constipation for a week - thrice daily , take two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL water - increase warm water( atleast 8 glass/day) intake - do not drink water during and after meals - eat small meals (rich in fiber) - eat plentiful fresh oranges and pear - avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) altogether - mix few drops of lemon juice in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement - avoid beverages / alcohol/ soft drinks - do some exercise (push-ups / squats etc) early in the morning - avoid carbonated drinks - take 2-3 spoon edible virgin olive oil in the morning if no resolution after 10 days, then better to visit treating physician. besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test. for bloating: OTC simethicone tablets and probiotics maybe used to combat bloating. Chew food well and try not to talk/open mouth while chewing food as it causes more air to enters stomach and may lead to bloating. Hope to answer your concern. Wish you good and sound health. Regards, Dr Tayyab Malik