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: advised to have a ultrasound and exclud any tones remnants in the common bile duct NO fat intake OTC proton pump inhibitor (omeprazole, pantoprazole)to combat gatritis ( after discussing with treating physician) hope to answer your concern wish you good and sound health. regards Dr Tayyab Malik