Feeling nauseous and abdominal pain after gall bladder removal. What cure should be done?
As per your query, she is having pain on the left side of abdomen.
Gall bladder is located on the right side and is removed. If at all it is removed by Laparoscopic(key hole) procedure, there will be no complications due to the procedure. If it is removed by giving a incision over the abdomen,there is chance of Adhesions after surgery which may lead to abdominal pain. Swelling that she is feeling can be Incisional hernia. Nausea and vomiting can be due to various other gastro intestinal problems. That has to be ruled out by a proper evaluation and investigations such as upper GI endoscopy.
She should take PPI like Rabeprazole with Domperidone.
Let me know once you get the CT scan reports. I will be available to clarify further. I would also like to know about the drugs that she has been taking till now.
Wish her good health
As far as medications, she has been on topirimate (topimax) (50mg/day) for migraines and sumatriptan with naproxen as needed when she gets migraines. Birth Control continuously for suppression of the endometriosis. Ambien as needed (rarely taken, usually weekends if at all). They have tried her on omeprazole at first, but took her off when it didn't seem to respond to anything. She takes dramamine fairly regular as it tends to be the only thing that helps with the nausea. And she takes ultram for the endometriosis pain as needed. The GI doctor she is seeing is concerned that the endometriosis could have spread to stomach or bowels, which is why he ran the ct, but we are skeptical since her ob/gyn just did the procedure in December. She has not seen much relief today.
Hiatus hernia and Gastritis (red marks on stomach lining) can lead to nausea and vomiting.
Instead of plain Omeprazole, give her Rabeprazole with Domperidone. She has undergone Laparoscopic treatment for Endometriosis. It is just 2 months back.She might have seen the other areas for possible Endometriosis. But,CT in my view cannot clearly diagnose Endometriosis . It is diagnosed by Diagnostic Laparoscopy where you can see the tissue directly.
Any how, please upload the CT scan abdomen report, I will clarify further.
Wish her good health
Thank you kindly.
Your GI doctor is suspecting Gastroparesis,a condition which slows or stops the movement of the food from the stomach to the intestine.It is commonly seen in women and the cause is not known in most of the cases.It is seen in Diabetics. It is not related to indigestion,but related to the movement of the stomach musculature.
As the endoscopy did not show any abnormality except hiatus hernia,Stomach emptying tests have to be done.
In this test,she will be asked to take a meal which contains radio active material.An external camera shows the location of the material.They will calculate the rate of stomach emptying 1,2,3 and 4 hours after the meal.If more than 10% of the meal is present in the stomach after 4 hours,then Gastroparesis is confirmed.
She has to take frequent small meals. She should avoid fibre and fat XXXXXXX foods.It is better to give shakes or soups as liquids empty faster.
If you come back with your test results, I can explain better
I wish her good health and speedy recovery
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