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Suggest remedy for nausea and headaches after cholecystectomy

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Posted on Wed, 21 Jan 2015
Question: I have been sick for four years. I had my gall bladder removed four years ago, but continue to get "episodes" where I have violent vomiting (have to go to the ER to get it stopped), diahrea, debilitating headaches, etc. Quite frankly my Dr's (even the last who was a friend), have given up and keep telling me there is nothing wrong. I became convinced I had a food allergy and so I ordered tests on my own. The allergy tests didn't show much allergy wise, but they did show some abnormal results with my NRBC and some liver items (reports attached). So, I ordered another two tests, 1 for leukemia, and 1 a full liver panel. The NRBC is now 0 (yay) but my glucose serum is a little high and my Ferritin, Serum, is very high. Reading online (I CAN'T not own my own health, I was in the ER 5 times in 5 months), it seems I should now order a test for TIBC. I was hoping you could review the labs and let me know if you would recommend any other tests to be ordered. Thank you so much for your help.
doctor
Answered by Dr. Sumit Bhatti (4 hours later)
Brief Answer:
Post Cholecystectomy Syndrome is what we need to address

Detailed Answer:
Hi,

Thank you for your query.

1. These are signs of a Post Cholecystectomy Syndrome (PCS).

2. Draw the attention of your doctors who treated you four years ago to investigate the cause of this PCS. The operative region must be reinspected.

3. The shift to left in your blood cell counts, NRBC (Reticulocytes), Myelocytes (Band Cells) show that your bone marrow and body is fighting an infection or B Complex deficiency.

4. Your deranged lab testing (Blood coagulation report) points to the liver. The biliary tract must be re-investigated. Liver function tests and an a bdominal sonography (USG)will help. Hepatitis B and C viral load (DNA PCR) should be done.

5. The vomiting, diarrhea, headaches are seen in PCS and liver disorders.

6. Meanwhile start a B Complex Vitamin supplement and request for antibiotics if any signs of infection are found. Medications such as cholestyramine and fat restricted diets help. Other supportive medication such as anti-reflux medication can be added.

7. Upload the test results here.

If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Sumit Bhatti (47 minutes later)
You are amazing. I could cry as I feel as if we are finally on the right track. I will close this discussion but upload next results asap.
doctor
Answered by Dr. Sumit Bhatti (7 minutes later)
Brief Answer:
Yes, these results will help discuss further treatment options.

Detailed Answer:
Hi,

Thank you for writing back.

1. You can upload the test results here or directly at bit.ly/Dr-Sumit-Bhatti

2. Remember to repeat those tests which were not within normal limits.

Awaiting your reply,

Regards.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Sumit Bhatti (17 hours later)
Tests are ordered. I will get blood drawn this afternoon!
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Yes, that is the right step.

Detailed Answer:
Hi,

Thank you for writing back.

1. Hopefully your test results will be available in a few days.

2. These symptoms should be informed to the doctors who treated your gall bladder.

If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (3 days later)
I just got test results back. I have uploaded them for your review.

Also, I have an appointment with the general surgeon who removed my gall bladder, on 12/29. I will ask her to order the abdominal scan.

The lab results I just uploaded were to test for Heb A, B and C as well as to verify the Ferritin levels.
doctor
Answered by Dr. Sumit Bhatti (11 hours later)
Brief Answer:
CRP, ESR

Detailed Answer:
Hi,

Thank you for writing back.

1. Almost all the tests are within normal limits. This is a good sign.

2. The serum Ferritin levels are still raised. This may be due to some chronic infection or inflammation. Get the C-Reactive Protein (CRP) and ESR (Erythrocyte Sedimentation Rate) levels done.

If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2639 Questions

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Suggest remedy for nausea and headaches after cholecystectomy

Brief Answer: Post Cholecystectomy Syndrome is what we need to address Detailed Answer: Hi, Thank you for your query. 1. These are signs of a Post Cholecystectomy Syndrome (PCS). 2. Draw the attention of your doctors who treated you four years ago to investigate the cause of this PCS. The operative region must be reinspected. 3. The shift to left in your blood cell counts, NRBC (Reticulocytes), Myelocytes (Band Cells) show that your bone marrow and body is fighting an infection or B Complex deficiency. 4. Your deranged lab testing (Blood coagulation report) points to the liver. The biliary tract must be re-investigated. Liver function tests and an a bdominal sonography (USG)will help. Hepatitis B and C viral load (DNA PCR) should be done. 5. The vomiting, diarrhea, headaches are seen in PCS and liver disorders. 6. Meanwhile start a B Complex Vitamin supplement and request for antibiotics if any signs of infection are found. Medications such as cholestyramine and fat restricted diets help. Other supportive medication such as anti-reflux medication can be added. 7. Upload the test results here. If you have any more questions I will be available to answer them. Regards.