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Suggest treatment for increased diarrhea after gallbladder removal

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Posted on Thu, 21 May 2015
Question: Had my 10 yr colonoscopy in July. Took out two benign polyps. Same thing previously. Had gallbladder removed 12-99, increased diarrhea then, continuing to present day-occas. Each yr that goes by, I have to cut out more oil, no grease, pizza, most Italian, cream sauces, etc. in the last 6-8 months, i haven't made it to the bathroom fast enough and have had diarrhea in my underpants or almost made it to the bathrm but had to change my underwear. Yesterday, it went all over me. Looked like the lettuce mix I'd eaten caused it and was maybe tainted. Supposedly prewashed. Or, we got bad food on way home from FL. I have gotten only seconds of warning each time. This time I was driving and held it until I found a restaurant to run into, but couldn't hold it long enough to get my pants down. What can I do to prevent it. Do I just start taking Immodium when I have a spell? I've been trying to eat more coconut, which stops the diarrhea, but didn't eat any this wk, not being at home. This has happened too many times in too few months. I also had a D&C in Nov, and a hernia fixed Dec 2012.

not being at home. This came less than one day after flying on two planes. It would've been horrible on the planes. Should I see a specialist or just put it down to the lack of a gallbladder?
doctor
Answered by Dr. Shoaib Khan (22 minutes later)
Brief Answer:
Need a gastro visit, colonoscopy and rectal examination

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I completely understand your symptoms and can relate to them. In my opinion, the cause is most probably either:

+Fecal incontinence
Or
+Irritable bowel syndrome (IBS)

So in response to your query about whether to visit a specialist or not, I would say yes, please do visit a gastroenterologist. Rule out the gall bladder issue, and request for a colonoscopy and elaborate intestinal evaluation.

For your reference I shall also list all symptoms related to IBS, so you can relate to them and help ascertain whether this is a posaibility or not. They are:

+Abdominal bloating (especially during an episode)
+Sensitivity to certain types of food and/or drink (also called trigger factors, which I shall list later on)
+Mucus in the stool
+Increased need or frequency of passing bowels (almost immediately after consuming trigger food or drinks)
+Diarrhea or constipation
+Excessive gas
+Abdominal pain or cramps (occasionally, but especially during an episode)

The main thing about IBS is to identify all the triggering factors in your case and avoid them. Let me list some of the most common ones out for you:

+Popcorn
+Chocolate
+Caffeine
+Fried, oily, fatty food
+Spicy food
+Smoking
+Alcohol
+Milk and other dairy products (including cheese)
+Gluten containing foods
+Carbonated drinks
+Sugar containing food and drinks
+Inositol and sorbitol (found in many drinks)
+Stale food
+Chips
+Cookies
+Refines breads and cereal
+Skin of fruits ans vegetables
And a few other more individual-specific ones.

If you can relate to anything I have mentioned above or have more questions, please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (29 minutes later)
Thank you very much. I thought it might be IBS. I will review everything I ate 24 hrs prior, as well. I do know there seem to be trigger foods. Just need to clarify which ones I eat are the triggers. I suspect wheat/gluten. No wheat or carbs, I have almost no trouble. Milk, cream, dairy, definitely a trigger. Thank you so much. Sincerely, RL XXXXXXX
doctor
Answered by Dr. Shoaib Khan (10 minutes later)
Brief Answer:
I am glad I could be of assistance

Detailed Answer:
Hello once again ma'am.

I am glad you found an association with my information, and wish you loads of luck in your life ahead.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest treatment for increased diarrhea after gallbladder removal

Brief Answer: Need a gastro visit, colonoscopy and rectal examination Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. I completely understand your symptoms and can relate to them. In my opinion, the cause is most probably either: +Fecal incontinence Or +Irritable bowel syndrome (IBS) So in response to your query about whether to visit a specialist or not, I would say yes, please do visit a gastroenterologist. Rule out the gall bladder issue, and request for a colonoscopy and elaborate intestinal evaluation. For your reference I shall also list all symptoms related to IBS, so you can relate to them and help ascertain whether this is a posaibility or not. They are: +Abdominal bloating (especially during an episode) +Sensitivity to certain types of food and/or drink (also called trigger factors, which I shall list later on) +Mucus in the stool +Increased need or frequency of passing bowels (almost immediately after consuming trigger food or drinks) +Diarrhea or constipation +Excessive gas +Abdominal pain or cramps (occasionally, but especially during an episode) The main thing about IBS is to identify all the triggering factors in your case and avoid them. Let me list some of the most common ones out for you: +Popcorn +Chocolate +Caffeine +Fried, oily, fatty food +Spicy food +Smoking +Alcohol +Milk and other dairy products (including cheese) +Gluten containing foods +Carbonated drinks +Sugar containing food and drinks +Inositol and sorbitol (found in many drinks) +Stale food +Chips +Cookies +Refines breads and cereal +Skin of fruits ans vegetables And a few other more individual-specific ones. If you can relate to anything I have mentioned above or have more questions, please do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.