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Suggest Treatment For Nausea, Lack Of Appetite And Diarrhea

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Posted on Fri, 12 Aug 2016
Question: Hi I had my gallbladder removed via lap chol 7 weeks ago due to an infected gallbladder turning gangrene, I was fine for the first 10 days after but ever since then I have developed constant pain in my URQ a constant bile taste in my mouth nausea no appetite and bright yellow and orange diarrhoea and sharp jabbing pain in my abdominal area (this is not all the time)seem to be brushed aside by the surgeon not sure what to think any advise please would be lovely have lost 20lbs with out trying but not that that matters
doctor
Answered by Dr. Dr. Ivan Romich (2 hours later)
Brief Answer:
Need further tests

Detailed Answer:
Hi and welcome.
These symptoms may occur after cholecystectomy in certain degree but in your case this is bit worrying and further tests should be done to rule out pancreas disorders or abscess in abdominal cavity. You should do CTscan or ERCP. Also,you must follow hepatic diet and have smaller but more frequent meals. Wish you good health. Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Ivan Romich (18 minutes later)
I have had a ct scan came back ok bloods showed Gamma G T raised to 75, ultra sound showed my CBD near porta was only 3.7mm it was stated that my cystic duct was very small and hard to.find during op sorry I meant to.put all that in the first question do you think anything can be done and thanks for your first response it was much appreciated
doctor
Answered by Dr. Dr. Ivan Romich (7 hours later)
Brief Answer:
hi

Detailed Answer:
There may be residual stone in CBD or cystic duct or you suffer from postcholecystectomy syndrome. I think that you should do MRCP or ERCP to verify this more accurately. There are some possibilities to put stent into CBD if there is suspicious obstruction, but it doesnt looks to me like this. And last option is exploratory surgery. In every case, appropriate diet is required.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Ivan Romich (7 hours later)
Thank you for your time and help much appreciated
doctor
Answered by Dr. Dr. Ivan Romich (19 hours later)
Brief Answer:
You re welcome

Detailed Answer:
you 're welcome. If you have any new questions,feel free to ask
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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Suggest Treatment For Nausea, Lack Of Appetite And Diarrhea

Brief Answer: Need further tests Detailed Answer: Hi and welcome. These symptoms may occur after cholecystectomy in certain degree but in your case this is bit worrying and further tests should be done to rule out pancreas disorders or abscess in abdominal cavity. You should do CTscan or ERCP. Also,you must follow hepatic diet and have smaller but more frequent meals. Wish you good health. Regards