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Heartburn, bringing up bile, runny stools, blood in stools. Had gall bladder removal

Iv had problems for going on two years now,I had my gallbladder out in march as it turned out I had an infection and I was in total agony now the pain did go away but has came back but now on my left side ribs and pain in the centre of my cheat like before too!but now I have the added problems of constant heartburn and bringing up bike also everytime I eat or drink I get like a hot flush and feel I m going to throw up or need to go for a number 2 when I do poo its always runny and there is blood in it!iv been back and forth to my doctor but nothing is or has been done its just getting so upsetting now that I m constantly uncomfortable
Asked On : Sun, 21 Oct 2012
Answers:  1 Views:  45
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General Surgeon 's  Response

Thank you for the query.

It is very common that pains in upper abdomen are misdiagnosed. The easiest way is to perform ultrasound, find some gall stones and remove the gallbladder. And it turns out that some of such patients do not suffer from gallstones (a lot of people do have it and do not suffer from it). It is possible that your gall stones were not the reason of your pains.
Blood in stool (especially when dark), and symptoms like pain, nausea, vomiting can be all caused by peptic ulcer which is bleeding. Especially that your symptoms are associated with meals.
Second possibility of your symptoms are bile ducts stones that has been left during the surgery or has been created in bile ducts. Such stones can lead to acute pancreatitis and many life threatening complications.
What you should have done is: abdominal ultrasound (it should tell if bile ducts are widen and if there are any stones inside), full blood work with liver enzymes (with GGTP and ALP levels), bilirubin, amylases in blood and urine. This tests will tell if there is any problem with bile ducts and with pancreas. Next step should be upper GI endoscopy and if any bile ducts problem has been revealed, ERCP should be performed during this endoscopy. It will treat bile duct problem.

Hope this will help.
Answered: Sun, 21 Oct 2012
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