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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain After Gall Bladder Removal, Tiredness, Diarrhea. What Could This Be?

Hi I had my gall bladder removed 5 weeks ago & I am still suffering pain ... I am awaiting a camera test as the doctors now think I may have another condition ... I am still suffering attacks of severe pain especially after I eat, I have extreme tiredness & also have severe diahorrea quite often ... This had been ongoing for 3 years now & I am struggling to cope ... Do you know what this could be, sorry I forgot to mention I have also lost quite a bit of weight.
Wed, 31 Oct 2012
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General Surgeon,  's  Response
Hello!

Thank you for the query.

It is very common that gall bladder is getting removed as a reason of pains and it turns that it was not the reason. What are you suffering from is probably peptic ulcer (it causes pain after 1-2 hour of meal, loss of weight, but does not cause diarrhea). However some other conditions should be checked.
As you are after gall bladder removal, sometimes it happen that some small stone gets into the bile ducts and gives a lot of pain.
Upper GI endoscopy is a good idea as it will rule peptic ulcer and stomach cancer out. But before it is advisable to have fool blood work with liver tests (AST,ALT and GGTP), pancreas tests(amylase), urine analysis and abdominal ultrasound. After this tests upper GI endoscopy should be performed and if GGTP elevated, during this test ERCP should be done as well.
If you find all this tests negative, stool tests and colonoscopy should be performed as well. Such symptoms may be also present when partial intestines obstruction appears due to colon cancer.

Hope this will help.
Regards
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Pain After Gall Bladder Removal, Tiredness, Diarrhea. What Could This Be?

Hello! Thank you for the query. It is very common that gall bladder is getting removed as a reason of pains and it turns that it was not the reason. What are you suffering from is probably peptic ulcer (it causes pain after 1-2 hour of meal, loss of weight, but does not cause diarrhea). However some other conditions should be checked. As you are after gall bladder removal, sometimes it happen that some small stone gets into the bile ducts and gives a lot of pain. Upper GI endoscopy is a good idea as it will rule peptic ulcer and stomach cancer out. But before it is advisable to have fool blood work with liver tests (AST,ALT and GGTP), pancreas tests(amylase), urine analysis and abdominal ultrasound. After this tests upper GI endoscopy should be performed and if GGTP elevated, during this test ERCP should be done as well. If you find all this tests negative, stool tests and colonoscopy should be performed as well. Such symptoms may be also present when partial intestines obstruction appears due to colon cancer. Hope this will help. Regards