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Pain in the stomach and chest after gall bladder removal. Suggested to take cholestyramine. Proper treatment?

ive had my gallbladder removed in 2010, and have had painful gas on both sides of my stomach and chest, several bouts of constipation, obvious diahrrea and fatigue. My PCP, just put me on cholestyramine powder. She said it binds the fats that your body cant break down, which will stop the diahrrea, constipation and gas pains. Thus making me have normal bowel movements. Is this true?
Asked On : Sat, 20 Apr 2013
Answers:  3 Views:  66
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General Surgeon 's  Response
Cholestyramine binds bile which prevents its reabsorption.It lowers cholesterol concentration.It will stop diarrhoea,but may lead to constipation.
But,you can try as per your PCP advice.
Also add a Pre and Probiotic capsule and Rabeprazole tablet.
Get an upper GI endoscopy
Nothing to worry

Answered: Mon, 22 Apr 2013
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
Hi and welcome to HCM.
It seems like you have postcholecystectomy syndrome and this isnt uncommon. Colestimarin may be helpful and you shoul take it but its effect depends from man to man. You should try to treat it by cahnging dieatry habbits first.Avoid hard food,alcohol and fats. ALso you might have IBD or stomach issue,it shoulkd be evaluated by endoscopic procedures,gastroscopy and colonoscopy,ther eis no other way to confirm the diagnosis.
Wish you good health
Answered: Sat, 20 Apr 2013
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Gastroenterologist, Surgical Dr. Ketan Vagholkar's  Response
Thanks for writing in.
Cholecystectomy can lead to loose motions due to fat malabsorption. The loss of fluid through stools can be significant to cause fatigue and a run down feeling. Cholestyramine is the right medication for it. It has to be taken till the loose motions stop. Besides this reduce the intake of fats.
Answered: Sat, 20 Apr 2013
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