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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Removed Gall bladder, pain with heavy sweats and difficulty in breathing. Is it normal after gall bladder removal?

Hello, I had my gall bladder removed 12 weeks ago and since then i have had pain where my gallbladder once was. this pain happened twice in the middle of the night, and once after eating a meal. When this happens, it is hard for me to breath, i am gasping for air and my whoel body breaks out into a heavy sweat. the last time it happened the area where my gall bladder was was pulsing. Is this a normal aftermath of gall bladder removal? i cant identify something that i had eaten in common each of the times that it has happened, so i am not really sure what could be causing this. Any direction or thoughts on this is very helpful.
Tue, 12 Feb 2013
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General & Family Physician 's  Response
Hello,
You seem to be suffering from post cholecystectomy syndrome ( PCS ). 
Postcholecystectomy syndrome (PCS) describes the presence of abdominal symptoms after surgical removal of the gallbladder (Cholecystectomy),like persistent pain abdomen,nausea,vomiting,bloating,diarrhea etc.

PCS may occur in about 5 to 40 percent of patients who undergo cholecystectomy. 
Approximately 50% of cases are due to biliary causes such as remaining stone in either remnant of cystic duct or common bile duct,biliary leakage etc.
The remaining 50% are due to non-biliary causes like inflammatory strictures around sphincter of oddi or around common bile duct.
You must consult your surgeon and get ultrasound and CT abdomen done to find the exact cause.
Thanks
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Nephrologist Dr. George Muthalakuzhy's  Response
Thank you for using healthcare magic

You would need to ensure that there are no retained stones within the biliary tree. You should speak with your surgeon or primary care doctor and obtain laboratory work. Your physician may want to consider repeat imaging to evaluate the biliary tree. If there is evidence of obstruction or retained stone, you would then need referral to a gastroenterologist.

Take care and be well
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