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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain After Gallbladder Surgery?

I have just had gallbladder surgery for abdoimail pain after 4 weeks I still have sevre abdomail pain laxtives increase pain and im losing weight . not realy conspated but bowels have stoped working dew to pain. feel like my bowls are on fire as food moves thriough
Wed, 16 Jan 2019
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General Surgeon 's  Response
Hi,

This looks to me like so-called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 per cent of patients who undergo cholecystectomy, usually can be transient, and rarely persistent or lifelong.

Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, persistent pain in the upper right abdomen.

Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syndrome treatment depends on the identified violations that led to it. Typically, the patient is recommended dietary restriction table with fatty foods, enzyme preparations, antispasmodics, sometimes oral ursodeoxycholic acid can alleviate the condition.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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What Causes Severe Abdominal Pain After Gallbladder Surgery?

Hi, This looks to me like so-called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 per cent of patients who undergo cholecystectomy, usually can be transient, and rarely persistent or lifelong. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syndrome treatment depends on the identified violations that led to it. Typically, the patient is recommended dietary restriction table with fatty foods, enzyme preparations, antispasmodics, sometimes oral ursodeoxycholic acid can alleviate the condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon