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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting Post A Gall Bladder Removal Surgery?

I have three relatives - One had a hida scan score of 33 and one had a score of 43 and one had a score of 24. The general surgeon is recommending to all three they they have their gall bladder out because of they all have the same pain systems and are vomiting all the time. My question is what is the normal function score? I read things that below 35% is bad, I read 30-40% is normal and I read anything from 35%-75% is abnormal. I also read that vomiting isn t a sympton of poor gall bladder and sometime I read that it is Do you have some guidance
Mon, 27 Aug 2018
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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 percent 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.
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What Causes Vomiting Post A Gall Bladder Removal Surgery?

Hi, This looks to me like so called Postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 percent 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.