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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For The IBS Started Since The Gall Bladder Removal Surgery?

I am a 42 year old woman. Since I had my gallbladder removed 15 years ago, I suffer from ibs.If I am in a stressful situation, I have sudden bowel problems. I have tried many different medications. The only thing that worked for me was xanax xr.The extended release kept me from feeling "high" My problem is that any doctor I mention xanax to goes on a tirade and labels me a drug seeker. How can I explain to a doctor that, as a caregiver, student, and future educator, that I am not just trying to get drugs.
Fri, 3 Jun 2016
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General Surgeon 's  Response
Brief Ans-Dull pain under right ribs.../ Under Evaluation

Hi Dear!! Thanks for your query to HCM.
Read and reviewed facts of your query in context of your health concerns.
My Impression-
Based on the facts of your query, you seem to have-
Post-Cholecystectomy Syndrome(PCS) with bile acid induced diarrhea.
Treatment-
Plenty of fluids to maintain fluid balance
Cholestyramine-bile acid sequestrants-which by binding bile acids, reduce the diarrhea from its bile acid extra loads to intestines.
Cap Imodium 2 times a day
Cap-B12 Vit-1000 mcg
Tab Folic Acid-50 mgm
This would reduce the IBS which is PCS manifestation.
Hope this would resolve your health issues and would help you to plan further treatment with doctors there.

Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful
General Surgeon Dr. Mukund Savaskar's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours, seem to suffer from-POst-Chole Syndrome (PCS)with acute anxiety from your hypochondriac attitude.
You seem to suffer with bile load induced IBS like complaints.
The relief in its IBS, is due to the central calming effects, as it controls the IBS due to parasympthetic hypertonia and accompanied dysbiosis of gut microbial flora
Do's Suggested-
So treat PCS-with Cholestyramine resins
Correcting IBS like complaints with needful IBS yoghurt,bland diet and needful medicines from Physician.
Rule out piles/ fissure in ano-as causes of IBS.Also rule out other causes for this IBS.


This plan would reduce your dilemma from frequency/Urgency and incontinence.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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What Is The Treatment For The IBS Started Since The Gall Bladder Removal Surgery?

Brief Ans-Dull pain under right ribs.../ Under Evaluation Hi Dear!! Thanks for your query to HCM. Read and reviewed facts of your query in context of your health concerns. My Impression- Based on the facts of your query, you seem to have- Post-Cholecystectomy Syndrome(PCS) with bile acid induced diarrhea. Treatment- Plenty of fluids to maintain fluid balance Cholestyramine-bile acid sequestrants-which by binding bile acids, reduce the diarrhea from its bile acid extra loads to intestines. Cap Imodium 2 times a day Cap-B12 Vit-1000 mcg Tab Folic Acid-50 mgm This would reduce the IBS which is PCS manifestation. Hope this would resolve your health issues and would help you to plan further treatment with doctors there. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS