Brief Answer: Have you been investigated for gall bladder stone? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this pain a few hours after meal. The information is very suggestive of a gallbladder related disease. This is because the gall bladder empties its content into the intestine to help with digestion especially of fatty acids approximately 2hours after eating when the food gets to the small intestines. This would be more severe with fatty meals than meals with low fat content. In this light, I will suggest that you get consulted by a gastroenterologist and get your gall bladder and its passages evaluated for possible disease. Depending on the initial findings, a treatment plan would be proposed to either further explore or address the identified problem directly. In all, I suspect a possible pathology with the gall blader and its passages. Get that evaluated by a gastroeneterologist. I hope this helps. I wish you well. Thanks for using our services and please feel free to ask for more information if need be. Dr. Ditah, MD.

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Brief Answer: Sorry for missing out on this vital past history! Detailed Answer: Hi and thanks for the follow up precision and reminder. Am sorry for missing out on the gall bladder removal aspect in your past history. With this out of the way, other possible causes of postprandial abdominal pains would be considered. At this point, I will like to consider the following. 1. Vascular disease of the abdominal blood vessels. After feeding, the metabolic needs of the intestines increase. In order to meet up with demands, there is an increase in blood supply, Should there be a narrowing of the supply vessels, the intestines would be forced to suffer and this is termed intestinal angina. Just like a patient with heart vessel disease would present with chest pain during physical exercise as the demands of the heart increases and cannot be met. This would be more likely if you have had any vascular diseases before. 2. With multiple abdominal surgeries, you may have developed adhesions bands which prevent smooth muscles from contracting and moving freely without pains. This generally leads to signs of difficulty to move food easily through the intestine. 3. I will still like the tract that empties bile into the intestines should be evaluated for free movement without any obstructions. This is because as food moves into the intestines from the stomach, there is an increased activity of the smooth muscles of this tract to increase bile flow which is needed for digestion. If there is any obstruction, the chances of having a serious pain each time this happens are higher. In all, it is a difficult presentation and only a systematical and logical reasoning approach can guide us toward getting answers. The main concern here is to get the cause and address so that you can get some real relief. Let's exercise some patience and get the process right. I hope this helps. Discuss these points with your treating physician and get them involved in exploring these options as possible causes. I wish you the best of health and hope to hear fro you as you get more information or request for more contribution towards this. Thanks. Dr. Ditah, MD.

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