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What Causes Diarrhea Post Gall Bladder Surgery?

Posted on Mon, 15 Dec 2014

Question: About 5 months after gallbladder removal I am having loose stools. They have been ongoing for about two weeks. I also have crohns disease. I had been on humira but have since switched to entivyo but my GI Dr said it takes 10 weeks to get full affect of entivyo and I'm at 7 weeks...I had blood work done in XXXXXXX and last week with all the crohns markers cbc, c diff, sed rate and liver functions and all is normal. Had stool sample and that was negative. Also had ct scan with and without contrast in July as well as an MR enterography and all that was normal. I have a second MR enterography scheduled for next week. ... I'm on prednisone because Dr believes my issues stem from being in a crohns flare. Prednisone has helped but still having loose stool and urge to go to bathroom particularly in the morning. Is this a crohns flare or post gallbladder issue? Since scans were good in July should I be concerned?

Answered by Dr. V. N. S. Parinam (1 hour later)

Brief Answer:
looks like a flare-up of Crohns

Detailed Answer:
Hi

It can be unusual to have loose stools 5 months post cholecystectomy. Typically the stools described bulky and floating in the pain after removal of bladder. You had no description of such type. You can test the stool for fat.

So of the two it looks like a chrons flare. However it is interesting to know the blood counts, ESR are normal. Prednisone can alter the blood counts.

My suggestion would be to continue the advise of the doctor, let the MR enterography reveal any other details. You may have to use adult diapers to handle accidents sometimes.

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj