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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Hard Stools & Constipation Post Gall Bladder Removal

Hello my name is Bonnie I had gallbladder taken out 2 years ago due to bloating and nausea. I quit smoking about 1 year ago and have gain about 30 pounds since I have quit I have been sick with something also I have copd now my stomach stays bloated worse than what it did before surgey and my constipation is bad. The doctor also said I have adhesions really bad on my left side and I have to strain really hard to have a bowel movement is there anything that will help me .This also makes me really tired .I am also hypothyroid. Thank you
Wed, 25 Oct 2017
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General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.
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. Moving your body will keep your bowels moving, too. Second, you may at times need to try a laxative such as Fleet Phospho-Soda, Milk of Magnesia, or glycerin suppositories. If there wont be improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
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Suggest Remedy For Hard Stools & Constipation Post Gall Bladder Removal

Hi, I had gone through your question and understand your concerns. 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. Moving your body will keep your bowels moving, too. Second, you may at times need to try a laxative such as Fleet Phospho-Soda, Milk of Magnesia, or glycerin suppositories. If there wont be improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.