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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tightness In Stomach Area After Removing Gall Bladder

Hi, i really hope you can help me!!!

i had my gallbladder removed in november 2010 after having pancreatitis caused by a gall stone in october 2010. after the operation i frequently felt a squeezing sensation/pain where gallbladder had been. after a few weeks this calmed down, however lately i have been feeling this again. the only way i can describe it is like someone is squeezing really tightly from inside. it only happens for about a second. prior to this i have a lot of gurgling and discomfort in tummy before it happens. the sensation can be graded for slight to strong! at its strongest it can make me lose my breath and force me forward. please what could this be??

has this even got anything to do with my gallbladder removal or is it something else? i have tried looking for answers on the internet but im not getting much luck
Wed, 2 Nov 2016
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General Surgeon 's  Response
Hello,
1) Gurgling and discomfort in tummy is due to indigestion and it has no any co-relation with gall bladder surgery.
2) Squeezing type of pain in gall bladder area after surgery indicate possibility of cholecystectomy syndrome. This is very rare complication for which cause is unknown and it causes severe pain in gall bladder area, nausea, indigestion
3) Episodes of pancreatitis from gall stone and then gall bladder removal, suggest possibility of minor episodes pancreatitis long-time after surgery.
4) If you had jaundice (elevated bilirubin level) at that time and ERCP was not done then it is possible to have small fragment of stone still impacted either in bile duct or at junction of pancreatic duct which disturb bile flow and cause pain when bile is released into intestine to digest food
5) For evaluation, you need USG abdomen, liver function test, CT scan or MRCP (if bilirubin level is high and USG abdomen shows large bile duct), ERCP (If CT scan or MRCP confirm presence of stone / stone fragment / obstruction in bile duct )
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Suggest Treatment For Tightness In Stomach Area After Removing Gall Bladder

Hello, 1) Gurgling and discomfort in tummy is due to indigestion and it has no any co-relation with gall bladder surgery. 2) Squeezing type of pain in gall bladder area after surgery indicate possibility of cholecystectomy syndrome. This is very rare complication for which cause is unknown and it causes severe pain in gall bladder area, nausea, indigestion 3) Episodes of pancreatitis from gall stone and then gall bladder removal, suggest possibility of minor episodes pancreatitis long-time after surgery. 4) If you had jaundice (elevated bilirubin level) at that time and ERCP was not done then it is possible to have small fragment of stone still impacted either in bile duct or at junction of pancreatic duct which disturb bile flow and cause pain when bile is released into intestine to digest food 5) For evaluation, you need USG abdomen, liver function test, CT scan or MRCP (if bilirubin level is high and USG abdomen shows large bile duct), ERCP (If CT scan or MRCP confirm presence of stone / stone fragment / obstruction in bile duct )