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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain And Excessive Vomiting After Gallbladder Removal?

Hi..I have been having stomach issues, with vomiting, sweats, severe abdominal pains (in the middle and right side of my stomach) for over a year and a half. I have been admitted to ER over 6 times and drs are unable to verify what I have. I have been going to a gastro dr, but she too is unable to verify my illness. I recently had my gallbladder removed and symptoms came back 6weeks after surgery, no warning.. it started off with the vomiting for about 2-4 hrs per episode, then threw time it has escalated to 10-12 hrs, to consecutive days per episode. Episodes happens with or without food on my stomach at any given times.. I recently saw an article of Olympic Skater Alexa Scimeca Knierim having the exact issues as me that took surgery to correct, but she never mentions what she was diagnosed with.. I m just looking for any way I can maybe guide my doctor in the right direction to find out my illness. Please help, I can t bare to much more of this pain and not even know what it is.. Thanks
Thu, 30 May 2019
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General Surgeon 's  Response
Hi,

This looks to me like so-called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 per cent 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.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Abdominal Pain And Excessive Vomiting After Gallbladder Removal?

Hi, This looks to me like so-called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 per cent 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. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon