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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Diarrhea After Gall Bladder Surgery During Pregnancy?

I had gallbladder surgery July 24, 2015. I am 29 weeks pregnant now. I have been in a lot of pain. It is now over 3 weeks. I am still having diarrhea. However, my main issue is that I can t stand or sit up right (without a back to chair) for more than 5 minutes without my stomach contracting and getting tight and the longer I stand the more pain I am in. The only thing to take away the pain is sitting or lying down. I don t know what to do about this and it is extremely frustrating because I can t do a lot because of it. Any advice or idea what could still be going on?
Fri, 5 Jul 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 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.

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

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Pain And Diarrhea After Gall Bladder Surgery During Pregnancy?

Hi, 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. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon