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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 In Ribs And Tightness In Legs After Removing Gallbladder?

For over a week, I have been suffering from constant dull pain and off and on heavy pain in between my ribs. I also notice bloating and extreme tightness in my legs and feet. In December 2006 I gave birth to my second child without any complications. However 2 weeks after giving birth, I began to have pain in what feels like the same area, but the difference was that the symptom along with the pain was difficulty breathing. My doctor saw me in her office and sent me to have an ultrasound. Per my doctors request, the ultrasound technician contacted my Dr. before I left and said she saw what could possibly be a blood clot. Since I had recently given birth, I was sent straight to the hospital. After numerous tests I was admitted and surgery was schedule to remove my gall bladder as they said it was diseased / dead and not functioning. Knowing my history of no longer having a gall bladder but having this constant dull and off and on heavy pain, what do you think this could be? Thank you, Michelle
Thu, 7 Nov 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 the 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 Iven Romic Rommstein, General Surgeon
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What Causes Pain In Ribs And Tightness In Legs After Removing Gallbladder?

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 the 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 Iven Romic Rommstein, General Surgeon