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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 Tenderness In The Stomach Post Removal Of Gall Bladder?

Hi i am a 61 year old female, I had my gall bladder removed about 14 years ago, and I have had alot of problems since. 2 years ago I went for a choloscopy bcause of continuas diorea, which got so bad I was frightened to go out. This test was normal so I decided to go for a food intolerance test which showed up that I was yeast and lactose intolerant. Since cutting out dairy and yeast I am alot better but still have flare ups for no apparent reason. My lower right stomach below tummy button is quite tender and my stools are always a mustard colour and very loose. I am other wise in very good health and people say I look much younger than my years. I recently had a blood test for cholostral and it showed liver function was impaired, but a month later I had more tests LFT Thyroid and Hepetitas and all came back normal. Could you please advise me thanks Sandra.
Thu, 23 Mar 2017
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Gastroenterologist 's  Response
hi.
thanks for posting query at HCM.
read your question thoroughly and understood your concern.

gall bladder primary role is to store "bile".
when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion.

after gall bladder is removed, bile is continuously being secreted in small intestine and may reflux into stomach. as a result, gastric inflammation may occur causing pain and discomfort.

moreover, high fat meal induces more bile synthesis - further affecting gastric mucosa as well as bile is less concentrated and drains more continuously into the intestines, where it can have a "laxative effect" and some patients may develop diarrhea.

advise:
NO fat intake or decreased fat intake
few weeks trial of OTC proton pump inhibitor (omeprazole/pantoprazole)to combat gastritis ( after discussing with treating physician)
mebeverine maybe used for cramping pain
small meals
Add soluble fiber, such as oats and barley, to your diet. But be sure to increase the amount of fiber slowly,
avoid dairy products and caffeine

post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain.

advice:
- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct
- also get a complete blood cell count(CBC) test
- avoid eating stomach full and mouth full
- avoid spicy food
- add plain yogurt ( Yogurt contains bacterial lactase, so you can tolerate it)
hope to answer your concern
wish you good and sound health.

regards
Dr Tayyab Malik
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What Causes Tenderness In The Stomach Post Removal Of Gall Bladder?

hi. thanks for posting query at HCM. read your question thoroughly and understood your concern. gall bladder primary role is to store bile . when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion. after gall bladder is removed, bile is continuously being secreted in small intestine and may reflux into stomach. as a result, gastric inflammation may occur causing pain and discomfort. moreover, high fat meal induces more bile synthesis - further affecting gastric mucosa as well as bile is less concentrated and drains more continuously into the intestines, where it can have a laxative effect and some patients may develop diarrhea. advise: NO fat intake or decreased fat intake few weeks trial of OTC proton pump inhibitor (omeprazole/pantoprazole)to combat gastritis ( after discussing with treating physician) mebeverine maybe used for cramping pain small meals Add soluble fiber, such as oats and barley, to your diet. But be sure to increase the amount of fiber slowly, avoid dairy products and caffeine post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain. advice: - get an ultrasound (abdomen) to rule out any stone remnants in common bile duct - also get a complete blood cell count(CBC) test - avoid eating stomach full and mouth full - avoid spicy food - add plain yogurt ( Yogurt contains bacterial lactase, so you can tolerate it) hope to answer your concern wish you good and sound health. regards Dr Tayyab Malik