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