Gall bladder surgery has become one of the most common
surgical procedures, but it isn't always medically necessary. While in
some cases, gall bladder surgery is necessary, too often, even surgeons
themselves will say that gall bladder surgeries happen more often than they
should due to a lack of understanding and the unfortunate financial realities
in our healthcare system.
And if you talk to people who've had their gall bladders removed,
you'll often find they still suffer from pain, gas, bloating, diarrhea and
other symptoms that they thought would be "cured" by gall bladder
surgery.
What To Expect After Gallbladder Removal
If you have had gallbladder
problems and need to have your gallbladder removed, there is a chance you
could experience uncomfortable symptoms from living without a gallbladder.
Living Without a Gallbladder
Obviously, when you’re living without
a gallbladder, it can no longer store bile, as designed. Bile is a
liquid that helps you digest fatty foods. The gallbladder releases it into your
small intestine. But, when you are not eating for a long period of time, such
as at night when you are sleeping, your gallbladder stores the bile.
However, when you remove the gallbladder, you remove the reservoir, so
even though you will have the same amount of bile in your body, you will not
have as much bile in your intestine after your gallbladder is gone. The
bile is constantly being delivered into your intestine instead of being stored,
this means that you will not digest food as well.
Digestion Changes After Gallbladder Removal
In the first few weeks after your surgery, your
doctor probably will recommend that you eat a mostly low-fat
diet while your body adjusts to living without a gallbladder. After that,
90 percent of people go back to eating the way they did before, the most common
symptoms is people have include:
·
Chronic
diarrhea. Some people who
did not previously have more than one bowel movement per day will find
themselves having more frequent bowel movements after gallbladder removal. These
can sometimes be loose and watery, and be accompanied by a sense of urgency.
Recent studies have found that men younger than age 50, especially if they are
obese, have the highest likelihood of long-term diarrhea after gallbladder
surgery, but a significant number of people without those risk factors may also
have diarrhea for months to years after surgery. Eating a low-fat
diet may help lessen symptoms, and treatments with medications which bind
the excess bile acids — which are thought to be the cause of this bothersome
symptom — often alleviate the problem.
·
·
Temporary
constipation. Some people
become constipated from the pain medications they take after gallbladder
surgery. Eating a diet that is rich in fiber — beans, bran, whole grains,
fruit, and vegetables — can help prevent and perhaps relieve constipation. Your
surgeon may prescribe a stool softener to help you.
·
·
Retained stone
in a bile duct. In some
cases, a gallstone will remain in your common bile duct after gallbladder
surgery. This can block the flow of bile into your small intestine and result
in pain, fever, nausea, vomiting, bloating, and jaundice soon after surgery.
You may need an additional procedure to remove gallstones that are retained in
your common bile duct.
Intestinal
injury. Although it is
rare, the instruments used during your gallbladder surgery could damage your
intestines. Your doctor will take measures to minimize the risk of this
complication during the surgery. If it occurs, you might experience abdominal
pain, nausea, vomiting, and fever. Any post-surgical symptoms like this require
immediate medical attention.
Managing Digestive Problems After Gallbladder Removal
The body has amazing abilities to heal itself but to
restore balance, some people need to take medications or make lifestyle changes
to help manage their symptoms.
Some of the lifestyle changes that can help ease
digestive symptoms when you’re living without a gallbladder are:
·
Adopt a healthy,
well-balanced diet (Including some fats)
·
Avoid eating large
meals of fatty foods, such as fried foods
·
Eat smaller, but more
frequent meals
·
Avoid eating a very
large dinner after fasting all day
Gallbladder surgery can cure gallstones and
help relieve pain, but this procedure is not without risks. In addition to the
more immediate post-surgical risks of bleeding, fever, and infection, having
digestive problems is a potential risk after gallbladder surgery.
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