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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Coughing Particularly After Eating Starchy Foods Inspite Of My Removed Gall Bladder

I am an ex smoker and had gall bladder removed six months ago. I find I am coughing particularly after eating starchy foods and and at times am coughing up blood. I am 73. I also have had neuropathy symptoms in arms and hands for the last year and am wobbly on my feet.
Mon, 19 Aug 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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Suggest Treatment For Coughing Particularly After Eating Starchy Foods Inspite Of My Removed Gall Bladder

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