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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Ribs After A Gall Surgery?

Hi,

I am 49 year old female. I had my gallbladder removed a year ago. About 2 months after that I started getting a pain in my back behind my rids about 2 inches to right of spine and about 2 inches down from shoulder blade.



It has me worried. It has gone on now for 9 months. It seems to be there when I am very active and also after I eat at times. Also If I am needing to have a bowel movement or get constipated it seems to be worse and is relieived after the bowel movement. Not always but enough to be noticed. As if there is pressure.



I also have scoliosis. My spine does curve to the right.



Today I have noticed the pain does seem to come around the ribs to the front a little. I can change position and feel some relief at times. Others times no.



It is worse when I move alot. My ribs are uneven from the scoliosis.



I am concerned it is liver related. Or something else. It was just a year ago I had many tests and ultrasounds to determine my gallbladder should come out.



Any ideas please. I have no medical insurance.
Mon, 10 Jul 2017
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General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.
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 this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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What Causes Pain In Ribs After A Gall Surgery?

Hi, I had gone through your question and understand your concerns. 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 this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.