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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Upper Stomach After Gall Bladder Removal?

Hi, I m 59 yrs old,had my gall bladder removed about a yr and 1/2ago...I have taken heart burn Medes for over 20 yrs daily, the last few days I ve had pain in my upper stomach ,thought it might be gas...but the pain is getting worse and now I am vomiting ...my bowel movements have been very black in color ...which is not topical for me......I m scared after reading things on Internet......should I go to er....or wonder if it s gas....I have had bowel movements in the last few days....so I m confused......ty
Mon, 20 May 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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What Causes Pain In The Upper Stomach After Gall Bladder Removal?

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