Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Stomach Pain When Having History Of Gallbladder Removal?

I had my gallbladder removed two years ago. I had the same pain couple weeks later, got checked out and nothing was wrong. However just yesterday I feel something in my stomach isn t right. There is pain, that isn t going away. I thought it would go away but it still hasn t. Now I feel very dizzy and I have a really bad headache and stomach hurts. What is going on?
posted on Tue, 13 Sep 2016
Twitter Wed, 22 May 2019 Answered on
Twitter Mon, 27 May 2019 Last reviewed on
Report Abuse
General Surgeon,  's  Response
Hi,

As per your presentation, ultrasound abdomen is "normal", so stones in common bile duct has been ruled out and the tissue underlying incision maybe normal.

Scar tissue formation constricting small intestine is very unlikely in your scenario.

Gall bladder primary role is to store "bile".
When the gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion.

After the gall bladder is removed, bile is continuously being secreted in the small intestine and may reflux into the stomach. as a result, gastric inflammation may occur causing pain and discomfort.

Moreover, high-fat meal induces more bile synthesis - further affecting gastric mucosa.

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

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
What Causes Stomach Pain When Having History Of Gallbladder Removal?

Hi, As per your presentation, ultrasound abdomen is normal , so stones in common bile duct has been ruled out and the tissue underlying incision maybe normal. Scar tissue formation constricting small intestine is very unlikely in your scenario. Gall bladder primary role is to store bile . When the gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion. After the gall bladder is removed, bile is continuously being secreted in the small intestine and may reflux into the stomach. as a result, gastric inflammation may occur causing pain and discomfort. Moreover, high-fat meal induces more bile synthesis - further affecting gastric mucosa. 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 Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon