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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pain, Vomiting, Diarrhea And Excessive Sweating After Gallbladder Surgery?

I had emergency gallbladder surgery two weeks ago (infected, many stones) and for the past hour have had severe upper abdominal pain, vomiting, loose stools and heavy sweating. The pain has been far worse than pre-surgery, and for the past few mins has subsided enough for me to write this, but now it s returning. I can t seem to get my breath, the pain is sharp and feels deep .
Tue, 12 Mar 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 Upper Abdominal Pain, Vomiting, Diarrhea And Excessive Sweating After Gallbladder Surgery?

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