Post-cholecystectomy or gallbladder removal surgery

Wow what was the diagnosis for the Readmission? Was it Peritonitis? Did you have to have an exploratory Lap? You mentioned internal bleeding? Did they find where that was coming from? Was it corrected? Did you ask for details after the Readmission? You didn’t give details. All said, in your case since your gallbladder was removed and now your stable(?), bleeding resolved, blockage resolved etc you would think the Alk Phos would steadily decrease. There may be another stone that was missed in a bile duct causing blockage from your liver?? Watch for signs and symptoms of infection. Hope you don’t have to have a third hospitalization! Lots of reasons to stay high and not go down. You may have to get an abdominal CT and more labs. The Alk phos should trend down if the causative reason was a blockage(may take a while),and if your other problems during the surgery were corrected surgically etc and there is no infection and your liver is healthy and it’s ducts are able to drain into the duct to the small intestine it would be reasonable to think your Alk Phos would gradually come down, but you need to keep a keen eye on it. If Continued abdominal pain, nausea, vomiting or you develope jaundice or fever you really need to revisit your surgeon asap and he/she should treat you accordingly.. You have been through a lot. Glad your PCP is aware of this also. Ask questions, be educated on what was done to you and the causes and treatment. Your issues may resolve with time but listen to your body; you are your best advocate.

Hello. I had gallbladder removal surgery over two weeks ago. At day 5, I ended up in the hospital with severe pain, internal bleeding, high bilirubin, high liver enzymes, high heart enzymes, and decreased Hemoglobin and RBC. I stayed 3 days. A recheck of my chem panel today shows my Alk Phos still at 462, but other tests were normal. (A CBC was not run). I have pain in my side from my back to under my ribs and get short of breath. I am tired. I am better than before I was hospitalized. I cannot find any information on a case such as this. Most studies say Alk Phos is unchanged or improves with 72 hours. My results were high longer than this. Has anyone else experienced this? Did you have to see a specialist? My surgeon released me without running the labs as the hospital ordered so I had my PCP order them. Thanks!

Constant bloating post gallbladder removal.Had my gallbladder removed in December 2023 and have experienced constant bloating since. I have had a CAT scan and ultrasound and endoscopy done all of which turned up negative. I have taken Omeprazole simethicone famotidine.None of them have had any positive impact. thoughts.?

Constant bloating post gallbladder removal.Had my gallbladder removed in December 2023 and have experienced constant bloating since. I have had a CAT scan and ultrasound and endoscopy done all of which turned up negative. I have taken Omeprazole simethicone famotidine.None of them have had any positive impact. thoughts.?

I'm really sorry you're suffering like this. Your post caught my eye because I continued to have some symptoms after mine was removed too. Has anyone tested your bile acid level? Or your pancreatic enzyme levels? I have high bile acid and that can play into malabsorption and cause similar symptoms. I just found out my pancreas has been damaged so I likely have enzyme deficiency too. Have you had any diarrhea or constipation, lost weight etc?

Constant bloating post gallbladder removal.Had my gallbladder removed in December 2023 and have experienced constant bloating since. I have had a CAT scan and ultrasound and endoscopy done all of which turned up negative. I have taken Omeprazole simethicone famotidine.None of them have had any positive impact. thoughts.?

Constant bloating post gallbladder removal.Had my gallbladder removed in December 2023 and have experienced constant bloating since. I have had a CAT scan and ultrasound and endoscopy done all of which turned up negative. I have taken Omeprazole simethicone famotidine.None of them have had any positive impact. thoughts.?

I regret I ever had it removed 5 years later. I recall the bloating and it did diminish. It felt like there was a balloon there. I finally decided it was from the shifting of my insides and even swelling from surgery. My continued issue is more acid and bile backing up in my stomach then up my throat. So painful. Bending, slouching and sleeping is tough. I have to sleep in an elevated position and take prescribed meds to try to keep comfortable. Can't undo it now.

When the gall bladder and cystic duct are removed, bile produced in the liver flows directly to the intestine. The amount of bile which serves to emulsify dietary fats is no longer present in amounts to digest more than a low-fat diet. The gall bladder serves as a storage reservoir to supply additional bile in times when dietary fat exceeds the constant output of bile from the liver.

Unless you modified your diet to non-fat/low fat so the proportion of dietary fat to available bile salts is in equilibrium or there is an excess of bile to fat, some will not be emulsified resulting in digestive issues such as malabsorption of fat-soluble vitamins and formation of gas in the bowel. Fats easier to digest are MCT oil, avocado and Ghee and Palm oils. Fatty meals and butter will cause issues without a gall bladder. Ox bile is one medication that can be used-supplemental digestive enzymes known as pancrealipase or pancreatin with a high lipase content help to digest fats. The Rx brands tend to be expensive depending on one’s Rx prescription benefits plan.An alternate source of pancrealipase are OTC brands that can be 75% cheaper.

A Registered Dietitian is a good source for reviewing your dietary habits and making suggestions on the use of easier to digest oils and supplemental medications. If you consume high fiber vegetables, they are difficult to digest in healthy persons and cause gas and bloating. They contain oligosaccharides that requires the enzyme alpha-d-galactosidase to digest without forming gas. The human pancreas does not produce alpha-d-galactoside. So if you want to eat high-fiber vegetables and legumes such as peas, corn, broccoli, cauliflower, cabbage, Brussels sprouts, most varieties of beans, taking the OTC product Beano will break down these complex carbohydrate vegetables without gas being formed.
https://flatulencecures.com/vegetables-that-cause-gas/
https://www.beanogas.com