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That is interesting that you should mention bile flow and no gall bladder, @astaingegerdm. I had my gall bladder removed during one of my carcinoid cancer surgeries. I'm wondering if some of my digestive problems are related to bile flow problems. I suppose I really don't understand what roll the gall bladder (and lack of it) affects bile flow and the digestive process.
Replies to "That is interesting that you should mention bile flow and no gall bladder, @astaingegerdm. I had..."
Here is a list of post gallbladder removal problems:
*postcholecystectomy diarrhea
IBS; bile acid malabsorption; bile acid diarrhea
*Sphincter of Oddi Dysfunction
*Liver cirrhosis or fibrosis
Ongoing diarrhea following gallbladder removal may be helped by a class of medications known as bile acid-binding agents, or bile acid sequestrants. These medications include: Questran (cholestyramine); WelChol (colesevelam) and Colestid (colestipol). [meds may not treat IBS]. I am quoting from https://www.verywellhealth.com/digestive-problems-after-gallbladder-removal-1945193.
My husband takes colestipol as needed. He had his gallbladder removed years ago, but a GI PA recommended it several years ago when the diarrhea became persistent.
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@hopeful33250 - The gallbladder almost seems insignificant the way it connects to the common bile duct from the liver- but it can cause such misery! The bile from the liver is stored in the gallbladder so that when it’s needed it’s ready to go. It helps in fat digestion. The duct opens in the intestine at the same place where the pancreatic duct opens.
After my gallbladder surgery I developed “gravel” in the duct- not stones, but enough to block the opening and in doing so also blocking the pancreatic duct- giving me acute pancreatitis, then chronic.