So I'm not a doctor. My thoughts are based on my experiences. It sounds to me like it could be an overproduction of bile/too much bile in your system. I say that because you mentioned that you have the pains when you miss a meal and eating usually resolves the pain. Before getting my gallbladder removed I used to fast a lot and I was fine not eating for long periods. However, after, if I don't eat then the bile just seems to sit there in my system and I get sick. I typically experience nausea but also sometimes have stomach pains. This resolves when I eat. The food helps absorb the bile and push it through my system. Then you mentioned that sometimes, it doesn't resolve and you end up throwing up what looks to be bile. So that made me think that when too much has accrued that the food isn't working, that is when you end up vomiting.

Have you tried frequent, smaller meals throughout the day? Does that have an effect? Have you kept a food journal to see if it's related to when you eat specific stuff? My doctors told me I'd be able to eat 100% normally after and I wouldn't have to change my diet. I'm not sure why they tell people that because for most people I've talked to...that's not the case. I had to drastically cut down on the fats that I was eating.

Also, it hasn't even been a full year since your surgery. My surgeon originally told me that I would recover after two weeks. Later, I got the fully story...it takes about two full years for your body to adjust after having your gallbladder removed. The body also does some weird things during these two years. I had mine out in July 2020, and it took well over a year for me to not feel absolutely horrid every day. Each person's post-surgery experience is unique. Some people have a really easy time and some people, like me, struggle. So...give it some time.

This is super personal, but do you have loose stool at all? That can indicate bile issues after surgery. If you are actually having too much bile in your system and eating more frequently and diet changes do not help then you might want to see what your doctor thinks about prescribing a bile binder. I used one starting about 6 months after my removal until about a year after the removal. It helped my body adjust some and minimized side effects.

Feel free to ask me any questions. I hope you start feeling better soon.