Constant bloating post gallbladder removal

Posted by golfdope @golfdope, Mar 25 11:17am

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.?

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Is it bloating or distention? If your belly stays bloated or bigger all the time, it may be from surgical lesions.
I’ve had the same problem since colon surgery in 2021.

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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?

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@sb4ca

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?

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Thank you do much for your response i’ve had a number of blood tests all which don’t indicate any any problems, but I will specifically check on your suggestions this Thursday when I see my doctor, I am awaiting the results of the endoscopy-biopsies-have an experienced any diarrhea constipation or unintentional weight loss thank you for your suggestions especially the one on the bile acid. I hope that you’re feeling well and doing well.

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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.

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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
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@germangal

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.

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It’s my understanding that the blotting/ballon feeling after abdominal surgery is due to the gas (nitrogen???) that needs to be injected in the abdomen before the surgery.

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@stageivsurvivor

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

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Wonderful info.
Thank you and best to you.

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@stageivsurvivor

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

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Thank you so much for this explanation. It’s very helpful. Do you know if HCl supplements are warranted and or effective? Thank you again

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@cgper

It’s my understanding that the blotting/ballon feeling after abdominal surgery is due to the gas (nitrogen???) that needs to be injected in the abdomen before the surgery.

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Thank you for your responses I’ve told that however its now lasted for almost 4 months. That seems a bit too long.

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@golfdope

Thank you for your responses I’ve told that however its now lasted for almost 4 months. That seems a bit too long.

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You are right, four months seems too long. I don’t remember exactly how long it took in my case but I think it was several months.

In my husband’s case it took two to three months but six months later he got a frozen shoulder because the bubbles got to his joint. He got physical therapy and he dropped the sessions because he didn’t feel any improvement, then he was told about the bubbles traveling in the body. He started using his shoulder as much as possible and the problem was gone at about the year mark of his surgery.

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