Diarrhea after eating, abdominal pain.

Posted by katieb @katieb, Jul 16, 2011

Recently I have been getting diarrhea about 15 minutes to an hour after eating. Accompanying this is severe stomach cramps and pain. After a trip to the doctor, they decided that it was my gallbladder causing the symptom. In November, I had my gallbladder removed because it was full of stones and sludge. It has now been 8 months and the symptoms have not went away or decreased. Last week, I had a colonoscopy and an endoscopy. Biopsies were done on my large intestine and stomach. All results came back negative. I do not want to live the rest of my life with these symptoms. Any suggestions?

Liked by Anonymous, elle1233

I have occurred the same problem I'm 32 years old had my gallbladder removed 2 years ago and it seems like almost instantly after I eat within about 5 to 15 minutes I'm on the toilet explosive diarrhea positive for blood in the stool culture I have seen red blood I also have dark stool I had a colonoscopy all that came back from that was chronic inflammation I go Monday for an upper GI most of my pain is right below my breasts in above my belly button I feel full very quickly I don't have any auto immune deficiencies only thing I've ever been diagnosed with is fibromyalgia and a rare blood disorder called Factor V pai-1 mutation my blood naturally over clots I too like you have been seeking out answers for quite a while my gallbladder didn't have any sludge or gallstones it was swelled up with chronic inflammation working at 21% went from 71% the year before I've had where my liver enzymes have elevated my D-dimer has been high and I can't understand why I'm going through all of this no heartburn extremely fatigued all the time I only weigh about 104 lb fluctuating between 107 and 104 I've always been small but I know that my body is not getting any nutritions due to the fact that it's passing so quickly

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Speak to dr about taking colestopol

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Argh…I am no longer shocked by the horror stories I read on a daily basis in patient forums. (many not just here). This could be so many things, but just a couple of themes. 1. no, this is not 'normal' and you shouldn't have to live like this 2. In my humble (or not, lol) opinion, the GI medical world still has a LONG way to go as far as understanding most GI disorders. Unless you have one of the few 'classic' defined disorders with a name, you are out of luck. i.e, they do tests/biopsies for h.pylori, in the stomach and small intestine, Celiac disease in the sm intestine, for example. Maybe a few more depending on what they are thinking, but if you aren't positive for these, then you are 'negative', i.e. assume nothing is wrong. However, there are very few things that can be diagnosed with colonoscopies and endoscopies (and it also depends on what they do during the tests AND who does them and read the reports. So, that hardly means nothing is wrong.

3. Get copies of all of your tests. The full reports, not any abbreviated thing from your doctor. i.e. I had a colonoscopy, during which they went up and did a biopsy of small intestine, I had inflammation of the villi and leukocytosis, (increased white blood cells), i.e something is wrong. However, the report said "this is commonly seen with Celiac disease, and since I don't have that, the doctor never even mentioned it to me!!). My small intestine is reacting to something, they just don't know what (that was years ago, and things have gone downhill, but had I known that, or someone cared to investigate,I'd be further ahead today). If it's not a disease with a name, i.e. something they know what to do something about, it's 'normal'. Again, your reports but be normal b/c the problem may not be something that is visible during a scope, or one of the few things biopsied for. You are going to become a detective..odds are high that you are going to have to figure out your problem yourself (or be the one who initiates any help in figuring it out). So, get all your info together, and get ready to learn all you can about the GI system. Thank goodness for the internet (be wary of any doctor who tells you to 'stay off of the internet'. They say this because they think people are idiots and can't differentiate between reliable and non-reliable information. Most of us can, and you get better the more you learn. Knowledge is power.

4. I say 'horror story' here, b/c I can't believe they took out your gallbladder based on those symptoms!! Those aren't GB symptoms at all, so it is no shock they are still there! The fact that your Gallbladder was sludgy was probably incidental. Geez, I think they just do that surgery b/c it is easy. Did you have any other testing before they decided to to that? I wouldn't go back to that doctor.

5. I know I may sound a little harsh, and negative about the Docs, lol; but this comes from 11 years of experience, and I could have saved myself a lot of time and suffering if I took my current approach. Which is, if a doctor tells me nothing is wrong, doesn't seem interested in figuring out what is wrong, tells me to live with it, see a psychiatrist, or reduce my stress, I'm done with them. They aren't ever going to change, and you will waste precious years.

6. That said, do you have a good GI doctor now, or best you can find? Don't be afraid to go to a different doctor. I went to Mayo for testing recently, and I have a nurse practitioner who writes whatever prescriptions I ask him for. Together we are following a treatment protocol I got from another major center. Most important is someone who will work with you, and that is hard to find now, but keep looking. It may be a case of trying different things to see how they affect you, so you need someone you can communicate with.

7. Before taking any medication or treatment suggestions, you need to find out what the problem is, i.e what is causing you to have this diarrhea. Motility studies might be indicated, but with this diarrhea after eating, this sounds awful infection like. Did they test you for c. diff or any of the common stomach bugs? Also, in my opinion, I think SIBO is a greatly under diagnosed problem, (small intestinal bacterial overgrowth). Be careful here, b/c there is a LOT of bad information out there about this! What happens is bacteria that aren't supposed to be in your small intestine take up residence there and wreak havoc. Often causing diarrhea, but sometimes constipation, BUT symptoms always occur after eating. When your 'food' gets to the bacteria and they start feeding on it. !5 minutes is pretty quick, so makes me wonder if you don't have something in your stomach.

8. Good luck, and I'm so sorry you went through an unnecessary surgery. Always ask questions.If a doctor is annoyed by too many questions, fire him. 🙂 . This is your body, your life. And you don't have to suffer because it inconveniences someone who isn't interested in helping. Don't waste time. Move on to someone who is. It sounds, since you are asking here, that your current doctor isn't offering you any thing. Continue to ask and explore, but you will need a doctor, so that should be your first step.

9. I'm assuming you've tried the obvious things, like going lactose free?, etc. watching for dietary triggers?

Liked by TERESA LOGAN

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@rodgers87

I have occurred the same problem I'm 32 years old had my gallbladder removed 2 years ago and it seems like almost instantly after I eat within about 5 to 15 minutes I'm on the toilet explosive diarrhea positive for blood in the stool culture I have seen red blood I also have dark stool I had a colonoscopy all that came back from that was chronic inflammation I go Monday for an upper GI most of my pain is right below my breasts in above my belly button I feel full very quickly I don't have any auto immune deficiencies only thing I've ever been diagnosed with is fibromyalgia and a rare blood disorder called Factor V pai-1 mutation my blood naturally over clots I too like you have been seeking out answers for quite a while my gallbladder didn't have any sludge or gallstones it was swelled up with chronic inflammation working at 21% went from 71% the year before I've had where my liver enzymes have elevated my D-dimer has been high and I can't understand why I'm going through all of this no heartburn extremely fatigued all the time I only weigh about 104 lb fluctuating between 107 and 104 I've always been small but I know that my body is not getting any nutritions due to the fact that it's passing so quickly

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Geez, re you seeing a GI doctor? I've always been told that bloody diarrhea is the hallmark of Chron's disease.. did they mention that? Or have they ruled it out because you didn't have the auto-immune markers?

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@rodgers87

I have occurred the same problem I'm 32 years old had my gallbladder removed 2 years ago and it seems like almost instantly after I eat within about 5 to 15 minutes I'm on the toilet explosive diarrhea positive for blood in the stool culture I have seen red blood I also have dark stool I had a colonoscopy all that came back from that was chronic inflammation I go Monday for an upper GI most of my pain is right below my breasts in above my belly button I feel full very quickly I don't have any auto immune deficiencies only thing I've ever been diagnosed with is fibromyalgia and a rare blood disorder called Factor V pai-1 mutation my blood naturally over clots I too like you have been seeking out answers for quite a while my gallbladder didn't have any sludge or gallstones it was swelled up with chronic inflammation working at 21% went from 71% the year before I've had where my liver enzymes have elevated my D-dimer has been high and I can't understand why I'm going through all of this no heartburn extremely fatigued all the time I only weigh about 104 lb fluctuating between 107 and 104 I've always been small but I know that my body is not getting any nutritions due to the fact that it's passing so quickly

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@rodgers87 The inflammation could cause your symptoms.. but so could other things. It does not happen to everyone that has had their gallbladder removed, but diarrhea happened to me after gallbladder removal. I tried many different probiotics and then my husband's cousin said the only one that worked for him was Align. I tried it and it has worked well for me in keeping the diarrhea under control… just ever once in a while a dump day. You have to watch your diet too… avoid greasy food especially. Keep a food diary to help you discover which foods might trigger the diarrhea. Each person is different and can tolerate different foods.

Liked by elle1233

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p.s. There is a C. Diff thread on here that is pretty popular, you might want to go over there and ask some of those folks about their symptoms, etc. 🙂

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@fourof5zs

@rodgers87 The inflammation could cause your symptoms.. but so could other things. It does not happen to everyone that has had their gallbladder removed, but diarrhea happened to me after gallbladder removal. I tried many different probiotics and then my husband's cousin said the only one that worked for him was Align. I tried it and it has worked well for me in keeping the diarrhea under control… just ever once in a while a dump day. You have to watch your diet too… avoid greasy food especially. Keep a food diary to help you discover which foods might trigger the diarrhea. Each person is different and can tolerate different foods.

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That's great advice, Zaroga, and hi! But, she was having these symptoms BEFORE she had her gallbladder removed, so it seems to me that something else was going on before the surgery, since those aren't typical GB symptoms.

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@elle1233

That's great advice, Zaroga, and hi! But, she was having these symptoms BEFORE she had her gallbladder removed, so it seems to me that something else was going on before the surgery, since those aren't typical GB symptoms.

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@elle1233 Yes, I did read she had symptoms pre-gall bladder removal. The inflammation she has can cause those symptoms and the gallbladder removal can make them worse. Many other gi problems or combination of them can have same symptoms. More testing made be needed to figure it all out. Sometimes even changing doctors may be needed. Some are better at diagnosing than others.

Liked by elle1233

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@fourof5zs

@elle1233 Yes, I did read she had symptoms pre-gall bladder removal. The inflammation she has can cause those symptoms and the gallbladder removal can make them worse. Many other gi problems or combination of them can have same symptoms. More testing made be needed to figure it all out. Sometimes even changing doctors may be needed. Some are better at diagnosing than others.

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Oh, okay, wasn't sure if you noticed that. And yes, if you aren't getting anywhere with a Dr., I think it's wise to change. Someone else might pick up on something, but whatever the case, you aren't helping yourself by staying with someone who isn't helping. Something is causing the inflammation, and that's what needs to be explored.

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@elle1233

Oh, okay, wasn't sure if you noticed that. And yes, if you aren't getting anywhere with a Dr., I think it's wise to change. Someone else might pick up on something, but whatever the case, you aren't helping yourself by staying with someone who isn't helping. Something is causing the inflammation, and that's what needs to be explored.

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@elle1233 @rodgers87 @fourof5zs
I agree with everything- seems like a parallel to my journey. I have also “wasted” many years to confirm what I had.
@rodgers87 it definitely sounds as if you have a chronic gastrointestinal inflammation- unnamed so far.
I agree that you have to get copies of all tests and procedures done and proceed to make an appointment with a university medical center or Mayo. I did that, being seen at Mayo several times with repeat imaging, labs and endoscopy and colonoscopies as my symptoms waxed and waned. The problem comes when they know something is wrong but can’t name it with evidence based medicine. The only thing that actually made a difference was prednisone and budesonide to a lesser extent. In my opinion, this meant I had a chronic inflammation. Symptoms would go away while I was on it, I would feel “normal” and lose weight! Usually the opposite with steroids.
It took a long time before one could get a name for my illness- due to more recent research. I chose to go on immunosuppressive medication for several months- and it was gone! It was rough and risky- had many infections.
Just keep going now because the body gets weaker the longer you live with this chronic inflammation. Good luck!

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I had my upper gi checked and they found I have a small hiatal hernia pinhole hemorrhages and gastritis stating chronic inflammation biopsies were to look waiting on the biopsies to process

Screenshot_20191023-131710

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@rodgers87

I had my upper gi checked and they found I have a small hiatal hernia pinhole hemorrhages and gastritis stating chronic inflammation biopsies were to look waiting on the biopsies to process

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@rodgers87
Did they give you something for the gastritis and inflammation? A small hernia usually doesn't cause problems. The hemorrhages are probably from the inflammation and go away once the gastritis and inflammation is treated. I hope you feel better soon.

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@fourof5zs

@rodgers87
Did they give you something for the gastritis and inflammation? A small hernia usually doesn't cause problems. The hemorrhages are probably from the inflammation and go away once the gastritis and inflammation is treated. I hope you feel better soon.

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Nothing for it I can't take NSAIDs they said it would make it worse

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@rodgers87

Nothing for it I can't take NSAIDs they said it would make it worse

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@rodgers87
Of course no NSAID . I thought maybe they prescribed Carafate. Although used for ulcer treatments mostly it is sometimes used to treat gastritis inflammation. With me it works best in liquid form.. it also comes in a tablet you dissolve in water. Quite often they have you take antacids.. Tums, Mylanta .. or maybe something like Pepcid or Zantac (they have had a recall on some Zantac) or proton inhibitor like Nexium. If you already taking them they may increase dosage. Pepcid used to help me. Now I use Mylanta if my stomach feels irritated. Of course all these can cause diarrhea in high doses or when combined with other meds. Probiotics can really help your overall gastric health. Look up probiotic foods if you had rather try that approach than a pill. I am just not too fond of the foods that are high in probiotics. I hope you heal.

ZeeGee

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@rodgers87

I had my upper gi checked and they found I have a small hiatal hernia pinhole hemorrhages and gastritis stating chronic inflammation biopsies were to look waiting on the biopsies to process

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@rodgers87 – thanks for adding the pictures- they say everything- angry looking stomach. I guess you will get a management plan as soon as the biopsy results are back. I am sure there are many ways to treat you. I have been at this stage too. Please let us know when the results are in, if you don’t mind.

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