Post-cholecystectomy or gallbladder removal surgery

Posted by msb18 @msb18, Dec 11, 2018

Hi – I had my gallbladder removed 17 years ago and have chronic, sharp back pain behind the port incision. That incision was in my upper left abdominal quadrant; the pain is felt in my back, directly behind the incision. It is thought that I have an adhesion in my upper left quadrant. Is it possible that nerves are trapped and that it causes referred pain in my back? The pain is nauseating and hasn't improved. I have been on anti seizure medication and a pain killer that isn't a percocet-type medication. I am curious if anyone else has persistent pain in their back following gallbladder surgery. If so, how is your pain treated.

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Profile picture for marman101 @marman101

I had gall bladder removed in 2016. I was told diarrhea may happen but would get better in 2 - 2/12 months. It is now 2025 and the problem is getting worse. I eat and in about 30 mins it is going right through me. Does anyone have this problem and you had it corrected? HELP!!!!

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I had the same result. I cut out anything greasy, spicy. I had to limit coffee. One day I could tolerate it , the next day - very uncomortable I also ate pretty small portions of food. Look up for foods list NOT to consume, and what was OK. My doctor also perscribed some pills. I also drank 'pedialite' type drinks. Amazon sells them as powder to add to water. They aren't exactly cheap either.
For me, this went on for almost a year. Try removing one food at a time for a few days. My anxiety also effects bouts of diarrhea.

I also went for walks = helps aid digestion. Also helps pass gas. Anytime I had to 'fart' I was always worried if it would be just air, or with liguid.

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Profile picture for JerryP @jfperrone

I have read the comments from a number of others who had their gall bladder removed and I guess my experience so far is better than most. I had the op 10 days ago and because it must have been difficult they kept me in hosp 2 more days. Currently I have a drain sticking out of my stomach which I empty twice a day. (Very difficult to sleep with that thing sticking out of you.) I have a little soreness but no actual pain. I have zero appetite but manage to eat the minimum. I have been drinking a lot of water; eating jello, toast fruit and a little cheese. Still the problem continues. I was told to drink Propel water which has the electroiytes you mention. Any suggestions dietary or otherwise would be appreciated.

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That is not normal. You need to ask more questions. I had in and out surgery and I felt good until a few days later and the dam busted and been busted. I had the surgery in 2016. It has qotten worse. No long trips or eating out far from home. I get no answers. But, a tube in your body aaks for more detail.

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Profile picture for marman101 @marman101

I had gall bladder removed in 2016. I was told diarrhea may happen but would get better in 2 - 2/12 months. It is now 2025 and the problem is getting worse. I eat and in about 30 mins it is going right through me. Does anyone have this problem and you had it corrected? HELP!!!!

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Diarrhea is a common side effect after gallbladder removal surgery. It's caused by the release of bile directly into the intestines, which can act as a laxative.
Causes
Bile: Without the gallbladder to store bile, more bile enters the intestines, especially after eating
Fat: Eating large amounts of fat at once can cause diarrhea
Gut microbiota: The change in bile acids and intestinal microbes after surgery may contribute to diarrhea
Treatments
Anti-diarrheal medications: Loperamide (Imodium A-D) can help control diarrhea
Cholestyramine: A cholesterol medication that binds bile acids in the intestines
Diet: Eating smaller amounts of fat, increasing fiber, and eliminating caffeine, sweets, and dairy can help
When to seek medical care
You have signs of infection, such as fever, swelling, warmth, or redness
You have pain that doesn't improve with pain medication
You're unable to pass stools or gas
You have persistent symptoms that last more than 30 days
Digestive side effects typically resolve within one to four weeks after surgery.

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Profile picture for marman101 @marman101

That is not normal. You need to ask more questions. I had in and out surgery and I felt good until a few days later and the dam busted and been busted. I had the surgery in 2016. It has qotten worse. No long trips or eating out far from home. I get no answers. But, a tube in your body aaks for more detail.

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I had mine out a few years ago 2014. No more greasy steaks or hamburgers. You really have to be careful with your diet. Cheese has a bit of grease/fat in it. Homemade Mac & cheese will make it happen too. Good luck 👍

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Profile picture for JerryP @jfperrone

After a very painful event I had surgery to remove my gall bladder. Surgery took 2.5 hours. Follow up seems ok except I have uncontrolled diarrhea. I am living on imodium . I am weak as a baby with no aid in sight. The doctors offer no real help except telling me what to eat or not. Any similiar experience or advice.

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It's possible that you caught "C-diff" in the hospital. Get it checked out.

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Profile picture for JerryP @jfperrone

After a very painful event I had surgery to remove my gall bladder. Surgery took 2.5 hours. Follow up seems ok except I have uncontrolled diarrhea. I am living on imodium . I am weak as a baby with no aid in sight. The doctors offer no real help except telling me what to eat or not. Any similiar experience or advice.

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@jfperrone That sounds dreadful.

My sister had hers out some years ago. No problems. One of her daughters had hers out recently on an emergency basis. No problems. I had mine out as part of cytoreductive surgery with HIPEC as part of my treatment for stage 4 appendix cancer. No problems.

It sure sounds like something else may be going on here.

I saw the possibility of c-diff mentioned. That’s the sort of thing you may need to look into. I didn’t get it but I have been shocked how many people do get c-diff in hospital as a result of surgery.
https://www.mayoclinic.org/diseases-conditions/c-difficile/symptoms-causes/syc-20351691

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Profile picture for donnabe @donnabe

@mef51, thank you for the feedback! Sometimes medication with diet works for me most often not..fats seem to be the problem. Cholestyramine and multiple immodiun don’t help if I have eaten something to cause the FLUSH. I was hoping to be able to treat/cure/heal the cause instead of treating the symptoms (one can hope). Might need to try colestipol. So glad that you found a protocol that is working for you and that you are willing to share with others!!

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Have you tried a low fat diet ? Fat digestion begins in the gall bladder, so if you avoid fatty foods and fat, you will have less diarrhea. We are too quick to do surgery in the USA. My cousin had appendicitis in Japan. He was given a course of antibiotics and decades later, still has his appendix. Go figure.

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This is sort of a last ditch effort to find some idea about what has been plaguing me for years. I had my gallbladder removed after a series of attacks in 2016. I did not have any stones, but my HIDA showed 6% EF and after removal, they said I had a very narrow sphincter.

Since then, I have been to the ER several times for debilitating severe upper abdominal pain. I mean SEVERE. I have a high pain tolerance, and did not experience this level of pain with child birth. Each time they do bloodwork and X-rays, but tell me they cannot find anything wrong. I started noticing that the attacks came on after eating a particularly rich or fatty meal with wine. I got better at avoiding the attacks after awhile.

A few years later, I was having severe GI issues. Pain, extreme bloating (looks 9 months pregnant after eating), severe diarrhea, and daily crippling nausea. This lasted for months. I have struggled with nausea most of my life, but this was impacting my quality of life. They did an ultrasound, emptying scan, and upper and lower GI. They essentially found nothing wrong and said the nausea might be "in my head". I kind of gave up on GI drs after that. I did go GF because that seemed to help some.

Fast forward to 2023. I went to the ER with some abdominal pain and it turned out I had a ruptured diverticula and had most of my colon removed.

I recently started zepbound, and had food/wine in an amount that would not have normally caused one of these attacks, but it caused one of the worst ones yet. They last anywhere from 30 min to 2 hours usually. I cannot express enough how severe the pain is. I didn't go to ER because it is the same thing every time.

If you read this far, thank you. I feel like I am losing my mind. I still live with daily GI issues such as pain and nausea, but I have learned to cope. I wish I knew of at least a direction to point a new doctor in, but I have zero idea what this could be. It is like a gallbladder attack on steroids, but I don't have a gallbladder or appendix anymore. PLEASE HELP!

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Profile picture for taylor2 @taylor2

This is sort of a last ditch effort to find some idea about what has been plaguing me for years. I had my gallbladder removed after a series of attacks in 2016. I did not have any stones, but my HIDA showed 6% EF and after removal, they said I had a very narrow sphincter.

Since then, I have been to the ER several times for debilitating severe upper abdominal pain. I mean SEVERE. I have a high pain tolerance, and did not experience this level of pain with child birth. Each time they do bloodwork and X-rays, but tell me they cannot find anything wrong. I started noticing that the attacks came on after eating a particularly rich or fatty meal with wine. I got better at avoiding the attacks after awhile.

A few years later, I was having severe GI issues. Pain, extreme bloating (looks 9 months pregnant after eating), severe diarrhea, and daily crippling nausea. This lasted for months. I have struggled with nausea most of my life, but this was impacting my quality of life. They did an ultrasound, emptying scan, and upper and lower GI. They essentially found nothing wrong and said the nausea might be "in my head". I kind of gave up on GI drs after that. I did go GF because that seemed to help some.

Fast forward to 2023. I went to the ER with some abdominal pain and it turned out I had a ruptured diverticula and had most of my colon removed.

I recently started zepbound, and had food/wine in an amount that would not have normally caused one of these attacks, but it caused one of the worst ones yet. They last anywhere from 30 min to 2 hours usually. I cannot express enough how severe the pain is. I didn't go to ER because it is the same thing every time.

If you read this far, thank you. I feel like I am losing my mind. I still live with daily GI issues such as pain and nausea, but I have learned to cope. I wish I knew of at least a direction to point a new doctor in, but I have zero idea what this could be. It is like a gallbladder attack on steroids, but I don't have a gallbladder or appendix anymore. PLEASE HELP!

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I had my gallbladder removed in Feb 2019. No stones or sludge either. However my HIDA scan replicated my symptoms. I had what the general surgeon said they've been seeing more of and that is a "high functioning" gallbladder causing just as much pain and issues as a low functioning. I went ahead and had it removed. It took several months just like you to find a "new normal." It seemed I trucked along in my new normal for a few years and then in 2022, I began having severe GI issues. Labs revealed H. Pylori. Fast forward, I've seen 2 GI's, had every test known to man, been treated twice for H. Pylori and even did 2 weeks on an antibiotic for SIBO as this most recent GI's ditch effort to treat my phantom illness. I've been told it's in my head as well. By 2 different docs. I don't know how long I can go on trying to function like a regular human feeling like I do. I have tried everything you can imagine from cutting certain foods out, intermittent fasting, cutting out alcohol, you name it. There is no pattern. I'm miserable. It seems there's a space for people like you and I and the medical world doesn't recognize it. I am running out of options here. So sorry for your suffering. Know you're not alone.

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Profile picture for epennington @epennington

I had my gallbladder removed in Feb 2019. No stones or sludge either. However my HIDA scan replicated my symptoms. I had what the general surgeon said they've been seeing more of and that is a "high functioning" gallbladder causing just as much pain and issues as a low functioning. I went ahead and had it removed. It took several months just like you to find a "new normal." It seemed I trucked along in my new normal for a few years and then in 2022, I began having severe GI issues. Labs revealed H. Pylori. Fast forward, I've seen 2 GI's, had every test known to man, been treated twice for H. Pylori and even did 2 weeks on an antibiotic for SIBO as this most recent GI's ditch effort to treat my phantom illness. I've been told it's in my head as well. By 2 different docs. I don't know how long I can go on trying to function like a regular human feeling like I do. I have tried everything you can imagine from cutting certain foods out, intermittent fasting, cutting out alcohol, you name it. There is no pattern. I'm miserable. It seems there's a space for people like you and I and the medical world doesn't recognize it. I am running out of options here. So sorry for your suffering. Know you're not alone.

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Thank you so so much for your reply! I am sorry to hear that you are also suffering. It does help a little knowing we are not alone. They tested me for H. Pylori and SIBO.... both negative. That is very interesting about the high functioning gallbladder. I am really starting to suspect something autoimmune. Have you ever looked into this aspect? The drs and surgeons were shocked that my colon ruptured in my early 30's with no previous history of diverticulitis. I had a colonoscopy three years prior that showed diverticulosis, but it was unremarkable. I have had GI issues my whole life, and they seem to just be getting worse. I feel like my body must be attacking itself, but no autoimmune that I know of fits.

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