Discussions By Condition: I cannot get a diagnosis.

can't see GI until March - HELP!

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: kimmer
  • November 28, 2008
  • 07:50 PM

Had cholecystectomy in Nov. 2007 & have not been the same since.August of 2008 presented with severe stomach pain on the right side of the abdomen that radiated to my back. Checked for appendicitis not appendics. Barium swallow presented acid reflux. Am now on Pariet BUT:


get nauseous right after eating
change of appetite (less of one)
NOT LOSING weight
VERY smelly flatulence and horrible BAD breath! (I brush and brush to get rid of smell and taste)
hard, bloated abdomen
and abdomen pain is persistent. It is ALWAYS there. Sometimes excruciating, but otherwise just tender to touch and sore. (never stops) Wear my pants unbuttoned or around my hips to avoid pressure/pain on abdomen.

PLEASE PLEASE PLEASE??? HELP??

thanks....

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2 Replies:

  • after gall bladder removal many complications can happen. i cannot tell you what you are experiencing exactly, but...with the serious pain you are having you may want to immediately seek treatment...waiting until march is not smart. if pain worsens go to emergency room. wikipedia says this about complications to your procedure:ComplicationsAn uncommon but potentially serious complication with the new procedure is injury to the common bile duct, which connects the gallbladder and liver. An injured bile duct can leak bile and cause a painful and potentially dangerous infection. Many cases of minor injury to the common bile duct can be managed non-surgically. Major injury to the bile duct, however, is a very serious problem and may require corrective surgery. This surgery should be performed by an experienced biliary surgeon (2).Abdominal peritoneal adhesions, gangrenous gallbladders, and other problems that obscure vision are discovered during about 5% of laparoscopic surgeries, forcing surgeons to switch to the standard cholecystectomy for safe removal of the gallbladder. Converting to open surgery does not equate to a complication.A Consensus Development Conference panel, convened by the National Institutes of Health in September 1992, endorsed laparoscopic cholecystectomy as a safe and effective surgical treatment for gallbladder removal, equal in efficacy to the traditional open surgery. The panel noted, however, that laparoscopic cholecystectomy should be performed only by experienced surgeons and only on patients who have symptoms of gallstones.In addition, the panel noted that the outcome of laparoscopic cholecystectomy is greatly influenced by the training, experience, skill, and judgment of the surgeon performing the procedure. Therefore, the panel recommended that strict guidelines be developed for training and granting credentials in laparoscopic surgery, determining competence, and monitoring quality. According to the panel, efforts should continue toward developing a noninvasive approach to gallstone treatment that will not only eliminate existing stones, but also prevent their formation or recurrence.One common complication of cholecystectomy is in advertant injury to an anomalous bile duct known as Ducts of Luschka, occurring in 33% of the population. It is non-problematic until the gall bladder is removed, and the tiny supravesicular ducts may be incompletely cauterized or remain unobserved, leading to biliary leak post operatively. The patient will develop biliary peritonitis within 5 to 7 days following surgery, and will require a temporary biliary stent. It is important that the clinician recognize the possibility of bile peritonitis early and confirm diagnosis via HIDA scan to lower morbidity rate. Aggressive pain management and antibiotic therapy should be initiated as soon as diagnosed.After removal of a gallbladder, fat metabolism can be inhibited, and Americans are advised to take bile salts. Australian patients are advised to avoid large fatty meals, and do fine without bile salts. After the gallbladder is removed, bile is still produced by the liver, but is released in a continuous, slow trickle into the intestine. Thus, when eating a meal that is high in fat content, there may not be an adequate amount of bile in the intestine to properly handle the normal absorption process.The change in intestinal bile concentration during high-fat intake may cause diarrhea or bloating, because excess fat in the intestine will draw more water into the intestine, and because bacteria then digests the fat which produces gas.The treatment for digestive problems after removal will follow the reason for the problem. Once a gallbladder is removed, Americans are told to take bile acid supplements with every meal in which fat is consumed; for fear that fats will not be properly emulsified and absorbed. This allegation is due either to the excessive size and fat content of the American diet, or to the cunning of American pharmaceutical companies. A healthy diet, with some fatty food, can be enjoyed - at least, by people of other nationalities.goood luckand peace be with you
    Anonymous 42789 Replies
    • November 28, 2008
    • 08:38 PM
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  • Thank you so much for the response. You are very kind...:rolleyes:
    kimmer 1 Replies
    • November 28, 2008
    • 11:53 PM
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