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Chronic diarrhea after Gall Bladder removal. Colonoscopy, x-ray and blood tests are normal

By crucial student | 1 post, last post
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crucial student

Close to the end of 2017 my gallbladder was removed. Several months latter I began experiencing diarrhea often, this has continued and is now chronic. In attempt to diagnose the cause I've underwent two colonoscopy's, ex-rays and blood testing. All is normal. Could the removal of my gall bladder be the cause? If yes, how can this be corrected?

Guest

Hi, guest.

The symptoms you're experiencing, particularly chronic diarrhea following gallbladder removal, could be related to a condition known as postcholecystectomy syndrome (PCS). This syndrome refers to the persistence or development of symptoms after gallbladder removal (cholecystectomy). Here are some key points to consider:

  1. Symptoms of PCS:

    • Chronic diarrhea is a common symptom.
    • Other symptoms may include abdominal pain, bloating, indigestion, and changes in bowel habits.

  2. Why It Happens:

    • The gallbladder's role is to store bile produced by the liver. After its removal, bile flows directly into the intestines, which can affect the digestive process.
    • The continuous dripping of bile into the intestines can lead to irritation and changes in bowel movements, often resulting in diarrhea.

  3. Management and Treatment:

    • Dietary Adjustments: Eating a low-fat diet can help, as fat digestion is most affected by the absence of the gallbladder.
    • Medications: Certain medications can be prescribed to bind bile acids, which helps reduce diarrhea. Examples include cholestyramine, colestipol, or colesevelam.
    • Loperamide: Over-the-counter medications like loperamide can help slow down bowel movements.
    • Probiotics: Some people find relief with probiotics, which can help restore the natural balance of bacteria in the intestines.
    • Fiber Supplements: Fiber supplements may help solidify stool.

  4. Importance of Medical Consultation:

    • While PCS is a possible cause of your symptoms, it's important to continue consulting with your healthcare provider.
    • They may consider other possible causes of chronic diarrhea that may not be related to the gallbladder removal, such as irritable bowel syndrome (IBS), infections, or other gastrointestinal disorders.

  5. Monitoring and Follow-Up:

    • Regular follow-up with your healthcare provider is essential.
    • If symptoms persist or worsen, further investigation may be necessary to rule out other conditions.

Good luck.

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