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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

stomach pains

I had my gallbladder removed in April. My stomach started acting hurting bloating big since Sept 3rd or 6th. I get nauseated at times. No fever no diaherra. It still hurts after I eat or not.
Poster
  • Female | 31 years old
  • Complaint duration: 13 days

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Featured Answer

1 UpVoted this answer Marty Edwards, ND,CAOM,CNHP Naturopathic Doctor, Philadelphia
Your gallbladder helps you digest fat. The problem is, we need fat to thrive. There are bile acids and enzymes you can take to help take over for what your gallbladder used to do. You can just go on a low-fat diet, but we all know now that low-fat diets increase risk of diabetes, heart disease, Alzheimer's and more. There is also some new research showing gallbladder issues are the result of long-term gluten sensitivity, which would be a big red flag for you in my opinion since you are so young. My recommendation is to see a naturopathic doctor who can prescribe a customized diet and supplement plan based on what you need. Find one atwww.naturopathic.org.
1 UpVoted this answer Patrick T. Fitzgerald, MD, FAAP Internist, Oconomowoc
It is important to reduce the amount of fat you consume after your gallbladder is removed. Here are recommendations fro Mayo Clinic for what to do after you have a cholecystectomy:

general advice for avoiding problems after you've had your gallbladder removed:

(1) Eat smaller, more frequent meals. This may ensure a better mix with available bile. Include small amounts of lean protein, such as poultry, fish and nonfat dairy, at every meal, along with vegetables, fruit and whole grains.

(2) Go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.

(4) Gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.

(5) Be aware that after gallbladder surgery some people find that the following are difficult to digest: caffeinated beverages and dairy products.
Abdominal pain and bloating may be symptoms of many things, and not necessarily related to the gallbladder. Labs for liver and pancreas along with sonogram would address whether there is a stone in the bile duct or inflammation in the pancreas called pancreatitis. CBC blood test and examination would show if there is acute inflammation in the area. We have to expand the possibilities to include disorders unrelated to the surgery including ulcers and gastritis. Avoid simple assumptions that the pain is related to the gallbladder.
See a Gastroenterologist. He may do a test (ERCP) to determine if there are any retained stones. There are also a number of other possibilities depending on what type of operation you had to remove your gallbladder. Recheck also with your surgeon and let him know you're having these symptoms.

Carey M Delcau, MD, FAAFP
Carey M Delcau
There are several things that need to be addressed. You need to be evaluated by a Traditional Naturopath to see were your inbalances are. Your gallbladder was there for a reason and now the body is having to compensate for it's removal. This will cause stress somewhere in the body's systems. So an evaluation and maybe some enzymes and probiotics and your system will be on it's way to being better balanced. Good Luck...
I agree with Dr Maloof, a low fat diet may help as well as weight loss if needed. In some cases slough may be left in the duct and this may cause pain. If pain continues you may need a follow up ultrasound to see if this is the issue. If you get a fever , or get a yellow ting to skin (Jaundice) go directly to ER.
The gallbladder concentrates the bile that is made in the liver. Bile emulsifies (breaks down) fats, so your body now is going to struggle emulsifying the fats you eat. We suggest that people take a good digestive enzyme that includes some form of bile salts. Here is one that people get good response to - http://straightnutrition.com/products/digestall/

Our best guess works for many, but to really nail this, we suggest that you stop the guesswork and consider our Comprehensive Nutritional Analysis. It's better than guessing and you'd be amazed at how good you feel when you fill those nutritional deficiencies that create the symptoms you are experiencing~! At StraightNutrition.com, everything starts with our symptom survey online and it's FREE~! Our practitioners will review your survey and make a recommendation for nutritional products or testing to support your issues. And again, it’s FREE~!
Debi Foli
For just one week, try to eliminate from your diet: Beef, rye, soy, rice, cherry, peach, apricot, beet and spinach, eggs, pork, onions. Following reversal of the symptoms, write back to me for the rest of the regimen.

Be well!
John Kouame
It's best not to remove organs but to address the root cause, which is almost always poor nutrition. Surgeons are like overzealous butchers. Now you're going to have to take a bile salt supplement every time you consume HEALTHY fats, omegas and oils. You need to massage your internal organs via physical movement, like Tai Chi. Start deep breathing therapy. Avoid fried snacks. Avoid trans fats. Avoid hydrogenated oils. The gallbladder neutralizes cholesterol, so now you're going to have to be careful for life. Be well.
Usually I tell my patients that have their gallbladder removed that there was hidden inflammation somewhere else. Going gluten free has helped a lot of them out along with not having any fatty foods.