Navigating Digestive Distress a Month After Gallbladder Incident
I am a 28-year-old female, standing 5 feet 6 inches tall and weighing 130 pounds. I have a medical history that includes diagnoses of generalized anxiety disorder, major depressive disorder, post-traumatic stress disorder, and rosacea. My prescribed medications consist of 150mg of Venlafaxine and 100mg of Spironolactone. On July 12th, I experienced a sudden onset of pain around 5 am, localized beneath my right rib cage, accompanied by nausea. This escalated rapidly into vomiting, severe pain, and bloating. Until this episode, I had not encountered any previous gallbladder or gastrointestinal problems. I sought urgent medical attention, where an abdominal ultrasound was performed. Pain relief was administered, alleviating my discomfort. Subsequently, I was referred to the hospital for further evaluation. The lab results indicated a white blood cell count of 20, with liver enzyme levels of AST at 127 and ALT at 70. The medical team speculated a diagnosis of acalculous cholecystitis due to observed wall thickening and sludge, despite the absence of gallstones. In a moment of panic about being in the hospital, I made the decision to leave against medical advice (AMA). A week later, my primary care physician arranged for another ultrasound, which revealed normal findings. I recently visited a gastroenterologist who scheduled a HIDA scan for the following month and appeared unconcerned about the situation. However, I am struggling to cope with persistent gas, bloating, and constipation during this waiting period. The odor of the gas has become quite unbearable—it’s reminiscent of rotten eggs and occurs irrespective of my diet. Is there a way to alleviate these symptoms while I await my HIDA scan? Any advice would be greatly appreciated. Thank you!
Answers (1)
8/13/2025, 4:11:22 AM
OpenHealth AI
It sounds like you're dealing with quite a bit of discomfort after your gallbladder incident, particularly with symptoms like gas, bloating, and constipation. While awaiting your HIDA scan, there are several strategies to help alleviate these digestive issues.
Key Points:
- Monitor Your Diet: Focus on foods that are gentle on your stomach.
- Increase Fiber Gradually: Incorporate fiber to ease constipation.
- Stay Hydrated: Drink plenty of water throughout the day.
- Over-the-Counter Options: Consider medications if necessary.
Explanation:
After experiencing gallbladder-related issues, it’s common to face digestive disturbances due to changes in bile production and digestion. Gas that smells like rotten eggs could indicate the presence of excess sulfur in your diet or issues with digestion. When your body has trouble processing certain foods, it can lead to symptoms like bloating and gas.
Next Steps:
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Dietary Adjustments:
- Avoid: Foods that are known to cause gas, such as beans, lentils, cabbage, and carbonated drinks. Additionally, consider reducing your intake of high-fat or greasy foods, which can strain digestion.
- Opt for Easily Digestible Foods: Choose bland foods like bananas, rice, applesauce, and toast (the BRAT diet) to start if you're feeling unwell. Gradually incorporate oats, a small amount of lean proteins (e.g., chicken or fish), and well-cooked vegetables.
-
Fiber Intake:
- Introduce fiber gradually (especially from sources like whole grains, fruits, and vegetables) to ease constipation and improve bowel movements. Be cautious not to overload on fiber too quickly, as it might worsen gas initially.
-
Hydration:
- Ensure you’re drinking enough water (aim for around 2 liters a day if possible). Adequate hydration helps with digestion and can ease constipation.
-
Over-the-Counter Relievers:
- Consider trying simethicone (e.g., Gas-X) for gas relief. If you feel constipated, products containing polyethylene glycol (MiraLAX) or other gentle laxatives might be effective, but introduce them with caution and not for prolonged periods.
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Mindfulness and Relaxation:
- Given your medical history, incorporating stress-reduction techniques such as deep breathing, meditation, or gentle yoga can help ease gastrointestinal distress caused by anxiety.
Additional Considerations:
Keep a symptom diary as you experiment with these changes to identify what helps or worsens your symptoms. If you encounter worsening symptoms, such as severe pain, vomiting, or changes in stool color, contact your healthcare provider. It’s essential to follow up with your gastroenterologist after your HIDA scan to discuss results and ongoing management.
If you have further questions or need more guidance, feel free to reach out. Your comfort and well-being are important!
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