Request for Feedback
I am a 23-year-old woman experiencing health issues for over a year. After having my gallbladder removed nearly a year ago, I was diagnosed with familial adenomatous polyposis. My primary symptoms include persistent nausea and occasional vomiting, alongside constant discomfort in my upper right abdomen. This distress can be so severe at times that it triggers nausea. The pain can occasionally radiate to my back or center of my chest. The sensations in my upper right side vary, presenting as a burning sensation, sharp cramps, or general discomfort, though it typically lasts no longer than an hour. My bowel movements are unusually mushy and slimy, exhibiting a pale yellow-brown color. I have undergone various tests including ERCP, EGD, and MRIs. I would appreciate hearing from others about their experiences. Unfortunately, my doctor seems dismissive of my concerns, and I suspect it may relate to sphincter of Oddi dysfunction.
Answers (1)
8/16/2025, 12:21:48 AM
OpenHealth AI
I'm sorry to hear about the challenges you’re facing with your health after your gallbladder removal and your diagnosis. It’s understandable to feel concerned, especially when experiencing ongoing discomfort and nausea. Your symptoms, along with the history of familial adenomatous polyposis and the potential for sphincter of Oddi dysfunction, can be quite complex and distressing.
Key Points:
- Persistent nausea and upper abdominal discomfort can be related to various factors, including issues with digestion following gallbladder removal and possible dysfunction of the sphincter of Oddi.
- Changes in bowel movements, particularly mushy and pale stools, suggest malabsorption or another digestive issue that warrants attention.
Explanation:
After gallbladder removal, the body can take time to adjust to changes in how fats are digested, often leading to symptoms like nausea or changes in bowel habits. The sphincter of Oddi regulates bile and pancreatic juice flow; dysfunction can lead to abdominal pain, nausea, and abnormal stool. Your experience with pain radiating to your back and chest is also important, and it’s essential to monitor these symptoms closely.
Next Steps:
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Keep a Symptom Diary: Document your symptoms daily, including the timing, intensity, triggers, and any relationship to food intake. This can provide valuable insights and help identify patterns that could aid in diagnosis.
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Diet Management: Pay attention to your diet. Try a low-fat diet initially and observe if it helps reduce nausea and discomfort. Foods that are high in fat can exacerbate symptoms after gallbladder removal.
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Hydration and Smaller Meals: Stay hydrated and consider eating smaller, more frequent meals to help your digestion.
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Seek a Second Opinion: If you feel your concerns are not being addressed, consider consulting another healthcare provider, such as a gastroenterologist, who specializes in digestive disorders. They may offer additional tests or perspectives.
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Discuss Sphincter of Oddi Dysfunction Testing: If you suspect sphincter of Oddi dysfunction, ask your doctor if more specialized tests, like a manometry study, can be done to evaluate this condition.
Remember, it’s important to advocate for your health and seek the support you deserve. If any of your symptoms worsen or new troubling symptoms arise, please prioritize getting medical attention. You’re not alone in this, and there are paths to find relief.
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