OpenHealth Q&A

Challenges After Gallbladder Removal

Age: 22 Gender: Female Height: 175 cm Weight: 80.8 kg Ethnicity: Caucasian Duration of Illness: Over 6 months Residence: Czech Republic Pre-existing Health Conditions: ADHD Medications: Birth control (Artizia), 80 mg Aromoxetin, Mirzaten for sleep, Calcium tablets for diarrhea, and Duspatalin Retard Occasional nicotine pouch user; drinks alcohol sporadically. I’ll keep this concise and apologize for any overshare. Pre-surgery Issues: Experiencing gas, diarrhea, nausea, vomiting, weight gain, and lactose intolerance. Post-surgery Issues: Swelling in legs, ongoing gas, loose yellow stools, increased thirst, weight gain, and persistent lactose intolerance. In summary: Following gallbladder removal, my life has been severely impacted by diarrhea; specialists have not identified any functional gastrointestinal disorders, yet I continue to experience rapid weight gain despite having an unintentional diet plan. My struggles began in January with regular bouts of vomiting and diarrhea at night, leading to two emergency room visits. Initially, doctors suspected gastritis or pancreatitis. Upon my second visit, an ultrasound revealed gallbladder sludge. Given my family background, I cut down on fatty foods, which initially helped. I underwent surgery during Easter, and pathology indicated chronic fibroproductive cholecystitis with post-inflammatory atrophy of the gallbladder lining. Unfortunately, the diarrhea remains. Every morning between 9 and 10 AM, I urgently need to go, or else I risk losing control. The cramps subside after using the bathroom. I had an ultrasound to check for gallstones in the bile ducts, which showed nothing abnormal. A gluten test returned negative, and my blood sugar levels are within a normal range. Prior endoscopy—due to familial history of stomach ulcers—revealed no issues. Everything appears normal. At a gastroenterology consultation, a calprotectin test was also negative. My doctor stated that there were no indications of Crohn’s disease or other functional gastrointestinal problems. A conversation with my therapist led him to believe that it’s not a psychological issue; I tend to accept my situation without stressing about it. I've adapted my diet significantly. I primarily consume chicken and fish, avoiding spices, sugar, fast food, and rich foods, and I also limit certain fruits and vegetables. Previously, I could enjoy a whole pizza without issue; now, I can only eat two slices before feeling full, only to be hungry again within an hour. Despite maintaining smaller portions, I am gaining weight. Additionally, I experience leg swelling if seated for more than 30 minutes. Recently, I’ve felt more thirsty, although I hydrate regularly (diabetes runs in my family). I’ve been prescribed calcium tablets to slow down my digestion, along with medication for cramps. Occasionally, I experience sharp abdominal pains, particularly in the area where the gallbladder used to be and near my pancreas (left side beneath the ribs). I’m feeling lost and unsure of what’s happening. My doctor seems equally perplexed, or perhaps he’s withholding information. Could anyone provide guidance? Could this potentially be irritable bowel syndrome (IBS)? Are there underlying kidney or liver issues that the ultrasound missed? What about thyroid problems? A childhood doctor once noted that I have a larger than normal neck, advising that I monitor it. My condition hasn’t been labeled as BAD or BAM. I plan to contact my physician next week to explore the next steps. Moreover, I have not undergone a colonoscopy, as there’s a long wait for appointments. We have no significant family history of food allergies, except for gluten intolerance, which is noted in my uncle's family, but he is not a blood relative. There is a familial pattern of lactose intolerance on my mother’s side, which she developed as she aged. I’ve tried helicid and febichol, but those worsened my symptoms, changing my stools from yellow to green and increasing nausea. I am feeling quite desperate. This entire situation has ruined my social life and caused considerable anxiety. I no longer trust my own body. Since I am a dedicated student and workaholic, even attending school has become a daunting task; thinking about my job seems out of reach. Could someone please guide me in the right direction? Any insights or suggestions would be greatly appreciated. Thank you!

Answers (1)

10/15/2025, 9:51:09 PM

OpenHealth AI

I'm sorry to hear about your ongoing struggles after gallbladder removal. It's understandable to feel lost and frustrated when dealing with persistent gastrointestinal symptoms and changes in your body. Let's break down your concerns and explore actionable steps you can take to find relief and clarity.

Summary of Key Points

1. You are experiencing persistent diarrhea, leg swelling, increased thirst, and weight gain after gallbladder surgery.
2. Various tests have ruled out serious gastrointestinal disorders, but your symptoms continue.
3. You are seeking a clearer path to manage your symptoms and improve your quality of life.

Explanation

Post-gallbladder removal symptoms can sometimes include digestive issues due to changes in bile flow. Some people experience diarrhea, especially if their diet is not adjusted correctly for the absence of the gallbladder. Your symptoms of urgent bowel movements, weight gain despite reduced intake, and ongoing lactose intolerance suggest a need for a more tailored approach to your diet and lifestyle.

It's important to understand that while several tests have returned normal, things like irritable bowel syndrome (IBS) or other functional gastrointestinal disorders can still occur and may not always show up in standard testing. The leg swelling and increased thirst may indicate fluid retention or dietary factors, and your experience with abdominal pain is worth monitoring closely.

Next Steps

1. Dietary Adjustments:

   • Fiber Intake: Gradually increase soluble fiber in your diet (like oats, bananas, or apples) to help with diarrhea, but do it slowly to avoid worsening symptoms. Keep track of how different foods affect your condition.
   • Lactose Management: Since you suspect lactose intolerance, strictly avoid dairy products for at least two weeks and monitor your symptoms for improvement.
   • Hydration: Ensure proper hydration, especially with increased thirst and leg swelling; consider electrolyte solutions if necessary.

2. Symptom Tracking:

   • Maintain a log of your food intake, symptoms (like bowel movements, abdominal pain, and thirst), and any changes in your condition. This can help identify potential triggers and patterns over time.

3. Regular Movement:

   • To help with leg swelling, try to stretch and move around every 30 minutes, especially if you have to sit for extended periods. Regular movement can improve circulation.

4. Continuing Follow-Up:

   • Since you've found your doctor’s response unclear, consider preparing specific questions or concerns to address during your next appointment. Discuss the potential for IBS and whether a referral for a colonoscopy or a consult with a gastrointestinal specialist at a different clinic is possible.

5. Emotional Support:

   • Seek support from friends, family, or a therapist to help manage anxiety and feelings of isolation related to your symptoms. Connecting with others can be very beneficial.

6. Explore Thyroid Function:

   • Given your history and family background, discussing thyroid function tests with your doctor might provide further insights as thyroid issues can affect metabolism and body weight.

Conclusion

It's completely valid to feel overwhelmed by these symptoms. Implementing dietary changes and monitoring your symptoms can provide actionable insights into your situation. Continue advocating for your health during consultations, and don’t hesitate to seek out second opinions if you feel it’s necessary. You're taking important steps by reaching out for help, and I hope the above suggestions lead you toward better outcomes. If you have further questions or need additional support, feel free to ask!