Doctor insights on:
Itchy Incisions After Gall Bladder Surgery
I had gall bladder surgery in February and now six months later I have itchy bell button by incision and dark red. Cause for concern?
The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more
Yes: It is called laparoscopic cholecystectomy. Conversion to an open procedure (bigger incision) is done when there are intraoperative complications or technical difficulties, probably 5-10% of the time. Risk of open surgery is increased for higher age (over 60), obesity, long hospital stay or operating time, elevated white blood cell counts, elevated alkaline phosphatase, thick gall bladder wall. ...Read more
Girlfriend had gall bladder surgery on august 27 and having pain on her side still where the incisions was at what could be causing the pain?
Many things: Best is to see surgeon to re-evaluate. Difficult to say exactly what is the cause of the pain unless it is looked at. ...Read more
Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more
Very possible: Gallbladder symptoms include pain, nausea and loose bowels after fatty foods. Many folks naturally eat less and stick to low fat foods to avoid the pain. Since most symptoms resolve after surgery, while discomfort and activity restrictions are still in effect, some weight gain early on is possible. If worried, go back to the low fat diet you used before surgery to see if that helps. ...Read more
Alcohol: Is alcohol, no matter what form you drink it in. Wine, beer, hard alcohol all have the same effects. There would be no "best" alcohol after gallbladder surgery. When fully healed & pain free, eating normally, and off pain medications, then alcohol in moderation is alright. Avoid drinking alcohol if you have a liver disease. ...Read more
Yes: The best and most simple answer is yes, but within reason and for a reasonable amount of time. ...Read more
Bile salts: Your gallbladder stores bile made in you liver and passed down the bile ducts toward your intestines. When you eat, your gallbladder pushes bile into your intestines to help digest the fat in your meals. After surgery this process is disrupted. You may have a constant slow dribbling of bile into your intestines instead causing symptoms of lactose intolerance. High fat meals may do the same. ...Read more
All food should be ok after surgery we do not place the patient on any special diet some patient digestive system could be sensitive to a rich, fatty creamy food it makes them have diarrhea or go to the bathroom more often
our digestive system are not created equally do not ignore what your body is telling you
a food you might like might not like you back. ...Read more
Sometimes: Spasm can occur at the entrance of common bile duct into duodenum, called sphincter of oddi dyskinesia. Prolonged spasm causes similar pain as gall bladder disease. Sometimes patients have to be scoped to make this diagnosis. Gastroenterolgist visualizes area and performs manometrics in adults. Rx available, stent, etc. In some hands hida scan can be very suggestive of this diagnosis. ...Read more
Very low risk: Gallbladder removal is one of the most common operations performed in the us and is, thankfully, very safe. Like all abdominal operations, there are risks of bleeding, infection, blood clots, pneumonia, etc. This is somewhat dependent on the health of the patient, but generally less than 1%. A bile leak may occur less than 1% of the time after surgery; this can often be managed non surgically. ...Read more
Depends on: How bad your pain is. Sometimes, surgeon will need to give narcotic injections, such as morphine or dilaudid. If pain is not so severe, oral narcotics, such as vicodin, norco, (hydrocodone and acetaminophen) or codeine. I am sure your surgeon will prescribe enough pain meds to keep you comfortable after surgery. ...Read more
Not usually: Early after surgery there may be some fatty food intolerance, with abdominal cramping or diarrhea. Usually that resolves in a few weeks, if it happens at all. There is about a 1 in 400 chance of having persistent diarrhea after eating, which may not be specifically related to fatty foods. ...Read more
Mild: Yes, especially if it was an open surgery (you have a wound under your ribs on the right) because that makes breathing painful. Take pain meds and use insentive spirometer until the wound heals and you can breathe normally. Mention it to your surgeon during post-op visit. If you get acute shortness of breath call 911. ...Read more
Most likely: Unrelated to the removal of your gallbladder but sometimes patients develop adhesion's after surgery that can cause pain. To determine if its new or related return to your surgeon and discuss your symptoms. They will help you navigate this issue and hopefully get you more comfortable. ...Read more
What do you mean bile leaking?
If it is leaking out of your incision definitely not normal check with your surgeon right away
if you were told that you have a collection of bile in the area of surgery by your surgeon that mean he is keeping the eye on it usually it will stop or it could be drained without surgery
some leak might need to be checked and treated by endoscopy called ercp. ...Read more
After gall bladder surgery many years ago I am bothered with all over itching and stinging it comes and goes. What could be the reason?
Check liver tests: Since the symptoms you describe are not specific for liver disease, I recommend that you see your doctor to get liver function tests done. If abnormal, you may need an ultrasound or additional imaging to see if there is a cause for this increased value. On the other hand, if normal, other reasons should be sought, including allergic reactions, e.g. Food allergies, etc. ...Read more
All good: Generally there is no special diet for patient after gallbladder surgery some patient might not tolerate a rich or creamy or fatty meal it makes them go to the bathroom too often but in general all food are fine again before or after surgery bodies are nor created equally some digestive system might tolerate food that other do not simply watch what your body is trying to tell you. ...Read more
All of it:
No physical restriction after a month of surgery
most gallbladder surgery are done laproscopically if that is the case no restriction
if you had an open surgery your surgeon might wait until six to eight weeks pass before clearing you from any physical restriction in general a month after all exercise are permitted and encouraged. ...Read more
Surgery on the bladder can be performed using open, larparoscopic, or endoscopic approaches. Indications for bladder surgery include bladder tumors, which are removed by transurethral resection. Invasive tumors require bladder removal, or radical cystectomy. Structural problems, diverticuli, neurogenic or poorly compliant bladder, and bladder stones are ...Read more
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
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