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Doctor insights on: Post Cholecystectomy

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What is treatment for post cholecystectomy syndrome?

What is treatment for post cholecystectomy syndrome?

Find Underlying Dx: Postcholecystectomy syndrome is the persistence or return of RUQ abd pain following gallbladder removal. This is due to non-biliary causes (irritable bowel, ulcer dz, gerd, etc), organic biliary dz (common duct stones/stricture/cancer), or functional biliary disease (sphincter of oddi dysfunction). I advise GI work up to include
labs, ultrasound+/-ercp, depending on above results. ...Read more

Dr. Lynne Weixel
2 Doctors shared insights

Gallbladder Removal (Definition)

Gallbladder removal is just that. Surgical removal of the gallbladder. Technically known as a cholecystectomy, it is usually done laparoscopically with small incisions and is one of ...Read more


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Post cholecystectomy by 2 weeks and I now have a rash all over my body. Does not itch but painful to touch. Not on any medication. It starts out look?

Post cholecystectomy by 2 weeks and I now have a rash all over my body. Does not itch but painful to touch. Not on any medication. It starts out look?

Follow up w/ surgeon: Potential reaction to agent used during surg. Vs. surgical complication; need to follow up with your surgeon ASAP. ...Read more

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20lbs weight loss 3mo post cholecystectomy no fried or fatty foods also I used to drink a lot of milk and eat pb regularly now I do not 6'4" 180lbs?

20lbs weight loss 3mo post cholecystectomy no fried or fatty foods also I used to drink a lot of milk and eat pb regularly now I do not 6'4" 180lbs?

Good: Now do regular exercises, eat healthy food with lots fresh votable salads you are going to feel good and will shed some some more pounds. ...Read more

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Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/21144686 for publication. ...Read more

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Heartburn for 2 days (am approx 6 mo post Cholecystectomy)discharge papers said stop otc antacids. Would 1 dose of 'tums' or equivalent be safe? Ty.

Heartburn for 2 days (am approx 6 mo post Cholecystectomy)discharge papers said stop otc antacids. Would 1 dose of 'tums' or equivalent be safe? Ty.

Heartburn: I don't see any harm in your taking occasional antacids like maalox or mylanta, but also avoid spicey foods, alcohol, caffeine, nicotine and oily foods. Medications like zantac, nexium (esomeprazole) or prilosec are effective. Tums contain calcium and if you have a history of kidney stones or elevated serum calcium levels, they would be harmful if taken in large amounts. ...Read more

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Achy muscles everywhere past 4 days mostly in legs, severe headache. No fever. 5 weeks post cholecystectomy. Possibly Related or infection?

Achy muscles everywhere past 4 days mostly in legs, severe headache. No fever. 5 weeks post cholecystectomy. Possibly Related or infection?

Doubt related: I doubt it's related, especially if you have no fever, no abdominal pain, nausea, vomiting or jaundice. I'd guess it's some kind of viral infection you've got giving you the body aches and headache. Try over the counter pain relievers like acetaminophen, ibuprofen, or Naproxen as well as a heating pad or heated blanket on your sore muscles. A hot bath might feel good as well, and drink lots of water ...Read more

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Status post cholecystectomy 4 days ago. Today, very dizzy and nauseas. Taking Norco (hydrocodone and acetaminophen) for pain, but I have it even when I don't take the pain medicine.

Status post cholecystectomy 4 days ago. Today, very dizzy and nauseas. Taking Norco (hydrocodone and acetaminophen) for pain, but I have it even when I don't take the pain medicine.

Consult with: Your surgeon immediately, because it could be bleeding, bile leak, infection, or some other surgical complication, especially if you have fever, vomiting, distention, or jaundice. Norco (hydrocodone and acetaminophen) is a narcotic pain med, which sometimes can cause ileus or constipation. ...Read more

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Is it possible for you to get a UTI during post op cholecystectomy?

Is it possible for you to get a UTI during post op cholecystectomy?

Yes: Especially if you had a catheter inserted during or after the operation. Ask your surgeon for specific recommendation and treatment. ...Read more

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Pain in belly button post laparoscopic cholecystectomy is this normal?

Yes, for a while: The belly button is the site where many surgeons put the laparoscopic camera, is often the largest port for cholecystectomy. It is often where the gallbladder is removed from. During closure, the incision must be closed, or there is a risk for a hernia to develop. Some pain is common, up to several months afterwards, however if there is redness, tenderness and marked swelling, see your surgeon. ...Read more

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Please explain cholecystectomy post op diet?

Please explain cholecystectomy post op diet?

Gradual: Start with small amounts of bland, low fat foods and gradually progress to a normal diet over 3-5 days.. Please see your primary provider to investigate if not improved. ...Read more

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I am 8 days post op laparoscopic cholecystectomy and as of yesterday started having a sharp pain like a pulled muscle on my left side. Is this normal?

Could be normal but.: It could be a normal part of the healing process, but if the pain is severe you need to contact your surgeon. They may want to see you to make sure that everything is okay. If it worsens and you cannot reach your surgeon go to ED. ...Read more

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Onset of nausea day 3 post op laparoscopic cholecystectomy. No pain or fever. Is this normal? Just treat with prescription for zofran (ondansetron)?

Could be: After lap chole a period of doing well followed by a period of not doing well is atypical. Don't get too excited right now since no fever or worsening pain. If this doesn't clear in about 48 hours or if it becomes associated with pain or fever please contact your surgeon. ...Read more

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Hx: Lap cholecystectomy post op day 4, previous constipation cleared with enema X 2, anal fissures now present.? Nausea when need to open bowels

Hx: Lap cholecystectomy post op day 4, previous constipation cleared with enema X 2, anal fissures now present.? Nausea when need to open bowels

Fissures: For anal fissures warm water applications and applications of ointments like anusol or nupercain are soothing. Insertion of glycerin rectal suppositories allow easier passage of stools. If you have no urge to have a bowel movement, take senokot daily which has a stool softener and gentle bowel stimulant. If you have an urge for a bm and can't pass it, insert a fleet enema (sodium bisphosphate). A proctologist can help ...Read more

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Can I continue Dexilant (dexlansoprazole) 60mg daily for GERD like symptoms 10 days post op laparoscopic cholecystectomy? Still have nausea, burping, heartburn at times

Can I continue Dexilant (dexlansoprazole) 60mg daily for GERD like symptoms 10 days post op laparoscopic cholecystectomy? Still have nausea, burping, heartburn at times

Yes: Although you are in an early post operative state and your system may still be adjusting it is not uncommon to have gallbladder and reflux issues. Taking Dexilant (dexlansoprazole) is ok. If your reflux symptoms persist discuss them with your surgeon. ...Read more

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What is cholecystectomy?

What is cholecystectomy?

Gallbladder removal: Cholecystectomy = surgical removal of the gallbladder. If you have additional questions or concern about this, please post your questions here on healthtap. I am sure your questions will be addressed accordingly. Good luck. ...Read more

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What is a cholecystectomy?

What is a cholecystectomy?

Cholecystectomy. ..: Is the name of the operation to remove the gallbladder. It can be done as an open operation with a large upper abdominal incision. More commonly these days, it is performed as a minimally-invasive laparoscopic procedure. ...Read more

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Where is a cholecystectomy done?

Where is a cholecystectomy done?

Operating Room: Laparoscopic cholecystectomy requires general anesthesia in an operating room setting. This is often performed as an out-patient procedure; therefore, it may be done at a hospital or an ambulatory surgical center. ...Read more

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Does cholecystectomy affects appetite?

Does cholecystectomy affects appetite?

Temporarily: Any surgery can affect appetite temporarily (typically few wks). It all comes back eventually. With cholecystectomy, certain foods cause more problems and eventually u may start to not like those foods if the symptoms are bad enough. ...Read more

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Is it normal not to have an appetite after a cholecystectomy?

Is it normal not to have an appetite after a cholecystectomy?

Yes: Early after most any abdominal surgery, and for a couple weeks after surgery, it is common for a person to have a diminished appetite or feel full sooner after eating. This resolves as you heal and after you become more active & off narcotic pain pills. Drink plenty of liquids & eat smaller non-fatty meals more frequently at first. ...Read more

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What parts of the body are exposed during DiVinci cholecystectomy?

What parts of the body are exposed during DiVinci cholecystectomy?

Just like Lap: A daVinci chole is dines just like a lap chole, except it is only done through the belly button. The area of the body that is exposed is the abdomen, including small bowel, colon, stomach, and liver. Obviously all the other organs in the abd would also be visible. ...Read more

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What is the best diet for a person who had undergone cholecystectomy?

What is the best diet for a person who had undergone cholecystectomy?

Lower in fat diet: The gallbladder is a bile storage sack which pumps/squeezes bile into the intestine to help digest (emulsify) fats. After removal, you have less bile available to digest fat, but after a few months your body/liver will adjust. So, after surgery, consume less fat, but all else should be fine. In general, we eat too much--so a healthy, balanced diet, and maybe smaller portions, is advised. Good luck. ...Read more

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What is the recommended diet for someone who has undergone cholecystectomy?

What is the recommended diet for someone who has undergone cholecystectomy?

WhatWorks, ↓Body Fat: For most, seems to not matter short-term. However, diabetes, ↑ body fat & ↑ LDL lipoprotein particle nos. All strongly correlated with both gb disease & multiple other issues, esp. Cardiovascular disease (heart attack/stroke, etc.). Thus suggest optimize lipoproteins/nmr particle test, hba1c, bp, cut dietary sugars (stored a visceral fat), look up & study: nusi. Org, robert lustig videos, etc. ...Read more

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After the cholecystectomy I have air inside me what are some tips to help it go away??

After the cholecystectomy I have air inside me what are some tips to help it go away??

Nothing: Nothing you can do will make the air go away faster, the body will absorb it.
if you are having severe shoulder pain, or abdominal pain talk to your surgeon. ...Read more

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Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

Anatomy: If you can't get there (safely) from here (the belly button), due to excessive scar tissue, odd anatomy, or other factors, then open cholecystectomy is chosen. Sometimes there are factors that can not be determined until the procedure has started, and the surgeon looks inside. Roughly about 10% or less of laparoscopic procedures get converted to open ones. ...Read more

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What are the steps and instruments for open cholecystectomy?

Several: Preop evaluation of indications, risks, associated issues- jaundice or common duct issues.
Anesthesia eval, for general, epidural etc.
Surgical items- like prior abdominal, surgery or conditions.
Instruments are to make incision, hold tissue out of the way and to dissect and remove gallbladder and close off feeding artery and cystic duct, and or to explore common duct.
Achieve hemo stasis and close. ...Read more

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When do doctors do open cholecystectomies over laparoscopic procedures?

When do doctors do open cholecystectomies over laparoscopic procedures?

Safety reasons: When there is unfavorable anatomy, too much scarring or other anatomic factors. One of the risks of the surgery is injury to the common bile duct, and some surgeons will open to better visualize the anatomy. Arguably some surgeons claim the laparoscopic view is better. ...Read more

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Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

Hi doctors, can you tell me what is meant by "cholecystectomy changed is noted"?

Cholecystectomy =: Surgical removal of the gallbladder. If you are referring to a quote in a radiology report, the interpreting radiologist sees that the gallbladder is absent, and surgical clips are present in the area where one would expect the cystic duct and cystic artery to be ligated. ...Read more

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I've got a tingling sensation / blunt pain after cholecystectomy. What do you suggest?

Depends: Depends on location (ie near incision or at previous gallbladder site) and how far away are you from surgery. Best thing is to call your surgeon. ...Read more