Dor e diarreia anos após a remoção da vesícula biliar

I had my gallbladder removed just over 5 years ago.  It was barely function and I had no choice but to remove it.  I was doing great after the surgery, but about 6 months to a year later I started having pain exactly like I did when I had gallbladder attacks.  It even radiated into my mid back and increasingly got worse with each one I had- lasting sometimes up to 30 minutes.  While the pain is nowhere near as frequent as it used to be, it still happens on occasion.  Around the same time I also started to have a lot of digestive issues.  I would have to run to the restroom almost immediatley after I ate.  It started off very minor and progressivley began to get worse to the point where I couldn't eat a meal without going to the bathroom after.  I visited my gastroenterologist many times during this period and was eventually perscribed Welchol (colsevelam).  It worked great for a while, but then I started to have to take more of it in order to get the same results, even though the doctor told me I was eventually supposed to ween off of it.  Currently I take 2 pills a day and sometimes will have to take more before meals and STILL have diarrhea occasionally.   Has anyone had any luck with finding something that fixes this issue? The surgery was laparoscopic.  We've talked to other doctors about it, who all denied that  it was caused by the laproscopic surgery, but FINALLY one admitted that the two things are definitley linked together.  I'm at a point where I'm tired of having to deal with this issue.  I'm 19 and in my first year of college- I shouldn't be worried about going out because of my issues.  It's a constant thought in my head and has lead to me not being able to do things. Anything would help- I just want a normal life without having to rely on medication.

Desculpe pelos problemas que está enfrentando, que acredito estarem relacionados ao excesso de bile excretada no seu intestino delgado pelo fígado. Também tenho as mesmas dificuldades, mas tomo colestiramina, que é um pó em um pacote, misturado com suco à noite. Às vezes, preciso usar imodium também, mas a colestiramina me ajuda significativamente.

Claro que é perturbador ter que depender de medicamentos, mas você pode não ter muita escolha nisso. Embora o médico tenha dito que você deveria reduzir gradualmente o colsevelam, isso não é muito realista para ele ou ela. Muitas pessoas neste site precisarão tomar medicamentos para má absorção de ácido biliar pelo resto da vida.

Uma tática adicional é comer alimentos com baixo teor de gordura ou sem gordura. Tente a dieta FODMAP para ver se ajuda.

Boa sorte para você!

I recently switched to a powder form of colsevelam, but it gave me bad stomach pains. What is the medicine you use like? Is it very reliable? My issues with Welchol is that I can't rely on it. I've also done the FODMAP diet and had a small decrease in the number of stomach upsets I had, but it wasn't a significant enough improvement that made me want to do it longer term

Então, como você está tomando o colsevelam? O colestiramina pode ser um medicamento semelhante. Ele é amarelo claro e em pó em um pequeno pacote. Passei anos misturando com suco de laranja e realmente incomodou meu estômago. Vamos enfrentar, é uma coisa desagradável.

Agora misturo 4 onças de néctar de mamão com 4 onças de água com o pó e agito bem. Então bebo 3/4 disso, espero 10 a 15 minutos e bebo o resto. Mas tomo uma vez por dia na hora de dormir.

Posso entender sua relutância em modificar sua dieta, mas infelizmente, não escolher isso só lhe trará mais problemas no longo prazo. Uso manteiga de gado alimentado com capim e óleo de coco para cozinhar e evito carnes gordurosas como salsicha. Não posso comer pizza ou comida italiana. O que me ajudou é me certificar de comer pelo menos uma xícara de arroz branco ou uma pequena salada com tomates e um pacote de salmão todos os dias.

Outros foram ajudados usando um suplemento de fibra, existem várias formulações no mercado. Você pode querer pesquisar sobre malabsorção de ácidos biliares na internet para ver o que os outros fizeram para gerenciar a condição.

Hello from the States -

I am so sorry you are going through this.  How awful and limiting to just having normal everyday life.  I had my gall bladder out 2 years ago in March, thinking it would fix everything - finding out each of us reacts differently to that GB removal. I started having serious pain and issues again in November, and have been to a regular doctor and two specialists since.  Terrible digestive pain and upset the whole digestive process.  Don't give up on searching for answers - especially on this site, and online- some people have no problems the rest of their lives, others like myself simply can never again eat even a semi-regular diet.  I would still try again in the interim a totally LOW (I mean like next to no) fat diet as it can't hurt anything. Lynda who has already responded seems to have some good thoughts and very similar experience to yours.  Part of the frustration is the waiting game, to be able to figure out WHAT is causing htis so much after surgery, like myself, and having no real answers yet- I know how that feels.  Please know you're in my thoughts and prayers today-

Pulling for you to make it through this-

Jonna

Thank you, I really appreciate your thoughtfullness.  I am planning on starting a food log (again) and taking it into another doctor to see if we can pinpoint a specfic thing that could potentially be causing the upset since it has started happening on strange occurances while I am on my meds.  I will definitely keep your suggestions in mind. 

I've gone back to the pill form of colsevelam. I will definitely research that. Thank you!

De nada! Espero que as coisas melhorem para você! xx