I had my gallbadder removed a couple years ago and since then I have not been able to eat several different foods. I was also diagnoised with a spastic colon when 19 and I have been struggling with my colon issues since my surgery. I was taking Lialdia for my colon and then my insurance changed and I can not afford to get it anymore. So now my colon is hurting and I am having what feels like severe gas pain in the upper right quadran of my stomach under my right breast. Could all of these issues be related to my gallbladder removal? Thanks for your help!
It is possible that it could relate. The two potential issues would be the possibility of sphincter of Oddi dysfunction causing ongoing discomfort or, more likely, agitation of spastic colon by the delivery of higher amounts of bile salts to it. A trial of cholestyramine will frequently improve these symptoms.
I have been using the cholesturamine and it has not helped. I went to see a GI doctor on Monday and was basically talked down to when I was trying to explain what I had been going through. I also had a CT scan done so they could check my pancrious but I have not gotten the results back yet. I am scheduled for a EGD and a colonoscopy on March 19th. On Thursday I went to another GI because I was unable to understand what the first GI was saying. So what they seem to think is that because I have had a spastic colon for years and then had my gallbladder removed that the bile is now going direct into the intestines causing my colon to go into over drive causing the bloating, pain, and bowl changes. For now they have increase the bental that I have been taking for years but apparently not near enough, increased my prylosec, and put me on Ibuphropethon to easy the stabbing pain in my back and upper right quadrian which they think is just a fluke that I had a rib out. I am still really concerned or should I say scared to death over what they might find, but I am so tired of hurting. My question is if it is the bile causing the problem and I have no gallbladder, how do they stop it from continuing to cause me the pain and problems?
There is an increase in delivery of bile salts to the colon is some people after cholecystectomy. These are irritating and can lead to worsening of pre-existing motility disorders. The two lines of treatment are to bind the bile salts with agents such as cholestyramine and to treat the spastic colon with smooth muscle relaxants. It sounds like that is the strategy they are employing. It all sounds appropriate.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.