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Old 04-20-2013, 05:23 PM   #1
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Question Digestive issues 4 days post-op

Hello:

Four days ago, I had my gallbladder out (lap) due to biliary dyskinesia (5.5% EF, pain/bloating no matter what I ate/drank including water). Though I have recovered to the point where I no longer need narcotic medication to control my pain, and can sleep on my right side without it hurting, I feel I am having digestive issues again:

1. I have not had a bowel movement since before my surgery (Tuesday).

2. Eating is starting to wipe me out again and give me pain/pressure in the area where it did before surgery, as well as nausea. This started last night after I ate and happened again today. In fact, I did not eat all day (no appetite) until a half hour ago (6:30 PM!) and was fine until I ate. Again, wipeout, nausea, pressure, pain, maybe a little bloating too. I don't understand why I am having these issues if I have no gallbladder. I thought the surgery would fix all this.

How can I go from creating a song from scratch on nothing but liquids (I'm a musician/composer) to lying down half asleep on the bed after a small meal? Up until now I was progressing; unfortunately, I feel I am having some of the same issues I had before.

The surgeon did say that the surgery may not fix the issue and mentioned that there may be more going on at the beginning of my consult...is that typical for surgeons, or might there be more going on? I had an upper endoscopy prior to surgery and nothing significant was found...just some inflammation and a small hiatal hernia which was not considered worth the trouble of repairing. The ultrasound done a few months ago was normal.

I see him in a few days for my follow up. What should I do in the meantime?

I have tried everything to produce a bowel movement, except for stool softener pills and yucky prune juice.

Thanking you in advance for your ideas...

A.

Last edited by Alesis; 04-20-2013 at 05:24 PM. Reason: typos

 
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Old 04-20-2013, 05:58 PM   #2
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Re: Digestive issues 4 days post-op

First of all, you probably haven't eaten enough to have a bowel movement. But if you just feel you need to have one, try a stool softener.

Second, what are you eating? For the first 2-3 weeks you should be on a non fat diet.

 
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Old 04-20-2013, 07:32 PM   #3
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Re: Digestive issues 4 days post-op

Hello and thank you for your reply.

Because I ate so little for months _before_ surgery, I was ravenous _after_ surgery. Therefore, the first few days out, I ate pretty well. I actually tolerated things one wouldn't expect others to, like veggie omelets for breakfast Thursday and Friday. Yes, I understand now that those should be avoided initially, after reading posts on here. Please know that I stayed in a hotel after my operation with my Mom who flew halfway cross country to help me out and I had limited Internet access, as well as limited food choices.

Other things I ate while in the hotel without an issue included raw fruits, oatmeal, a turkey sandwich with lettuce (no cheese), roast chicken and rice pilaf. Yes, I ate small enough quantities to take it easy, however I did eat three meals a day and drank plenty of fluids.

The foods that bothered me last night and today were egg, veggie and cheese based, hence my surprise at my body's reaction. The only addition to the mix was a small amount of meat (non-greasy white meat). None of it was fried.

I am going to try to avoid eggs and cheese for a couple weeks. I am already avoiding red meats and fried stuff (have been for some time).

If I don't have a BM soon, I will try a gentle stool softener.

Thanks again,

A.

 
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Old 04-20-2013, 07:52 PM   #4
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Re: Digestive issues 4 days post-op

Eggs and cheese are a no-no. No dairy unless it is non fat - yogurt is OK. Really watch that diet...no fat.

 
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Old 04-21-2013, 06:57 AM   #5
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Re: Digestive issues 4 days post-op

Quote:
Originally Posted by Alesis View Post
Hello:

Four days ago, I had my gallbladder out (lap) due to biliary dyskinesia (5.5% EF, pain/bloating no matter what I ate/drank including water). Though I have recovered to the point where I no longer need narcotic medication to control my pain, and can sleep on my right side without it hurting, I feel I am having digestive issues again:

1. I have not had a bowel movement since before my surgery (Tuesday).

2. Eating is starting to wipe me out again and give me pain/pressure in the area where it did before surgery, as well as nausea. This started last night after I ate and happened again today. In fact, I did not eat all day (no appetite) until a half hour ago (6:30 PM!) and was fine until I ate. Again, wipeout, nausea, pressure, pain, maybe a little bloating too. I don't understand why I am having these issues if I have no gallbladder. I thought the surgery would fix all this.

How can I go from creating a song from scratch on nothing but liquids (I'm a musician/composer) to lying down half asleep on the bed after a small meal? Up until now I was progressing; unfortunately, I feel I am having some of the same issues I had before.

The surgeon did say that the surgery may not fix the issue and mentioned that there may be more going on at the beginning of my consult...is that typical for surgeons, or might there be more going on? I had an upper endoscopy prior to surgery and nothing significant was found...just some inflammation and a small hiatal hernia which was not considered worth the trouble of repairing. The ultrasound done a few months ago was normal.

I see him in a few days for my follow up. What should I do in the meantime?

I have tried everything to produce a bowel movement, except for stool softener pills and yucky prune juice.

Thanking you in advance for your ideas...

A.
I am almost 4 weeks Post Op and still having many issues. My problem is the opposite of yours with Diarrhea. I am beginning to believe for the first couple of months post op that some people may have issues. I think the body needs to adjust to the fact that the gallbladder is gone. Hope your feeling better soon!

 
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Old 04-21-2013, 05:35 PM   #6
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Re: Digestive issues 4 days post-op

Thank you, Peaches. I hope you feel better soon.

Today I had several BMs, with the aid of a gentle stool softener.

I tried different, healthy things and still no luck feeling better. Two small apples this AM, a pear this PM, a mini bagel here, a mini bagel there and one bowl of oatmeal for dinner. Nothing agreed with me; it all bloated me up, caused pressure pain and made me feel like lying down all like I did before surgery.

Are you able to eat without foods bothering you like they do me? Did you have stones, sludge or both? (I only had sludge and a 5% ejection fraction).

I pray that this is only a temporary setback...

Thank you,

A.

Last edited by Alesis; 04-21-2013 at 05:36 PM.

 
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Old 04-22-2013, 05:59 AM   #7
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Re: Digestive issues 4 days post-op

Alesis.. I had Gallstones when diagnosed. I was tired all the time for the first 2 weeks, didnt start to feel a little better until 3rd week. I have been keeping away from most fatty foods but for some reason Im still having diarrhea mostly in mornings. I read these problems happen to some after surgery. It may take awhile for all this to resolve. Be patient and if it becomes too much of a problem call your surgeon. I wish you the best!

 
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Old 04-22-2013, 07:04 AM   #8
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Re: Digestive issues 4 days post-op

Roughage(raw foods like cabbage, lettuce, fruit, etc) causes problems for some folks. Since apples are suggested for people with constipation, I would not eat them or applesauce, etc for a while.

Try yogurt (frozen or regular), plain baked chicken or turkey breast, bread, potatoes, etc.

 
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Old 04-24-2013, 09:43 AM   #9
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Re: Digestive issues 4 days post-op

Hello all and thank you for your help.

I saw the surgeon yesterday and told him about my issues. He said they _may_ be surgery related and to contact my GI doc if they continue.

Considering that it takes a long time to get into my GI doc, I will call him on Friday if I am still having these issues. That way, I don't have to wait even longer once two weeks or so have passed, and I schedule the appt. then.

I have really made it a point to go completely low/no fat. All I am eating is bread, extremely low fat / baked turkey; drinking fruit punch, SoBe and water. Even the water is bloating me up and causing the pressure pain. I'm out of the fruit punch now and have switched over to SoBe, as I figured it is a better choice.

I am avoiding dairy and eggs completely.

I would like to try some veggies. Besides potatoes, any suggestions? Are raw, red peppers OK? (Sweet, not hot of course!!!!)

Thanks again,

A.

 
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Old 04-24-2013, 09:54 AM   #10
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Re: Digestive issues 4 days post-op

Quote:
Originally Posted by Alesis View Post
Hello all and thank you for your help.

I saw the surgeon yesterday and told him about my issues. He said they _may_ be surgery related and to contact my GI doc if they continue.

Considering that it takes a long time to get into my GI doc, I will call him on Friday if I am still having these issues. That way, I don't have to wait even longer once two weeks or so have passed, and I schedule the appt. then.

I have really made it a point to go completely low/no fat. All I am eating is bread, extremely low fat / baked turkey; drinking fruit punch, SoBe and water. Even the water is bloating me up and causing the pressure pain. I'm out of the fruit punch now and have switched over to SoBe, as I figured it is a better choice.

I am avoiding dairy and eggs completely.

I would like to try some veggies. Besides potatoes, any suggestions? Are raw, red peppers OK? (Sweet, not hot of course!!!!)

Thanks again,

A.
My diet consist of turkey, chicken, fish, and soups, corn, green peas and mixed vegetable. I drink water, coffee and tea, gingerale and green tea. I also take acidophilus or a probiotic in the morning. Still have some bathroom issues in morning. My tiredness during the day is much better but I seem to fizzle out around 6pm. It will be 1 month post op in two days. Im getting to believe it just takes time for some and its a waiting game to be 100%.

 
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Old 04-24-2013, 10:03 AM   #11
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Re: Digestive issues 4 days post-op

I hope you feel better soon. I think we all heal differently. People around me try to trivialize the surgery, saying how quickly people heal from it and act like it's no big deal. The reality is that it IS MAJOR SURGERY and we need to heal on the inside.

Take care of yourself.

Yes, some people get diarrhea after surgery. I was told that by my surgeon. I was told that it will go away in time and that is a temporary effect of the surgery.

Keeping you in my thoughts,

A.

Last edited by Alesis; 04-24-2013 at 10:05 AM.

 
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Old 04-26-2013, 07:07 AM   #12
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Re: Digestive issues 4 days post-op

Update: Because of the above issues, and because I felt like did when I was getting anemic after my last surgery, I saw my primary care provider yesterday.

She:

1. Scheduled an appt. with my GI ASAP instead of having me wait. His first available is 7 May.
2. Switched me to a stronger proton pump inhibiter.
3. Scheduled me an appt. with a nutritionist per my request
4. Ordered a CBC to check for anemia, etc.

She said that, because everything I have been consuming was bland and causing me the same problems as before surgery (even spring water!) that she felt it was something inside of me, as opposed to what I ate, that was the issue. Therefore, it was up to the GI specialist to determine the cause.

Hope you all are well. I will keep you all posted.

A.

 
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Old 04-26-2013, 03:15 PM   #13
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Re: Digestive issues 4 days post-op

Quote:
Originally Posted by Alesis View Post
I hope you feel better soon. I think we all heal differently. People around me try to trivialize the surgery, saying how quickly people heal from it and act like it's no big deal. The reality is that it IS MAJOR SURGERY and we need to heal on the inside.

Take care of yourself.

Yes, some people get diarrhea after surgery. I was told that by my surgeon. I was told that it will go away in time and that is a temporary effect of the surgery.

Keeping you in my thoughts,

A.
Someone just told me today that an 87 yr old women had Lap Surgery for Gallbladder and was out an about the next day. I hear these stories all the time but never actually meet these people. Talked to someone I know who had the surgery 3yrs ago and he said it took him a long time to heal. I guess it all depends on the individual!

 
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Old 04-29-2013, 07:11 AM   #14
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Re: Digestive issues 4 days post-op

Quote:
Originally Posted by peaches1923 View Post
My diet consist of turkey, chicken, fish, and soups, corn, green peas and mixed vegetable. I drink water, coffee and tea, gingerale and green tea. I also take acidophilus or a probiotic in the morning. Still have some bathroom issues in morning. My tiredness during the day is much better but I seem to fizzle out around 6pm. It will be 1 month post op in two days. Im getting to believe it just takes time for some and its a waiting game to be 100%.
What type (brand) of probiotic are you taking or does it matter? I just started having the bathroom issues in the morning Dr thinks it may be an infection but it has been a month & this just started he prescribed an antibiotic which I stated yesterday.

 
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Old 04-29-2013, 08:43 AM   #15
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Re: Digestive issues 4 days post-op

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Originally Posted by TwinsMom03 View Post
What type (brand) of probiotic are you taking or does it matter? I just started having the bathroom issues in the morning Dr thinks it may be an infection but it has been a month & this just started he prescribed an antibiotic which I stated yesterday.
Right now Im taking acidophilus probiotic (natures bounty) but I also take Culturelle once in a while. The acidophilus seems to be helping somewhat.

 
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