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Constant nausea after gallbladder removal (Page 1)

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i had my gallbladder removed two months ago due to low function, right side pain and nausea. Surgery went well, yet on day 3 nausea set in and is horrible. it's 24-7. my doc said this is not normal. i see others have posted with the same issue. i am desperate for answers. i can't funciton like this...it's horrible. i have a family to care for and can't work. please give me any advice.


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replied May 19th, 2010
Gallbladder Disease Answer A12208
Hello, welcome to the ehealth forum and thanks for asking your question.
You seem concerned by the severe nausea after surgery for removal of gall bladder 2 months back.
Here are some possibilities to consider-
First could be Sphincter of Oddi dysfunction. It typically causes biliary pain, nausea and vomiting. One hypothesis suggests that unmasking of pre existing SOD is due to removal of the gallbladder, which may have served as a reservoir to accommodate increased pressure in the biliary system occurring during sphincter spasm. You might want to discuss the option of an ERCP to evaluate for this with your gastroenterologist.
Another possibility could be dyspepsia. An upper endoscopy to evaluate for gastritis, esophagitis or peptic ulcer disease would be a reasonable option.
Another possibility could be of acid reflux. You can try anti-reflux therapy in consultation with your doctor. If you are continuing to experience nausea and other acid reflux symptoms despite anti-reflux therapy, a 24-hour pH study can confirm the diagnosis. If positive, then surgical options may be considered.
Finally, your doctor may also want to order a gastric emptying scan for gastroparesis.
You can discuss these possibilities with your gastroenterologist to determine the appropriate next step.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.


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