Having severe constipation and a distended belly are not normal 4 months after laparoscopic cholecystectomy. Unfortunately, there are MANY potential causes of constipation and, therefore, I cannot offer you a specific diagnosis over the internet.
If you have not already done so, then consultations with your surgeon, and perhaps with a GI specialist, would appear to be appropriate (also, given your symptoms, an upper GI series with small bowel follow-through or a CT scan of the abdomen may be helpful to rule-out a partial bowel obstruction, although having a bowel obstruction for 4 months would be quite unusual).
Sincerely/ Robert A. Wascher, MD, FACS
http://doctorwascher.com
http://oncoguard.com
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