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Right shoulder pain since surgery 5 weeks ago

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I had my gallbladder out 5 weeks ago after being bedridden for 4 months previously with gallstones.

Since I woke up from the op I've had pain in my right shoulder. I haven't been back to work yet as I struggle to drive and can't use a computer. I struggle holding my phone and can't write an address. I'm hurting a lot just typing this, the pain is in my shoulder blade and inside the shoulder joint. I have to take paracetamol all the time and sometimes tramadol when it gets bad.

My liver function blood tests went a bit haywire after surgery but the doc said they're returning to normal now. I've been referred to physio and have an appointment later this week. Trouble is I need to go to work soon as I've been off since September and my pay stops this week!!! Trouble is I'm in so much pain if I use my arm. Has anyone else had this problem?
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replied January 31st, 2012
Hello and welcome to e health forum. ‎

Persistent pain after cholecystectomy, is associated with post cholecystectomy syndrome (PCS). ‎

Such symptoms occur in about 5 to 40 % of patients undergoing the procedure and ‎may include - Upset stomach, ‎nausea, vomiting, Gas, bloating, diarrhea and persistent pain in the upper right ‎abdomen. ‎Such symptoms are usually due to either sphincter of Oddi dysfunction or to post-surgical adhesions. ‎

Other conditions which can give rise to such pain can be many, including :- ‎

‎1. Retained stone in the cystic duct, gall bladder duct.‎
‎2. Inflammation of gall bladder duct, if long enough had been left behind.‎
‎3. Inflammation of the part of gall bladder, if some part of gall bladder had ‎been left behind as in case of partial ‎Cholecystectomy in a difficult to ‎remove gall bladder,‎
‎4. Overlooked stone in the common bile duct.‎
‎5. Already narrowed opening of the bile duct.‎

Treatment of the condition might need treatment with antacids, proton pump inhibitors, ‎antispasmodics, ‎Cholestyramine or sedatives. Lifestyle changes specifically adopting a low fat diet and weight loss might also be ‎very helpful. ‎

You might considered a experienced gastroenterologist for additional information and proper advice ‎regarding ‎further treatment.‎



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