I had surgery 6 weeks ago and since then I have had severe pain on the upper right side just above incesion near sternum going under breast to right side of rib cage. I've had blood work, X-rays and CT scans that all come out normal. Pain meds and muscle relaxers haven't worked and doctors have no idea what's wrong. I cringe at the thought of getting up to go to the bathroom because the pain is so bad. Just trying to find out if I'm the only one that has ever had this.
Hello, and thanks for your medical question on eHealthForum
From the history provided it seems that you might be having post cholecystectomy syndrome (PCS).
Postcholecystectomy syndromeâthe recurrence of symptoms similar to those âbefore the procedureâoccurs in 10% to 40% of patients. The time to the onset âof symptoms can range from 2 days to up to 2 years. Women may be at higher ârisk, with symptoms recurring in 43% and 28% in men.â
The first problem is continuously increased bile flow into the upper GI tract, âwhich may contribute to esophagitis and gastritis. The second consequence is ârelated to the lower GI tract irritation which can cause diarrhea and colicky âlower abdominal pain. â
Treatment of the condition might need treatment with antacids, proton pump inhibitors, âantispasmodics, âCholestyramine or sedatives. Lifestyle changes specifically adopting a low fat diet and weight loss might also be âvery helpful. â
You might considered a experienced gastroenterologist for additional information and proper âtreatment. â
Typical symptoms following gallbladder removal can range from gas, nausea, diarrhoea, and constipation, to severe pain every bit as bad as gallstones.
Causes vary. Milder symptoms are often simply due to the change in the timing and quantity of bile supply to the intestine. Your body will adapt slowly, you may be able to help with diet modification, but ultimately some people need drugs too.
Similar but more serious and persistent problems may involve disfunction of the sphincter at the end of the bile duct. This causes continuous dripping of bile into the intestines, instead of a release triggered by food. This is often mentioned because it is a specific known issue that can be treated, for example by surgery but it is not that common.
Severe pain similar to the pain of gallstones may actually be due to gallstones retained in the bile duct. This usually manifests quite soon after surgery and can range from mild to life-threatening. Treatment is often surgery to remove the stone, although it can sometimes be treated with less invasive means such as endoscopy, shattering, or dissolving drugs.
Different types of pain may be due to surgical adhesions where connective tissue develops between organs that should be free. These are common following any abdominal surgery although modern techniques reduce them greatly. Although the type, timing, and triggering of this sort of pain may be different from retained gallstones or digestive discomfort, you can't always diagnose the cause from the pain itself. Your body may also adapt to the adhesions over time. At your stage, internal wound pain can still be sonidered to be healing although you should get severe pain looked at.
I had my gallbladder out one week ago. I have such severe pain between my shoulder blades It constricts my airway. Without at least 800 mg of alive I would pass out from the pain. I don't know what to do!
Very depressed. Anyone have similar results?
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