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Diarrhea after Gallbladder Removal

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I had a gallbladder removal last december 2005 and so far I had no big problem in digestion. Although in some cases, I experienced loose stools or diarrhea after eating but it was not frequent.

Now, I observed that ther is an increase in the frequency of diarrhea. Every after meals I feel a discomfort that I would have to move my bowels. This bothers me and affects my activities especially my work.

Pls. Help me how to treat this disorder. What would I take and how much dosage do I need for a time span? Also what diet is preffered ( what fruits, etc)?

I heard about the cholestyramine and aluminum hydroxide as a treatment of diarrhea due to this disorder. Is this safe?

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replied November 29th, 2006
Appendix, Appendicitis, Gallbladder Disorders Answer A1789
Gallbladder removal may cause a temporary digestive disorder that can manifest with diarrhea. The gallbladder is a reservoir of billiary juice that is important for digestion of the fats found in the food. Without the gallbladder, the billiary juice is not expelled into the duodenum when necessary (after eating food containing fats) but expells billiary juice continuously. An excess amount of billiary acids and salts can cause diarrhea when it reaches the colon. But the body usually compensates for gallbladder loss over time by enlarging the billiary duct ; diarrhea vanishes eventually in time. Cholestyramine and aluminum hydroxide are used for treating diarrhea after a gallbladder removal. Your diarrhea, however, became worse 1 year after the gallbladder removal procedure, so we should be careful about its real cause.

Diarrhea is not a disease but only a symptom of a disease. There could be various reasons for diarrhea beside gallbladder removal: intestinal infections, autoimmune inflammatory diseases of the intestines (ulcerative colitis, Crohn’s disease), various malabsorption syndromes, irritable bowel syndrome…

Microbiological examination of the feces, blood analyses and colonoscopy can be requested for establishing a correct diagnosis. You should visit your primary health provider and probably an infectologist or internist specialist afterwards.

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