Doubts about removing gallbladder
Posted , 16 users are following.
It is 6 months since I became really unwell and everything has so far been ruled out other than gallstones, hiatal hernia and a small diverticulum found on scans and scopes. Everything else has been found as normal although I have constant nausea, bloating, stomach ache and cannot eat many foods. I often get sharp upper left sided pain (nothing found to explain) and tight mid chest pains, likewise. I feel like I have bad flu, aching all over, headaches every day, too many symptoms to list. I'm back on the list after hospital cancelled first date to have Gb out as Drs all say it is the only cause that could be behind all this so it is a case of eliminating it, also maybe I could have some form of IBS (which I doubt as bowels have not really been a problem). The only abnormalities on blood tests are low vit D (taking it now) and some slightly raised liver enzymes but they say those are nothing to worry about and could be due lots of things. Reading of all the things that can go wrong after Gb surgery, I'm worried that this op will not solve the problems since I don't have the major attacks ppl talk about with right side pain, more constant chronic pain all across middle and twinges in different places, worse after eating. I don't want to risk any more issues as I am worn out already. It seems that post op complications are quite common (I know more ppl post who have issues than those who are OK) but medical research papers found up to 40% get some form of after probs which seems quite high. And there is no real improvement in GI symptoms for many of these, mainly the reduction of severe attacks, although some folk on here still say they have same pain after.
On the other hand, I've got known multiple stones (no size mentioned) and the scan said contracted Gb which I take to mean scarred and I am over 60 so if a stone moved in future it could be more risky to have emergency treatment and op then, than elective surgery while younger. But the risk is supposed to be low. My Mum is in late 80s and has had stones for years - she does also get some digestive issues but not attacks.
If I had typical attacks I would have no doubt, but as my symptoms vary, I just wonder. I've seen a couple of doctors now, one who said it is up to me the other thinks it is the way forward. But they do not seem to be willing to look into anything else until the Gb is out and ruled out. I keep changing my mind as to whether this is a good idea. I've tried remedies (not flushes as don't agree with those) and diet and complementary therapies, they help symptoms a bit but the underlying condition is still there and life is on hold. Has anyone any thoughts?
1 like, 108 replies
gertychin cynthia89958
Posted
I am having the same doubts as you re gb removal. I had a horrific attack of biliary colic last week and ended up in hospital for a few days. I was told (after MRCP) that I have an inflamed gallbladder, which contains multiple gallstones and I am now on the waiting list for gallbladder surgery.
For the first two days of my admission, it was nil by mouth and I was placed on a drip. That stopped the symptoms completely. The doctors said nil by mouth would rest my gallbladder and stop it contracting. It was the contractions causing the pain because of the multiple gallstones and inflammation. After that, they tried me on fluids eg. soup and that was ok. Eventually, I was allowed low fat soft foods like mash potato and poached cod. Since I was discharged a few days ago, I have maintained a no/low fat diet and have remained asymptomatic. I was not even tempted on my birthday yesterday to eat any fatty foods or have a sip of wine. Too risky!
I don't totally fit the usual profile - fat, female and over 40 - ie. I am not overweight but other risk factors (female, middle-aged, sedentary) apply.
I have now been galvanised into action - carrying out extensive research and, late last night, stumbled across this:
EASL Clinical Practice Guidelines on the prevention, diagnosis
and treatment of gallstones
by the European Association for the Study of the Liver (EASL)
http://www.easl.eu/medias/cpg/2016-04/EASL-CPG-Gallstones.pdf
It tells you everything you want to know about gallstones and was published in April 2016. The EASL website itself contains a mine of information. At least, when we are talking with the doctors, we will be well informed.
Although I don't want surgery, I don't think the alternatives mentioned in this article are offered on the NHS or maybe there is a general medical consensus that gb removal is the best? option. I have been reading (in that same article) about complications that may occur during surgery eg bile duct injury but nobody knows who the unlucky ones will be. The alternative is to risk gallbladder rupture or cancer etc. I was lucky that I had just returned from a holiday abroad when I became ill.
What I would really like is for my gallstones to shrink or disappear entirely through diet and exercise; wishful thinking or not?
Take care. Let me know your thoughts on the article. I am about halfway through with it.
G.
lisa98146 gertychin
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lisa98146
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gertychin lisa98146
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Thanks for your concern.
cynthia89958
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I have not found any other solutions other than surgery but it is hard to take the leap of faith when there is no guarantee it will help and may cause new issues.
Have read that a few people had really badly infected gbs when taken out, yet the scans did not evidence this so they could have been playing Russian roulette had they left them in, if only the scans could really tell us everything. As it is a relatively simple op in most cases I guess that is why they don't have any further tests but just get on with it. I'm having a less doubtful day - we will see what tomorrow brings! Take care all.
jill_38536 cynthia89958
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If you think of any questions let me know and I'll find out all I can and will let you know
Are you on the waiting list? If so have you any idea how long it is. Take care
.
lisa98146 jill_38536
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cynthia89958 jill_38536
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Yes, I think what anyone in similar situation is what happens if we try to live with a dysfunctional gb. We know there are risks of complications, as there are with surgery, mostly deemed to be low risks. But, the more serious things aside, can we have good health and wellbeing with a gb full of stones or other dysfunction? If the gb is not up to capacity, is it as though we are already living without one and what if it is infected as some folk have been told when theirs came out despite no prior signs.
I wished I had thought to ask the surgeon what he would have done if he were in the patient's chair with my symptoms, but I was so unwell at the time, not sleeping or eating, I forgot almost everything!
Hope yr appt goes well for you and you get the answers you need x
jill_38536 cynthia89958
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Well I asked what he would do if he was me and he said if I was only having the symptoms once every 6 months he would leave it but as I have them every day he would have them out
He told me about all the complications that could happen but with all of them there's only 1% of getting them
Hope this helps
cynthia89958 jill_38536
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My op date has been cancelled by hospital a second time so I have even more time to think it through as no new date yet. Take care,C
lynda20916 cynthia89958
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jill_38536 cynthia89958
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cynthia89958 lynda20916
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cynthia89958 jill_38536
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lynda20916 cynthia89958
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jill_38536 cynthia89958
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Hope you don't have to wait much longer.
cynthia89958 jill_38536
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Yes, stay in touch as it will be interesting to compare how we get on. Take care for now.
lisa98146 cynthia89958
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cynthia89958 lisa98146
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I did go to PALS earlier about the wait for scan results etc but they never got back to me and I got my results though the A & E doctor so I let it drop. I will be following things up now though as it is not really fair to keep patients waiting so long for a new date - you cannot plan work, family, outings or holiday committments and on bad days, just feel abandoned and even a new date seems to mean nothing as they cancel so readily. This experience has been a real eye opener!
Of course we are lucky to have the NHS but we do pay into it, we are stakeholders and it concerns life and health so we all deserve equal and fair treatment, as you say.