Stabbing pain after eating / gallbladder removed?
Posted , 30 users are following.
Hello,
About 15 years ago, I had my gallbladder removed due to large cholesterol stones that blocked the gallbladder. I didn't have much trouble, actually, except occasional nausea, but I had a severe attack of vomiting with dehydration that landed me in the emergency room, and it was found that I had stones, so my gallbladder was removed with laparoscopic surgery. I had complications afterwards, with paralytic ileus that involved having to have my stomach pumped. It took a bit to recover.
After that, I had the predictable severe diarrhea after eating and didn't worry too much about that since all of the women in my family had their gallbladders removed, and they all had the same issue. But then the problem progressed, perhaps within a year or two? And now it's completely out of control, and I don't know who to turn to or what to make of my symptoms which I assumed were usual, but now, I wonder and I wonder if they are curable too? If anyone knows, please let me know.
For around fifteen years, sometimes after I eat, I have excruciating, knife-like, exploding, makes-me-sweat, stabbing pain where my gallbladder used to be. It feels like labor pains in terms of intensity. It's completely incapacitating and is resolved by going to the bathroom, where I pass yellow, burning bile diarrhea (sorry to be disgusting; I'm a very private person normally). Sometimes the pain has caused me to faint with pain. I no longer eat near people and really, I avoid eating. Once one of these episodes have happened, I seem to be more prone to them and they repeat in cycles. They seem to be triggered by either not eating for too long or else eating certain types of fat. I've had thousands of these episodes since they occur every few days and, at most, might let up for a month. But then something else triggers them. I've learned to take strong digestive enzymes to prevent them, although I'm not sure if this truly works or not. When it begins, there's little stopping it for weeks on end. I don't think a painkiller would help in these episodes since they are sudden and extraordinarily bad.
The other thing is that I have times where I vomit tons of yellow bile, which is the most horrible tasting thing in the world. Sometimes, this will keep me up all night, although it's more common to happen in the morning.
During the rest of the time, I always have aching in the area as well as pain with applied pressure. No doctor has ever been concerned about it. I also cannot take cholesterol binding medication, which was recommended, because it interferes with another medication I take (thyroid replacement), which is necessary. HOWEVER, the diarrhea is so bad that I have also had trouble absorbing my medication and other nutrients, and I've had problems with various vitamin imbalances.
So, I found this forum. I've posted to other forums that aren't as vibrant as this one, and I realized recently that my situation was probably not usual. I'm a teacher, so I have a terrible time because I cannot eat lunch at school out of fear of this coming on and causing me to miss class. I literally just drink skim milk or eat broth-based soup for lunch (and even that can absolutely set it off at times). Every single day when working. I cannot afford to have an attack while teaching since I teach high school aged kids.
What on earth could this be? Should I bother to talk with a doctor about it? Does anyone else relate to stabbing pains after eating after your gallbladder is out? Thanks for your help.
2 likes, 38 replies
Acejohnston clarissa1975
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Am so sorry to hear your suffering the last 25 years. It sounds like bile salts diarrhea and maybe bile reflux. You really need to see a gi consultant. If you can't take the bile binders you could try caltrate calcium 600 s tablets. They work in the same way as the bile binders in that the calcium carbonate soak up the bile. You start by taking half a pill 3 times a day with food and if no improvement after 5-7 days take 1 full pill 3 times a day with food. You could also try psyllium husk powder (Metamucil powder) as it also soaks up the bile. I had mine removed nearly 6 months ago and had vomiting diarrhea and nausea. I found the calcium and the psyllium husk great for stopping the diarrhea. They are definitely worth a try if you can't take the binders. Good luck xx
clarissa1975 Acejohnston
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Thanks. That's one thing the doctor said, although not about the calcium (which I will try! Also, the Metamucil). Thus said, does it cause stabbing pains like this? Or did you have them? I'm far more concerned about the extraordinary pain than anything: that's what I haven't heard too many people have after gallbladder removal. Do you have this kind of pain? Thanks again! This forum is so fantastic.
Acejohnston clarissa1975
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Glad to help. Have they checked you for stones recently? I have had that stabbing pain but thankfully only a few times and have had tests and all ok. Unfortunately a lot of people get pain where the gallbladder was particularly when they Eat fatty food. I think if you could get the diarrhea under control it might help the pain and will also help with the absorption issues. There are a lot of people taking the calcium after the gallbladder removal for the diarrhea. It's a pity we weren't told about all these side effects prior to the op. I would definitely not have had it done. Xx
clarissa1975 Acejohnston
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No, they haven't. They checked my blood recently and said my ALT/AST and bilirubin were fine, so there was no need to image anything, so that was that. I'm in the U.S. so our medical system is hit or miss depending on your insurance. Is this the kind of pain other people get? I'm asking because I know dozens of people with their gallbladder removed, and they don't have this sort of pain It happens even when I eat anything at all sometimes, not only fatty food, although fatty foot will definitely induce it. Also, not eating and then eating crackers can induce it. I just had an attack from a non-fat bagel because it's bad right now.
I had to have the surgery because I had a large stone that blocked some duct and was admitted for surgery on an emergency basis. My blood pressure was dangerously low, and I was throwing up non-stop. Before that, I did not really have any symptoms though other than occasional nausea that I didn't think much about.
My situtation is much worse, I think, than most people with their gallbladder out. I lived with my mother-in-law, and she had the diarrhea but when I asked her about painful stabbing feelings, she drew a blank. You really think this is normal though? My liver's okay at least.
Acejohnston clarissa1975
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clarissa1975 Acejohnston
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The stone in my gall duct was removed! Definitely. That was the very reason I wound up in the ER being admitted and then having surgery. I also had a few other stones in my gallbladder, so the whole gallbladder was removed along with the stones. They said the stone in the duct was why I was vomiting and got so ill when before I had only been a little nauseous sometimes. I'm not sure if my gallbladder was inflamed. I just know it was an emergency surgery. The surgeons showed the stones to me afterwards. They looked disgusting.
Have you tried taking a strong digestive enzyme? That helps keep my symptoms at bay pretty well, at least the extraordinary pain that I get which I still do not understand. However, I buy over the counter enzymes, a broad-spectrum one with acid-stable protease, lipase, alpha-amylase, amyloglucosidase, cellulase, hemicellulase, and lactase, plus pancreatin. I absolutely have to take it twenty minutes before eating though or it doesn't work at all. And sometimes, it still doesn't work. I really don't know why it works though, but I tried it out of desparation since I had a horrible attack while traveling (happens almost every time that I do travel, which is often, since I teach and have summers off). I assume because I change my diet.
The other thing is when I have a really bad attack of bilious vomiting and pain -- not the runs; nothing will make those go away, and I'm used to them -- it makes me feel achy and weak and gives me a headache for a day or two afterwards, which I find strange.
Other people I know commonly have the runs from eating the wrong thing. That's nearly universal from what I can tell in the women I've talked with who have had their gallbladder removed. My situation is much different and much worse. The pain is so bad that I go into a cold sweat, cannot breath, and can pass out. The pain is not constant but like a labor pain, rising in intensity and then holding and then eventually subsiding, but quickly followed by another pain, and it can be from anywhere from a few minutes to perhaps a half hour or more. It is like a knife being twisted suddenly in my right side, under my ribcage, near my laparascopy scar and my intestines also cramp (I'm very thin). It usually resolves with the runs, which are pure bile and which burns like crazy, and sometimes vomiting bile as well. I do not know anyone else whatsoever with these symptoms, or I would not be posting to this forum seeking answers.
My health insurance is not very good, unfortunately, nor are my wages, so I have to be as selective as possible before going to any specialist.
clarissa1975
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Acejohnston clarissa1975
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clarissa1975 Acejohnston
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I don't believe there is ox bile in my enzymes because it says they are vegetarian. The fat does not entirely seem to be the issue though. As mentioned before, sometimes low-fat foods can trip this stabbing, knife-like pain off too. For example, today I ate a non-fat bagel and wound up having a horrible episode of incapacitating pain.
I was okay after the operation for a while except the diarrhea, yes. I didn't have a regular doctor at that time and all of it was through emergency room. My mother-in-law assured me that it was normal since she had her gallbladder out. This was before the internet was a big thing so there was limited information, and I believed her. She said she had problems with eating since hers was out. So I never mentioned it to the doctors in the hospital. Besides, they released me a few hours past the surgery. The paralytic ileus came a few days later when my stomach blew up like a balloon, and I could not breath, and I went back to ER where they pumped my stomach and then again, released me. At that point, I had no doctor to speak of. It's hard to remember when the pain started, but I know it was not too long after that because it was just before I moved, which couldn't have been more than a year later. At first, the attacks were very occasional and definitely triggered by fatty foods. I gave up eating anything fried immediately. It seems like it worsened somewhat slowly and insidiously to the present day, at which point I have this nearly every time that I eat so that I avoid eating.
I have trouble believing that the diarrhea alone is rare. Every woman I know who has had her gallbladder out has some trouble with this, but no one has heard of the pain since I've started to ask around. It's not an ache or anything. It's exploding pain like something has ruptured, and it is accompanied by a second kind of pain like a cramp.
I take probiotics pretty regularly, actually, although I never tried psyllium.
Any idea what is causing this level of pain? I just want the pain to stop. Period. I've read a bunch of the posts on this forum, and I don't really see a post from anyone that I've noticed mentioning this symptom, and it's awful, and I'm honestly kind of confused at this point as well as frustrated. I don't even know which kind of doctor to try to see since I had the surgery in emergency. A gastroenterologist?
Acejohnston clarissa1975
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clarissa1975 Acejohnston
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I will make an appointment with a gastroenterologist. I think they should have removed my gallbladder in ER, but also, they could have removed the one duct stone perhaps without removing the whole gallbladder, no? I thought this was weird. They said another stone would move down there, so they took it all out. The hormone imbalance seems like a great idea to deal with. I'm perimenopausal, so I wonder if that's worsening things.
I will be picking up caltrate and metumucil tomorrow, thanks! And thanks for your thoughts throughout. I appreciate your understanding of this issue and your taking your personal time to respond in such depth. The kindeness of strangers always stays with me.
Acejohnston clarissa1975
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sarah87162 clarissa1975
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Sorry if this is not terribly helpful.
Sarah
clarissa1975 sarah87162
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jamie12408 clarissa1975
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