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May 25, 2012
 

Diagnosis of post cholecystecomy syndrome requires follow-up with surgeon

Dear Ask The Doctor: I have been suffering with diarriah for the past month and a half ever since i have had my gallbladder removed through a emergency laproscopic surgery adn now i have have constant loose stools that are like a slimy green to a yellow in collor sometimes there are hard blacks stools along with the green ones and also sometimes i have like a stone colored stool. the vomiting ceased after about two weeks, but was replaced with pain in my intestines and stomach. I was wondering if i could have ibs or something more serious

Dear Emily: Post cholecystectomy syndrome (PCS) has been documented and describes the presence of symptoms after cholecystectomy. PCS is caused by alterations in bile flow due to the loss of the reservoir function of the gallbladder. Two types of problems may arise. The first problem is continuously increased bile flow into the upper GI tract, which may contribute to oesophagitis and gastritis. The second consequence is related to the lower GI tract, where diarrhea and colicky lower abdominal pain may result, and this may be the diagnosis in your case. PCS is found in 5-30% of patients and I would advise contacting your surgeon for a follow-up appointment and further management which may include the use of Cholestyramine to improve symptoms of diarrhoea .

Last Updated ( Wednesday, 05 May 2010 )
 

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