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A Tale of Two Fissures, A story of the world's strangest man and his colon
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The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy.[1] These symptoms can represent either the continuation of symptoms thought to be caused by the gallbladder or the development of new symptoms normally attributed to the gallbladder. PCS also includes the development of symptoms caused by removal of the gallbladder.
In general, PCS is a preliminary diagnosis and should be renamed relevant to the disease identified by an adequate workup. 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 esophagitis and gastritis. The second consequence is related to the lower GI tract, where diarrhea and colicky lower abdominal pain may result.[2] This article mainly addresses the general issues of PCS.
PCS reportedly affects about 10-15% of patients. In this author's experience, PCS has occurred in 14% of patients. Effective communication between patients and their physicians, with specific inquiry directed at eliciting frequently anticipated postoperative problems, may be necessary to reveal the somewhat subtle symptoms of PCS.
In general, PCS is a preliminary diagnosis and should be renamed relevant to the disease identified by an adequate workup. 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 esophagitis and gastritis. The second consequence is related to the lower GI tract, where diarrhea and colicky lower abdominal pain may result.[2] This article mainly addresses the general issues of PCS.
PCS reportedly affects about 10-15% of patients. In this author's experience, PCS has occurred in 14% of patients. Effective communication between patients and their physicians, with specific inquiry directed at eliciting frequently anticipated postoperative problems, may be necessary to reveal the somewhat subtle symptoms of PCS.
Seriously, the only constant I've found is a Royal w/cheese from Red Robin. That sets it off in 15 minutes. Anything else I eat goes either way. In general I try to watch my diet close as possible since I'm stapled to a desk and my metabolism seems to be slowing down a bit, but it does seem the higher fat content the more likely to trigger the time bomb that is my bowels. Funny that I used to work with a doctor who told me this was all in my head and it only took me 5 years to finally google this to see WTF is going on and I've yet to mention this to my family physician.
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Getting gallbladder removed will make your bowels much more sensitive to fat intake...but you're actually going the other direction. Sounds like maybe your body has finally purged all the ---- that was impacted from processed foods, your gallbladder has calmed down, and now you need to adjust to get your stool to resemble something besides a petrified forest exiting you anus single file.
Random pic of somebody who -had- 2900 gallstones:
If you've increased your caloric intake drastically without increasing water intake that could do it too. Simple balance of fiber/water.
I have IBS that's strangely triggered by neck pain episodes, and respond to caffeine intake on the order of seconds. You're better off talking to a doc as there are a lot of intricacies to all these reactions.
Random pic of somebody who -had- 2900 gallstones:
If you've increased your caloric intake drastically without increasing water intake that could do it too. Simple balance of fiber/water.
I have IBS that's strangely triggered by neck pain episodes, and respond to caffeine intake on the order of seconds. You're better off talking to a doc as there are a lot of intricacies to all these reactions.
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Guess what I am getting paid to do now?
Tonsiloliths. #1 cause of haliotosis. Ugh
Also, Sentic, you have the best Avatar ever. Turbo? Check. Pink? Check. Kitten? Check. Misspelling FTW? Check. Of course, you're Swedish.
Also also guess who likes durian? The korean store here has fukkn durian candy. Yum
Also also also guess who has no problems pooping?
Last edited by shuiend; Apr 25, 2012 at 12:55 PM.
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Joined: Jun 2005
Posts: 19,338
Total Cats: 574
From: Fake Virginia
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A ----, I thought I was exclusive.
Y8s - a high fat diet won't give you steatorrhea, a high fat diet with inability to excrete enough bile will. This will however require a very high fat intake, or some kind of bile obstruction in addition to not having the reservoir of the gallbladder.
Normally however (and the teoretical base for the reasoning), this occurs after resection of the distal ileum and inability to reabsorb bilesalts. Without lab, knowledge about diet and possibly an ercp its impossible to say in the individual case.
End of medical mumbomjumbo.
Y8s - a high fat diet won't give you steatorrhea, a high fat diet with inability to excrete enough bile will. This will however require a very high fat intake, or some kind of bile obstruction in addition to not having the reservoir of the gallbladder.
Normally however (and the teoretical base for the reasoning), this occurs after resection of the distal ileum and inability to reabsorb bilesalts. Without lab, knowledge about diet and possibly an ercp its impossible to say in the individual case.
End of medical mumbomjumbo.
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Joined: Jun 2005
Posts: 19,338
Total Cats: 574
From: Fake Virginia
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Getting gallbladder removed will make your bowels much more sensitive to fat intake...but you're actually going the other direction. Sounds like maybe your body has finally purged all the ---- that was impacted from processed foods, your gallbladder has calmed down, and now you need to adjust to get your stool to resemble something besides a petrified forest exiting you anus single file.
Random pic of somebody who -had- 2900 gallstones:
If you've increased your caloric intake drastically without increasing water intake that could do it too. Simple balance of fiber/water.
I have IBS that's strangely triggered by neck pain episodes, and respond to caffeine intake on the order of seconds. You're better off talking to a doc as there are a lot of intricacies to all these reactions.
Random pic of somebody who -had- 2900 gallstones:
If you've increased your caloric intake drastically without increasing water intake that could do it too. Simple balance of fiber/water.
I have IBS that's strangely triggered by neck pain episodes, and respond to caffeine intake on the order of seconds. You're better off talking to a doc as there are a lot of intricacies to all these reactions.
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