Join Date: Oct 2006
Location: The coldest place on Earth
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After having your gallbladder removed you do not need a special diet. Your gallbladder contracts in response to fat in your duodenum (1st part of the intestine). If you have gallstones or a dysfunctional gallblader this will cause symptoms, however, if your gallbladder has been removed it is not a problem.
That being said, there are some other issues that can cause problems after gallbladder removal. If you (or your friend) are having any sort of food intolerances you should speak to your surgeon. Your system is significantly changed after surgery but hopefully for the better.
I'm a surgeon who removes people's galbladders.
Right you are. The constant dripping can cause a truly more irritable bowel...not to be confused with the oft-diagnosed IBS...that can be more sensitive to high fat foods. Most people's intestines are able to quickly adapt, but not all. There is a sphincter located between the common bile duct and the duodenum which, just like the gallbladder, is activated by fat. So, people who've had their GB removed can still get a rush of bile in response to a fatty meal. And some have to rush off to the toliet because of that. Unfortunately, many food intolerances have similiar symptoms to a gallbladder attack. Gallstones are often times asymptomatic and can be found incidentally while a patient is having GI upset due to another cause. So when I hear that a patient is having the same symptoms that she had prior to her gb being removed, I start barking up another tree.
The problem that causes gallstones is rather complicated. It is an issue of concentration of three different components. Like many things in the body...balance is key. Destroying the stones has been tried and unfortunately, it did not have good results. The stones invariably returned. There are many ways gallstones can be symptomatic, some relatively minor though uncomfortable, and some life threatening. If I'm convinced that the gallstones are causing the patient's symptoms I offer to remove the gallbladder before things can get worse.
Luckily we're on that illusionary internet deck of yours, if you were in my office ...that would be $500 please.