What to do about diarrhea after cholecystectomy

  Diarrhea after cholecystectomy is an old and difficult problem. Some people get into difficult disputes with their surgeons because of it.  Surgery to remove the gallbladder is easy, but treating post-operative abdominal pain, bloating and acute and chronic diarrhea is not! So, while some people cry before surgery, not everyone smiles afterwards! It’s not as simple as having your appendix surgically removed.  The incidence of diarrhea after cholecystectomy is 17%. It occurs mainly in patients with the following characteristics: age < 50 years, poor food tolerance after surgery, obesity, and male. Are you in this range?  Pay attention to the diagnosis and treatment of this group of diseases to improve the quality of life!  First of all, not every acute and chronic diarrhea that occurs after cholecystectomy is attributed to this. It needs to be differentiated from other possible diseases.  In the case of post-cholecystectomy diarrhea, we need to understand the cause. The main cause is abnormal bile acid absorption after surgery, too much bile acid in the middle and lower gastrointestinal tract causing a number of problems and manifesting as diarrhea and other symptoms. Imagine: the key function of gallbladder is to store bile, just like Poyang Lake and Dongting Lake on Yangtze River. Without these lakes, wouldn't the water of the mighty Yangtze always scourge the middle and lower reaches. The bile in the biliary system is like the river, the gallbladder is like the lakes, and the middle and lower Yangtze River is like the middle and lower digestive tract.  What kind of trouble does diarrhea after cholecystectomy bring to the body?  For most people, it is just an annoyance and not a serious life-threatening emergency disease. In severe cases, dehydration and electrolyte disturbances occur, and patients feel thirsty and have leg cramps. However, it is just not serious, and it makes people upset for a long time, and psychological problems can occur. Therefore, it is necessary to find a doctor who has expertise in this matter to see. Remember, there is a cure for this disease, just very with drugs.  Life is a mouth and eating is important. How to control your mouth and fight against diarrhea?  We recommend the use of clean following foods: bananas, rice, apples, tea, toast, sourdough foods, high fiber foods, etc. In particular, we emphasize the importance of fiber-rich vegetables to help shape the stools and reduce their frequency.  Due to the irritation of bile acids, bile reflux and secondary malnutrition. New pathologies are possible in the mouth, stomach, intestines, and even the skin. If they have already occurred, try to: (1) Avoid spicy foods.  (2) Remember to "wipe the buttocks" with very soft paper, as the anus may be uncomfortable due to repeated diarrhea and bile acid irritation of the mucous membrane and skin in the anal region. If you have "allergies" to other parts of the skin, think of it as an allergy to "bile acids".  (3) Learn to summarize your diet and identify those that are good for you and those that will aggravate your symptoms.  With that said, it is important to remember that if you have not yet had your gallbladder removed, be sure to do a pre-operative evaluation of whether to cut it or not. Not every surgeon can scientifically and accurately make a decision recommendation.  The key to evaluating the gallbladder or not is to assess: (1) what the current status of gallbladder function is. European and American surgeons usually pay close attention to its functional assessment! We are also early in China to focus on this research and clinical promotion of related technology.  (2) Whether this surgery is inevitable.