Recurrent epigastric pain is the main feature of the sequelae of cholecystectomy. The pain is often confined to the mid-upper or upper abdomen and in most patients resembles the nature of the pain before cholecystectomy. The frequency of attacks is variable, ranging from several times a year to almost daily. Pain attacks may be accompanied by nausea and vomiting, and some patients have severe abdominal pain that resolves on its own without treatment. Some patients only have gastrointestinal symptoms, such as indigestion, bloating and loose stools.