How to treat diarrhea after cholecystectomy?

  Cholecystectomy is a safe and effective treatment for gallbladder diseases such as gallbladder stones and gallbladder polyps, and most patients recover well after surgery without discomfort. However, about 5% to 18% of patients will have diarrhea after surgery, which is characterized by an increase in the number of stools, unformed or even watery stools, and diarrhea will be aggravated by eating foods with high fat content. The occurrence of diarrhea after cholecystectomy is not related to the surgical method of cholecystectomy (traditional open surgical resection and laparoscopic resection).  1, to maintain an optimistic state of mind, to understand that this is a normal phenomenon, to avoid tension, anxiety and other adverse emotions, so as to avoid disruption of the body’s neurological function.  2, it is recommended that in the diet, each meal should be seven or eight minutes full, especially dinner, reduce the intake of fat and cholesterol, a reasonable mix of meat and vegetables, but should try to reduce the fat and cholesterol content of food, once can not eat too much animal fat food, cooking vegetable oil, less thick meat soup, thick chicken soup, thick fish soup, control the fat content of nuts such as peanuts, melon seeds, walnuts, almonds, pistachios Limit animal offal, egg yolk, squid, sardines, animal brains, fish eggs, crab yolk and other foods containing high cholesterol, avoid overeating or excessive hunger, a small number of meals is appropriate, high-quality protein can choose to fish, shrimp, poultry, tofu and soy products with less oil, daily intake of vegetables should be more than 500 grams, at least two kinds of fruit to ensure adequate intake of vitamins and minerals, which can help improve the body Metabolism, and vegetables and fruits are rich in dietary fiber, can reduce the formation of cholesterol, reduce the absorption of fat and sugar, thus playing a role in reducing blood fat and blood sugar, coarse grains rich in dietary fiber, including brown rice, corn, millet, sweet potatoes, oats, buckwheat, etc., quit smoking and alcohol, avoid spicy and irritating foods such as onions, garlic, ginger, chili and pepper, etc., cooking should be light, the best use of stew, steam, simmering Avoid deep-frying, barbecuing, smoking, half-cooked, and using less seasoning. 3. Take general antidiarrheal drugs such as Simethicone, phenylephrine, and Emmenthal under the guidance of a doctor. In addition, you can take cholestyramine, a non-activated ion exchange resin, which works by binding bile acids in the intestinal cavity, generally 4 to 16 grams per day orally.  4.It can be taken orally to supplement digestive enzymes, such as compound azinomide enteric tablets, multi-enzyme tablets, digestive enzyme tablets.  5.Chinese herbal medicine can be used to regulate according to the actual situation of the patient.  Within 3-6 months after surgery, most of the patients’ diarrhea symptoms will be significantly improved after a period of recuperation. This may be due to the fact that the common bile duct will gradually compensate for the expansion after gallbladder removal, replacing part of the function of the gallbladder.