Hello! I work as a doctor for 21 years. My name is George O. Sapego. This article will talk about what happens after the removal of the gallbladder.
After you remove the gallbladder, the liver will continue to produce bile, and this bile is released into the intestine. Bile is needed to digest fat.
Immediately after surgery, abdominal ache and everything will work poorly. Therefore, do not make the liver and biliary ways to do a lot of work. They need to relax. Reduce the portion of food, so as not to attract too much bile. Reduce the amount of fat in each serving of food, because it is for the digestion of fats and bile needed.
Diarrhea after surgery
This happens in 10 - 20% of people after the removal of the gallbladder. It can last up to several months. Cause of diarrhea in bile. Bile acts on the intestine as a laxative.
As long as you had the gall bladder, he accumulated bile, and threw it straight to dinner. The liver produces bile continuously, so without gallbladder bile is constantly enters the intestine. It turns a laxative effect.
To once again not to provoke diarrhea, eat less fat. To do this, you need to choose foods that are low in fat. In one portion of the product should be no more than 3 grams of fat. So read the label and composition.
The fat should be no more than 30% of daily calories. But to completely abandon the fat can not. We need him.
Cellulose
You will need to eat more fiber. Vegetables, fruit, whole grains and so on. Cellulose binds water and bile acids. Intestinal contents becomes more formalized.
Remember the story about a diet for constipation? There is also need to eat dietary fiber to increase the volume of intestinal contents. And there specifically stipulate that from the very fiber may also be constipated. Especially if you do not have enough water. In the case of diarrhea after gallbladder removal is just this side effect of fiber and are trying to use, but for medicinal purposes.
Fiber pulling the water. Since there will be less liquid stool. Bile acids bind to and are diluted in a large volume of intestinal contents. So they are less irritating to the intestinal wall and will have less diarrhea.
From fiber chair will be more comfortable, but the swelling may appear. This is not very good in principle, but after the operation - even more so.
During surgery, the stomach picked open and damaged, so the swelling and tension can cause pain. So, we need to add fiber and blowing products gradually. Not less than a couple of weeks.
Decrease bloating
The smaller the gas in the intestines, the less will match the stomach. Sometimes gas - is air which swallowed the, sometimes carbon dioxide from the beverage, it is sometimes the gas which is formed in the intestine by the action of microbes.
Avoid chewing gum and restrict smoking. And then, and another makes you swallow air.
Do not drink soda.
If not all right with the nerves, it seems that a lump in the throat, dry and always want to swallow, then Treat is a psychotherapist or psychiatrist. Sometimes, these treatments passes bloating.
It makes sense to limit dairy products and fructose (honey, sweet fruits), because they are unpredictable can cause bloating.
Limit foods like beans and cabbage. They all cause bloating.
Limit plohoperevarivaemy starch. These include corn or fried potatoes. These products can not be fully digested in the small intestine and will fly in thick. There for them take the germs and fermented to form a gas.
Limit foods with sugar substitutes like sorbitol. Such sweeteners poorly digested, but very much like microbes.
laxatives products
Bile by itself is weak, therefore, limit those foods that have a laxative effect. These include coffee, milk and sweets.
When to see a doctor
If there is the following symptoms, you should consult your doctor:
- abdominal pain, which is a long time does not go away or gets worse;
- severe nausea or vomiting;
- jaundice;
- constipation for more than three days;
- gases would not leave for more than three days;
- diarrhea that lasts longer than three days.
Be sure to contact your doctor if the diarrhea persists for a long time, or if you are losing weight.
Doctor will prescribe something for diarrhea, and additional fat-soluble vitamins.
Usually all ustakanivaetsya a few months after surgery. If you are lucky, then you are able to have everything you want, and do not limit yourself too.
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