Experiencing abdominal pain AFTER gallbladder surgery? Then this post is for you.
Two things we hope to achieve in this post: first, to dispel some of the myths surrounding gallbladder surgery, and second, to offer some solutions to those suffering from recurrent abdominal pain after their gallbladder surgery.
The number of gallbladder surgeries has skyrocket over the last ten years. The number of patients experiencing abdominal pain AFTER surgery has also increased.
Two important distinctions: doctors generally see health problems as conditions requiring the use of drugs, while surgeons see health problems as conditions requiring the use of a knife, so when a patient experiencing abdominal discomfort is admitted to a hospital’s emergency room, the surgeon in charge is very likely to recommend gallbladder surgery as the solution. This stems forth from the assumption that the gall bladder ‘serves very little purpose’ and that the patient can “live comfortably without it”.
Although this notion is very prevalent in today’s medical professionals, the fact of the matter is that over half of people who had their gallbladder removed (cholecystectomy) still had the same digestive problem they started with in the first place after their surgery. In other words, their gallbladder symptoms reappeared some time after.
There is substantial evidence in the form of medical studies to agree with the above statement.
“Studies of post-cholecystectomy patients record continued symptoms in up to 50% of patients.” 1, 2
Other symptoms associated with gallbladder removal that appeared after the gallbladder removal were also noted; These ranged “from mild ill defined digestive symptoms to severe attacks of abdominal pain and jaundice,” flatulence, gastritis, esophagitis, diarrhea, irritable bowel syndrome, upper abdominal pain (where the gallbladder was), colicky lower-abdomen pain, trouble digesting fats, excessive weight gain (obesity), and in some cases weight loss.3
In fact, in some of patients, the symptoms experienced became more frequent after gallbladder surgery:
“Two years after cholecystectomy, dyspeptic symptoms had recurred in almost 50% of patients with a trend towards an increasing relapse rate with the passage of time .” 2
How Is It Possible To Experience A Gallbladder Attack When You Have No Gallbladder?
Gallstones form wherever bile is present. That is because gallstones form from bile. The presence of an excessive amount of toxicity, protein and cholesterol deposits are influential factors, which allow bile in the liver to become too concentrated and thicken. Gallstones are formed out of this sludge, from the cholesterol, bile salts and toxic deposits that have precipitated. The end result is gallstones, or inflammation (cholecystitis).
However, it is important to remember that bile is not manufactured in the gallbladder. The job of the gallbladder is to merely serve as a receptacle for this digestive substance we refer to as bile. Instead, bile is manufactured in the liver and it is here that gallstones begin forming. This is the reason why individuals that have had their gallbladder removed can have a relapse of their original symptoms, because gallstones begin to form in the liver, not the gallbladder. The liver may have large amounts of solidified cholesterol deposits.
Now, there tends to be a greater incidence of gallstones in the gallbladder than in other areas, like say the common bile duct, and this is because first, the bile tends to be more concentrated in the gallbladder than in the liver (This will be explained later). Also, the gallbladder is a pear-shaped organ that is enclosed, and the fact that it is closed is ideal for the formation of gallstones when the proper conditions are established. When the bile becomes too thick, it becomes increasingly harder to empty or squeeze its contents because of its increased viscosity. Therefore, bile becomes stagnant, and since gallstones grow in size over time, if the ideal conditions for their formation are maintained, then this sludge begins to adhere to itself. The end result is gallstones.
Gallstones can range from the size of a tiny grain of sand to larger than a golf ball. Eighty percent of gallstones are cholesterol stones. The remaining twenty percent are called pigment gallstones. Cholesterol gallstones are nearly undetectable from surrounding fluids because their composition is nearly identical; gallstones are composed of bile, which is high in cholesterol, and cholesterol gallstones are composed of this same bile. That is why someone with a high concentration of cholesterol gallstones can have an ultrasound and it will come out negative for gallstones or ‘liverstones’ in the liver. Cholesterol gallstones, in our humble opinion, are the worst type of gallstones you may have because they are silent, obstructive and prevent the liver from performing all sorts of important functions. It is only when the liver has become too saturated with these cholesterol deposits, that the resulting ultrasound test may show a white mass that is commonly referred to as a ‘fatty liver’ deposits, but by then the condition will have been present for a long time.
Pigment stones are calcified and are mainly composed of calcium salts. Because of this, they are the only type of gallstones that can be detected in an ultrasound in their late to mid maturity stages.
Identifying Potential Problems After Gallbladder Surgery
In order to formulate solutions we must first analyze areas of concern.
There is a substantial difference between bile consistency before and after surgery. The gallbladder is an indispensible organ with the sole and unique function of storing bile that is manufactured by the cells of the liver. Bile is essential for digesting food in the intestines, mainly fat. The liver cells secrete the bile that is then emptied into tiny canals within the liver. Then the bile flows through the canals and into larger collecting ducts within the liver (the intrahepatic bile ducts) and then into the intestines, or it is stored in the gallbladder.
One of the functions of the gallbladder is to concentrate bile by the eliminating water from it. During a meal, the muscle that composes the wall of the gallbladder contracts, and squeezes the bile in the gallbladder back through the cystic duct into the common duct and then into the intestine where it mixes with pancreatic juices, then with the food to help digest it.
The concentrated bile in the gallbladder is much more effective for digestion than the un-concentrated bile that comes directly from the liver and into the intestine. This is one reason why digestion after gallbladder surgery can never equal that of before, because the bile can never be as strong. Once you have surgery your digestive system is never function the same for this sole reason.
A second reason for concern is that the liver cannot possibly produce enough bile during the course of the meal to digest the food. The result is food is left to sit in the intestinal tract to ferment and putrefy.
A third reason for concern is there exists a certain relay mechanism between gallbladder, intestinal tract and liver that is employed for communication between them. When the gallbladder is present and in good health, and there is food in the intestinal tract, the intestinal tract sends a signal to the gallbladder via this mechanism to squeeze some of this necessary fluid to help digest the food. But if the gallbladder has been surgically removed, then a short circuit occurs. The resultant is the liver begins to leak bile constantly into the intestines, even when there is no food to digest. This creates irritation.
For those who are suffering from abdominal pains after gallbladder surgery there are some useful suggestions or changes that may offer some relief. These fall into several categories: Dietary changes, lifestyle changes and detoxification.
1. Dietary Changes
Gallbladder disorders are more of a modern disorder than an ancient one, one that has gotten progressively worst, when society experienced major changes in dietary choices and lifestyles. A recent study carried out at the University Hospital of Riyadh, Saudi Arabia, found that the incidence of gallbladder surgery went up by 600 percent in that country alone when the people shifted from simpler, more traditional foods common with their nomadic lifestyle, to a more sedentary lifestyle that included all manner of “enriched,” sugar-laden, and fat-laden foods and snacks of the ‘developed’ western world. The number of Americans suffering from gallbladder disease and gall bladder symptoms is an estimated twenty million.
The pain that often accompanies a gallbladder attack usually occurs after the consumption of a meal, but it does not happen with all meals. This signifies that certain foods do have the ability to trigger an ‘attack’ more than others. This is, again, independent of whether the gallbladder is present or not.
For individuals with a gallbladder, one of the worst beverages they can drink when they suffer from gallbladder issues is coffee. Whether it is decaffeinated or not, coffee tends to aggravate any gallbladder pain by causing the gallbladder to contract. Whether coffee has the potential to induce the same attack in an individual with no gallbladder, it is not known, but it should be avoided.
Refined carbohydrates are major culprits in the formation of gallstones in both individuals with or without gallbladders. Refined carbohydrates stress the liver because they force the liver work extra hard to metabolizes toxins. The liver purges them from the body by using the bile that is on its way to the intestines.
In general, processed ‘low fat’ foods contain high amounts of refined carbohydrates in the form of sugar. Refined carbohydrates are carbohydrates that have been stripped off their fiber. Examples of refined carbohydrates are:
1. Sweeteners: table sugar and syrups, which are added to almost all processed foods nowadays for its addictive qualities.
2. Beverages: such as sweetened fruit juices, beer, wine, and soft drinks, sweetened fruit juices, beer, wine, and soft drinks. They are all laden with high fructose corn syrup.
3. Junk Foods and Snacks: ‘Non-foods’ such as sweets like candy bars, candy, fudge, jellies, pies, potato chips and pretzels are also considered high in refined carbohydrates in the form of white flour and sugar.
4. White flour is a refined carbohydrate commonly found in breads, bagels and muffins, packaged cereals cookies, cakes, and donuts.
Chocolate, deep-fried foods and saturated animal fats, pork in general are also major culprits in spurring gallbladder attacks in both individuals with gallbladder and without it. Since the gallbladder is no longer there, the body looses the ability to fully digest any fat containing foods including those derived from vegetables such as vegetable oils and even avocadoes, which are high in fat.
Another factor that increases the risk of developing gallstones is excessive protein consumption, especially those that are derived from animal products such as meats and dairy products. Excess protein within body causes LDL cholesterol in the blood to increase over time.
Other foods to avoid are cauliflower, spicy foods, eggs, and oranges, among other foods. Do not forget about environmental toxins such as: fluoride, chlorine, monosodium glutamate, alcohol, hydrogenated oils and the processed foods that contain them. They all overburden the liver.
2. Lifestyle Changes
Besides making some modifications to your diet, there are also lifestyle changes that you may take to prevent gallstone formation, which, as we have discussed, can form AFTER gallbladder surgery.
The following practices increase the formation of gallstones:
1. Eating too much food in one meal
2. Eating too much food too frequently
3. Eating too heavy meals too early or too late in the evenings
4. Skipping Meals
5. Not drinking enough water
The above practices are typical for the average individual living in western and highly industrialized countries. Avoid them and you will minimize gallstone formation.
But there is more. One study found that men who watch more than 40 hours of television per week have a seven-fold greater risk in developing gallstones than men who watched only 6 hours of television per week or less. Another similar study published, found that women who spend more than 60 hours a week driving, reading, watching television, or sitting at a desk, had a 400% greater risk of developing gallstones than women who were sedentary for 6 hours per week or less. Remember gallstones form regardless of whether you had a gallbladder or not. So living a sedentary lifestyle increases the incidence of gallstones. Solution: become more active. Stop living life from a TV screen or computer monitor. Instead, choose to engage life yourself.
Of all the factors studied and analyzed, obesity stands out by far as a major risk factor, followed by cigarette smoking. During 1968 and 1974 a group of approximately 17,000 women ages 25 to 39 years of age were recruited to a study conducted in Oxford, England. By the end of 1981, 227 of the women in this study had developed gallbladder disease. This is a fact that was confirmed via surgery. Solution: Moderate exercise, walking, jogging, gym workouts help the body burn excess pounds and this is highly beneficial from a digestive standpoint.
There are two reasons why detoxification should be performed on a routine basis.
The first reason is quite obvious. Gallstones are the buildup of decade’s worth of noxious accumulated waste and cholesterol deposits that have gathered in the liver, gallbladder and bile ducts. The substances contained within these gallstones are quite detrimental and are the root cause of numerous maladies, many of which are mistakenly attributed to ‘old age’.
Think of your liver as a car’s oil filter that has never been changed or cleaned. How long before the engine will cease? The advantage, at least in this example, is that with your car you have the ability to change both the oil and the filter and the engine’s life is extended, but in the case of your body, you cannot take out the filter (the liver) and change it. So this is one reason why detoxification should be looked upon as important as breathing air. Besides, most people take care of their cars better that they take care of their own bodies.
For subjects that are experiencing gallbladder pain after gallbladder surgery it is important to help summarize some of the points already discussed, before we expound on the subject further:
☞ Gallstones are not only formed in the gallbladder. They also can form in the liver and anywhere bile is normally found in a non-diluted state.
☞ Gallstones begin their formation in the liver.
☞ Even after surgical removal of the gallbladder, obstructive gallstones can still form.
☞ Even after surgical removal of the gallbladder, the same ‘gallbladder symptoms’ including abdominal pain can reoccur.
☞ All gallstones grow in size over time as long as an incorrect diet and lifestyles that are conducive to gallstone formation are maintained.
This may sound like bad news especially for those who have no gallbladder and are still experiencing pain. However, there is a viable alternative; which brings us to the second reason why detoxification is important.
For those that are still suffering from abdominal pain after gallbladder surgery, if the pain is caused by gallstone deposits in the liver, there is a program that can help pulverize those gallstones. It is called the Pulverexx Protocol™. It is completely non-intrusive or involves no surgery; it does not require the use of any potentially toxic drugs and as long as the abdominal pain is caused or brought about by gallstone obstructions, it wipes it out, even in individuals that have had their gallbladder removed.
Refer to the following image. On the left is a dissected gallbladder with its contents: a mass of large gallstone formations composed of mainly cholesterol. To the right is what I passed via a bowel movement after undergoing the Pulverexx Protocol™.
Gallstone Consistency: All my cholesterol gallstones were ejected in the form of a paste after following the Pulverexx Protocol™. The above white formation and others I passed are composed of thousands of pulverized cholesterol gallstones that solidified into several large masses in the GI tract. The liquid bile most likely served as glue. The above formation has a consistency of that of mush, even though it has the appearance of a hard solid mass. Closer examination of the formation will reveal a sandy texture.
In some cases, the formations are able to retain their general mass and are hard enough to stand the pressure of a water faucet or the strokes of a brush without falling apart. They are ‘glued’ together by bile, but if pressed with enough force – around the range of 15-20 lbs of force – they can break off. They were also very foul smelling. (Ever wonder why some people’s breath is so foul smelling! It is because these highly toxic substances and deposits are inside them.)
Sensations: There was no pain prior or following their elimination. The only sensation that I felt was prior to passing them, and it was a general pressure in the gallbladder area (right side of the abdomen, right of the belly button). The pressure was not sharp, like that of a hard stone pressing against a small section of the walls. It was rather that of a non-defined mass occupying space waiting to be ejected. I could specifically feel the pressure when I ate some food. This was brought about by bile trying to get around the obstruction. But there was no pain. Another sensation I felt was occasional muscle twitching. This is a natural response to any obstruction. It is liked trying to shake off something off of you.
For further information on Pulverexx Protocol™, visit here: www.gallbladderdetox.com.
From the desk of Mario Avino
1. Bates T, Ebbs SR, Harrison M, A’Hern RP. Influence of cholecystectomy on symptoms. Br J Surg1991; 78:964 -7
2. Ros E, Zambon D. Postcholecystectomy symptoms. A prospective study of gall stone patients before and two years after surgery. Gut1987; 28:1500-4
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