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postcholecystectomy diet ? - anthony999
#11
thats exactly what i am saying, bernie
they always change the diet after operation..
these doc guys do not read journals ???
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#12
Going back to my aunt.....she usually experiences severe diarrhea if she takes fatty food....i guess then it would depend on the patient how much can she/he tolerate the problems associated with the diet that one takes after cholecystectomy coz she continues to live with the diarrhea but won't stop eating junk!
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#13
A few points should be emphasized:
1. Most persons do not have digestive difficulty after cholecystectomy.
2. When it does occur, post-cholecystectomy diarrhea is temporary in most persons.
3. There is usually no "malabsorption," in the sense that the amount of intestinal bile is sufficient to absorb the fat and vitamins necessary to remain healthy. (otherwise, we would not remove gallbladders with relative impunity.)
4.
There may be other reasons for bloating and abdominal discomfort after cholecystectomy. The most common-and in fact the most common reason after any abdominal surgery-is post surgical adhesions or motility problems of the bowel. Motility problems are usually seen in the immediate post-surgical period, and generally resolve. Adhesions, or intra-abdominal scars, are a later complication of abdominal surgery, and can cause recurrent difficulties
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#14
t is not uncommon to have temporary digestive difficulties after gallbladder removal (cholecystectomy). The main reason is usually a difficulty in handling fats in the diet. Fat and certain fat-soluble vitamins require bile in order to be absorbed. When the gallbladder is present, it stores bile that the liver makes. During a meal, the gallbladder contracts, releasing a pool of bile into the intestine that is used for fat absorption. After cholecystectomy, bile is still produced by the liver, but is released in a continuous, slow trickle into the intestine. Thus, when eating a meal that is high in fat content, there may not be an adequate amount of bile in the intestine to properly handle the normal absorption process.

The change in intestinal bile concentration during high-fat intake may cause diarrhea or bloating, because excess fat in the intestine will draw more water into the intestine, and because bacteria digest the fat and produce gas. Some studies suggest that diarrhea after cholecystectomy may also be caused by excess bile in the intestine between meals, because bile is released into the intestine continuously.

A few points should be emphasized:
1. Most persons do not have digestive difficulty after cholecystectomy.
2. When it does occur, post-cholecystectomy diarrhea is temporary in most persons.
3. There is usually no "malabsorption," in the sense that the amount of intestinal bile is sufficient to absorb the fat and vitamins necessary to remain healthy. (otherwise, we would not remove gallbladders with relative impunity.)
4.
There may be other reasons for bloating and abdominal discomfort after cholecystectomy. The most common-and in fact the most common reason after any abdominal surgery-is post surgical adhesions or motility problems of the bowel. Motility problems are usually seen in the immediate post-surgical period, and generally resolve. Adhesions, or intra-abdominal scars, are a later complication of abdominal surgery, and can cause recurrent difficulties.

The treatment for digestive problems after cholecystectomy of course depends on the reason for the problem. The options are too numerous to detail. As an initial measure, you may want to try a low-fat diet
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