diarrhea

Removal of the gallbladder can cause diarrhea, for sure — and it may take a long time to go away.

Following gallbladder removal, the diarrhea that may occur can take weeks to months to go away, says Akram Alashari, MD, abdominal surgeon and critical care physician, Department of Surgery, College of Medicine, University of Florida.

“Diarrhea following cholecystectomy has been reported in 5 to 12 percent of patients,” he says. The diarrhea will “resolve or significantly improve over the course of weeks to months.”

What causes diarrhea after gallbladder removal?

Dr. Alashari explains, “The diarrhea is related to excessive bile acids entering the colon.

“In the absence of a gallbladder, bile drains directly and more continuously into the small bowel, which may overcome the terminal ileum’s reabsorptive capacity.

“The increased bile acids in the colon lead to diarrhea (cholerheic diarrhea).

Treatment for diarrhea following gallbladder removal?

“Patients often respond to treatment with bile-acid binding resins such as cholestyramine,: says Dr. Alashari.

“Cholestyramine doses of up to 4 g daily have been suggested for the treatment of chronic diarrhea, though it is reasonable to start patients on a lower dose (e.g., 2 g once or twice daily) and titrate to a higher dose as needed.”

What You Should Know About Gallstone Pain

Gallstones can be the size of a tiny grain of sand to that of a golf ball. You can have one “stone” or several at the same time.

The pain isn’t always on one’s upper right abdomen. It can also occur in the upper central part of the abdomen.

It may also be between the shoulder blades or in the right shoulder.

The duration of the pain may be several minutes to a few hours.

Risk Factors for Gallstones

  • Being a woman
  • Over age 40
  • Obesity, even moderate overweight
  • Rapid weight loss
  • Sedentary lifestyle
  • Pregnancy
  • Diet high in fats and “bad” cholesterol
  • Diet that is low in fiber
  • Diabetes
  • Liver disease
  • Oral birth control
  • Hormone replacement therapy
  • Family history of gallstones

Some of these risk factors are dictated by choice. You can get to work at making the lifestyle changes that will lower your risk of ever having to have your gallbladder removed — and suffering the possible subsequent diarrhea.