Monday, August 01, 2005

dumping syndrome

Q: Six months ago I had my gallbladder removed and ever since then everything I eat goes right through me. Sometimes it travels so fast I can't make it to the bathroom in time! As if that isn't embarrassing enough, I also have uncontrollable flatulence. What do you suggest?

A: It sounds like you have a classic case of dumping syndrome, which is a complication of cholycystectomy (gallbladder removal). Some doctors also call this "post-cholycystectomy syndrome." The most common symptoms after gallbladder surgery are indigestion, flatulence, and bloating. Diarrhea is also fairly common.
You need to discuss these symptoms with your physician. The diarrhea probably results from bile acids being dumped into the large intestine, causing extra secretion of water and electrolytes into the intestine. This is often associated with lower abdominal cramping as well. The good news is treatment with cholestyramine (Questran or Prevalite) is often successful and is available by prescription only as a powder that you mix with orange juice or another beverage. This medicine is primarily used to treat elevated cholesterol, so a bonus benefit is that yours may be lowered as a result.

What does a gallbladder do? Is it OK to take it out?

What does a gallbladder do? Is it OK to take it out?: "Since bile is actually produced by the liver, it's possible to survive without a gallbladder, but not without unpleasant digestive tract complications. Some patients suffer from dumping syndrome, in which food is 'dumped' too quickly into the intestines from the stomach. "
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More people suffer this side effect than most doctors let on.

Experimental studies on dissolution of cholesterol gallstones using MTBE

Entrez PubMed: "Recently, methyl tertiary butyl ether (MTBE) has been evaluated as a new cholesterol gallstone dissolving agent."