Your video talking about this a couple years ago changed my life. It really pisses me off that so many doctors never mention constant diarrhea as a side effect of a cholecystectomy and definitely never mention that *it can be treated*. Thank you so much for your mission to spread this important information most of us would never hear about otherwise!
It ducks get her this med it really does work. It is suppose to be took 3 times a day with your meals but I was able to tale it once in the am with something small to eat.
THANK YOU! My surgeon didn't warn me about this and has been a huge problem. I asked my Gastroenterologist about what to do and if I should take bile salts and he said "no" my body would "adjust" soon. I just got Post-Cholecystectomy Syndrome added to my chart and nothing done to help. Seven years later my body is not "adjusted". I'm only 33.
Yeah take the digestive enzymes and sort of the problem with your liver which caused the problem with the bile bladder in the first place. Go see a traditional Chinese medical doctor trained in China with a proper medical degree medical licence. They're amazing for these things and any chronic issues. Do not just go to some peddler of herbs ... go to a medically licenced medical doctor who specialised I traditional medicine.
I wish I would have know this before my wife passed. She suffered with exactly like what this sounds like for the 20+ years after her galbladder was removed and the Dr's always just said it was IBS.
There is a shortage of bile binders in na right now, I have some I want to donate - I was lucky to have my body adjust - but apparently we can’t. If anyone knows of a legally mandated way to donate unopened bile binder, please let me know.
My gallbladder was removed 6 years ago and this os the first ive heard about this.. dont know why I didn't look it up just figured I am now just prone to diarrhea.. will now monitor my fat intake.
I got my gallbladder removed 3 weeks ago. I'm Day 27 in the hospital and the only problem I've had was a leak at the bile common duct. They've had me on protonix and Nefedipine so I also am struggling to even get anything to my colon to digest. Can you talk about the Sphincter of Oddi????
@@jewelsbarbieThanks. Going in for another CT to see if the drain is safe to remove. There was a small leak at the common bile duct that they put in a drain to aspirate. If the doctor offers you medication: take it. They can do it as a conscious surgery where you get a bunch of fentanyl instead of anesthesia and no intubation. That doesn't stop you from waking up or the draon from hurting. But they did this after ditching the Sphincter of Oddi Dysfunction they keep treating me for woth a calcium channel blocker haha
Thank you so much for this information! I'm having my gallbladder removed, probably sometime after summer, and I'm a bit worried about this.. Already have major issues with heartburn and acid reflux, so I really hope I won't get worse issues there. But due to some of my meds and some other conditions, I also have some issues with IBS, and I really really don't want that to get worse either.. So it's good to know there could be options to help with that if needed.
After my gallbladder removal, I noticed my skin gets SUPER itchy (starting on my nose, but it can happen anywhere else, if too much) if I have very fatty foods and carbs together
@@dreamfired I have brought it up before, got blood tests done (sugar, lipids, kidney and liver function) and they were fine. So I figured it was the lack of gallbladder... It only happens when I'm on a high carb diet and consume fatty foods (I did low carb for a few years and never had that issue even though I was having more fats).
And some of us have diarrhea all the time WITH a gallbladder. It's malfunctioning, to be sure, but it's full of stones and sludge, so I'm told. Removal isn't happening bc it's not technically infected, and I won't allow Rxs for antibiotics as prophylactics bc I've also had lots of UTIs and antibiotics were Rx'd for those, and nobody seems to know whether all those extra antibiotics are contributing to the diarrhea. GI Dr. says my stool tests show fat malabsorption, which could be caused by any one or more of six different things. He wants to Rx Lomotil, which contains an opioid, so it may work only for a few weeks before the dosage has to be increased. And I'd end up loopy, dehydrated and unable to function or drive. So I drink Immodium liquid. All the imaging studies - colonoscopy, EGD, CT enterogram and camera capsule endoscopy - show no structural anomalies, no polyps or other growths. So who do I trust? My GI Dr. doesn't care anymore, and my primary care is admittedly in over her head.
About 4 months ago I think I had this. It was painful and sorta green and came on all of a sudden. I do have my gallbladder, but I have a history of many gastrointestinal problems. This explanation was really helpful and understanding the purpose of your gallbladder. Thank you
I do think it would also be fair to mention that bile acid diarrhea is actually on the spectrum of disorders of the gut brain interaction, since there are only poor quality data to suggest that binders solve this issue
I have Bile Acid Malabsorbtion (like my mother) and it severely effected my mood. Like 20 minutes after eating fatty food I'd feel super depressed. Bile binder fixed it right up. Gave me my life back.
thankfully i didn’t have any problems with diarrhea after my gallbladder removal but i was terrified to eat anything afterwards because i thought i WOULD have issues with it and i had already gone through so much i just wanted peace lmao
Ironically, I recently had emergency gallbladder surgery (it was actually dying inside me cause it was misdiagnosed as GERD) I haven't had a problem since it was removed
Question. The liver makes the bile, right? So even if we eat fatty foods, wouldnt the liver still be making bile to digest it therefore no diarrhea? And the bile acid diarrhea seems to be bc of excess bile and not lack of, right??
Are you serious right now?!😱 I had my gallbladder removed in 1994. I also had a baby which messed up other parts of my body. Fast forward 30 years. I can’t remember a day not worrying about where’s the bathroom? How far? Minutes away? Can I make it? Holy cow. And all this time there’s been a medicine that could’ve made my life better? I feel like bawling rn. Wow. I’m talking to the dr next week when I see him. I also can’t eat too much at one time, drink alcohol, eat fatty foods, spicy foods, etc. I’m stunned. 😐😐😐😐😐😐
If you take colestipol without enough water, it will cause you to dry out and cause horrid constipation. My dr Rx 2 a day. It got to where my eyes even dried out. When I do take one, I do at bedtime.
It's almost like taking out a body part doesn't fix problems. I think we need to take long hard look at cholecystectomy as a whole. I'm an ER RN and see surgeons ripping them out all day at the SLIGHTEST hint of inflammation. it's a quick buck.
Hey doc i saw your videos you're an amazing doctor and knows what you do! I just wanted to ask for an advice i have chronic diarrhea form past 4 months i went to multiple doctors even gastrologist and head of department they all said i have ibs but i don't feel like its just ibs i have dihreeea everyday almost which ranged form 2-3 times a day I've had stool culture which was normal stool test for occult blood,frank blood, parasite,ova,cyst,red blood cells in stool all of this was negative i also had many blood tests for liver, liquid profile, hepatitis b,c,all thyroid tests, they all were clear I've lost so much weight as well one think is that i don't really feel weak but this is concerning im 18 years old 19 in 1 month what do i do doc is it really ibs?
I still have my gallbladder and have had several attacks but there were no stones so they didn't believe me. I get incredibly sick if I eat greasy foods. My abdomen hurts badly where my gallbladder is, I will vomit and have diarrhea. No doctor ever listens to me. I give up!
I can’t eat spicy, fried or ice cream anything fatty since have my gallbladder out years ago, I was only in the hospital over night as I went into an anesthesia coma
I kept it. It was a painful ten years. The Canadian healthcare system is shit. I have to wait over six months for someone to call me. If I miss that call, I'm screwed.
So what if I've had my gallbladder removed but fatty foods don't cause diarrhea for me and I have chronic heartburn that even 20mg Omeprazole doesn't fix?
I wish you were my GI. I have a diarrhea problem that happens when I eat too much fat, proteins or dairy. I am taking enzymes now for that (OTC) I even had a fecal elastase test done and my pancreas is fine. My number is high. I do have my gallbladder with no stones also. Maybe I have a bile acid malabsorption issue then?! 😩
I wish someone had explained this to me 20 years ago. Knowing what's happening and why is the only thing that will change my behavior when it comes to certain things. If they refuse to explain the how's and why's I just assume another crappy doctor is gaslighting me again
Ok, but what about NEVER having any diarrhea or even loose stool after gall bladder removal?? I'm here to tell you that even after our annual fried food gluttonous peak (the county fair), I have 0% problems. I am an equal opportunity fat digest-er, and I feel robbed!!
@keagangilmore1706 I also want him to talk about the Sphincter of Oddi because apparently it's a not unusual complication after gallbladder removal for it to dysfunction, clamp down and refuse to let bile through the common bile duct, and it feels exactly the same as having a dysfunctional gallbladder--pain and all. And I had all of the symptoms for that so they put me on a calcium channel blocker that relaxes all the smooth muscle in your abdomen--including your heart so you have to have your BP monitored--but all that did was make me have to urinate every 30-45 minutes with no pain relief (in some people, it will let the Sphincter of Oddi relax to let the bile through) because my problem was my team was too busy fighting with me about how I felt to know I had a bile leak at the common bile duct for 2 weeks. But I more specifically want to hear him talk about it because I want to know the actual truth of why surgeons sometimes choose not to operate on it, and why some people get .45-caliber-sized drains put between their ribs instead of an ERCP to do a stent. I just want to hear it from someone else with a bird's eye view because I just feel like the residents are lying to both me and the attending
My dad asked me if I still 💩 being on TPN. I laughed, but he was so serious because IV nutrition is in your blood, not your GI system. I couldn’t explain the full medical reason, but I was like I wish I didn’t have to go at all. I have dumping syndrome pretty much a the time. I don’t even know what it’s like to have normal 💩. It can get pretty miserable!
Why didnt my Doc or Surgeon inform me about this? Modern Medicine😂😂😂😂 I learned from a non medical doctor and took Tudca and/or Purified Bile Salts to treat my problem.
Your video talking about this a couple years ago changed my life. It really pisses me off that so many doctors never mention constant diarrhea as a side effect of a cholecystectomy and definitely never mention that *it can be treated*. Thank you so much for your mission to spread this important information most of us would never hear about otherwise!
Just ditch the GRAINS ,FRUITS AND POTATOES- worked for me.
Thank you so much for the detailed and easy-to-understand explanation! 😊
Glad it was helpful!
@@Doc_Schmidt Sphincter of Oddi and ERCP next? 👀 🙏
@@Doc_Schmidtchronic constipation after cholecystectomy?
Could you PLEASE talk more about this? It has literally controlled my grandma's life for decades.
It ducks get her this med it really does work. It is suppose to be took 3 times a day with your meals but I was able to tale it once in the am with something small to eat.
THANK YOU! My surgeon didn't warn me about this and has been a huge problem. I asked my Gastroenterologist about what to do and if I should take bile salts and he said "no" my body would "adjust" soon. I just got Post-Cholecystectomy Syndrome added to my chart and nothing done to help. Seven years later my body is not "adjusted". I'm only 33.
Yeah take the digestive enzymes and sort of the problem with your liver which caused the problem with the bile bladder in the first place. Go see a traditional Chinese medical doctor trained in China with a proper medical degree medical licence. They're amazing for these things and any chronic issues. Do not just go to some peddler of herbs ... go to a medically licenced medical doctor who specialised I traditional medicine.
Colestipole works
I think you just solved a huge problem in my life!!!!
Same
I wish I would have know this before my wife passed. She suffered with exactly like what this sounds like for the 20+ years after her galbladder was removed and the Dr's always just said it was IBS.
Colestipol changes everything!!! If you have had your gallbladder removed, get Colestipol!
There is a shortage of bile binders in na right now, I have some I want to donate - I was lucky to have my body adjust - but apparently we can’t. If anyone knows of a legally mandated way to donate unopened bile binder, please let me know.
Whst bile binder do you use. I need some but have no idea what to take. @@kalabakonbitts1362
I've been waiting 30 years for this medical advice.
I confused gallbladder with appendix and I thought "wait did we figure out what the purpose is?"
Sometimes the copays are expensive on colestyramine. A good, inexpensive alternative is to take sunflower lecithin with meals.
The granules or flakes, more so than capsules?
I read that was for breastfeeding mothers. What does that have to do with bile acid diarrhea.
Bile acid binder? You're shitting me.
Not with a bile acid binder I’m not
@@Doc_Schmidt
Tried that crap DID NOT WORK!
Best to go GRAIN FREE !
And skip fruits and potatoes too!
@@Doc_Schmidtis there a NATURAL product that helps with this.
Thankyou for your post🙏😊👍
My gallbladder was removed 6 years ago and this os the first ive heard about this.. dont know why I didn't look it up just figured I am now just prone to diarrhea.. will now monitor my fat intake.
My gall bladder is gone and I eat only fatty foods with no issues. I must be lucky
I got my gallbladder removed 3 weeks ago. I'm Day 27 in the hospital and the only problem I've had was a leak at the bile common duct. They've had me on protonix and Nefedipine so I also am struggling to even get anything to my colon to digest.
Can you talk about the Sphincter of Oddi????
27 days in the hospital? 🥺 I hope you start to feel much better soon! ❤️🩹🙏
@@jewelsbarbieThanks. Going in for another CT to see if the drain is safe to remove. There was a small leak at the common bile duct that they put in a drain to aspirate.
If the doctor offers you medication: take it. They can do it as a conscious surgery where you get a bunch of fentanyl instead of anesthesia and no intubation. That doesn't stop you from waking up or the draon from hurting.
But they did this after ditching the Sphincter of Oddi Dysfunction they keep treating me for woth a calcium channel blocker haha
Seconded: please talk about the Sphincter of Oddi.
Fascinating Info!💙👍
Thank you so much for this information!
I'm having my gallbladder removed, probably sometime after summer, and I'm a bit worried about this.. Already have major issues with heartburn and acid reflux, so I really hope I won't get worse issues there. But due to some of my meds and some other conditions, I also have some issues with IBS, and I really really don't want that to get worse either.. So it's good to know there could be options to help with that if needed.
This makes me think about my IBS diagnosis, i hope they can figure out whats causing it.
After my gallbladder removal, I noticed my skin gets SUPER itchy (starting on my nose, but it can happen anywhere else, if too much) if I have very fatty foods and carbs together
Itchy skin can be a symptom of liver issues. If I were you, I'd definitely mention it to your doctor.
@@dreamfired I have brought it up before, got blood tests done (sugar, lipids, kidney and liver function) and they were fine. So I figured it was the lack of gallbladder... It only happens when I'm on a high carb diet and consume fatty foods (I did low carb for a few years and never had that issue even though I was having more fats).
And some of us have diarrhea all the time WITH a gallbladder. It's malfunctioning, to be sure, but it's full of stones and sludge, so I'm told. Removal isn't happening bc it's not technically infected, and I won't allow Rxs for antibiotics as prophylactics bc I've also had lots of UTIs and antibiotics were Rx'd for those, and nobody seems to know whether all those extra antibiotics are contributing to the diarrhea. GI Dr. says my stool tests show fat malabsorption, which could be caused by any one or more of six different things. He wants to Rx Lomotil, which contains an opioid, so it may work only for a few weeks before the dosage has to be increased. And I'd end up loopy, dehydrated and unable to function or drive. So I drink Immodium liquid. All the imaging studies - colonoscopy, EGD, CT enterogram and camera capsule endoscopy - show no structural anomalies, no polyps or other growths. So who do I trust? My GI Dr. doesn't care anymore, and my primary care is admittedly in over her head.
Could be Bile Acid Malabsorbtion. My (and my mother's) diarrhoea went away almost instantly when we started on bile acid binders.
Appreciate this, I'm gonna be having gallbladder surgery on July 17th as long as I can get a pcp pre op after my trip !
About 4 months ago I think I had this. It was painful and sorta green and came on all of a sudden. I do have my gallbladder, but I have a history of many gastrointestinal problems. This explanation was really helpful and understanding the purpose of your gallbladder. Thank you
Go GRAIN FREE !
@@thalesnemo2841 it only happened that once. It was an awful once off, but I am already mostly grain free because I have a wheat allergy
I do think it would also be fair to mention that bile acid diarrhea is actually on the spectrum of disorders of the gut brain interaction, since there are only poor quality data to suggest that binders solve this issue
I have Bile Acid Malabsorbtion (like my mother) and it severely effected my mood. Like 20 minutes after eating fatty food I'd feel super depressed. Bile binder fixed it right up. Gave me my life back.
What?! How am I just learning about BAD nearly 10 years after my IBS diagnosis. There's medication for that?!
Lost my gallbladder over 25yrs ago. I dont miss it. Never had a problem.
thankfully i didn’t have any problems with diarrhea after my gallbladder removal but i was terrified to eat anything afterwards because i thought i WOULD have issues with it and i had already gone through so much i just wanted peace lmao
Also there are some amazing ways to flush your gallbladder instead of removing it
Ironically, I recently had emergency gallbladder surgery (it was actually dying inside me cause it was misdiagnosed as GERD)
I haven't had a problem since it was removed
What if I still have a gallbladder and have this problem?
My doctors found it weird that I couldn't handle turkey after getting my gallbladder removed but I was fine eating bacon and other fatty meats.
Question. The liver makes the bile, right? So even if we eat fatty foods, wouldnt the liver still be making bile to digest it therefore no diarrhea? And the bile acid diarrhea seems to be bc of excess bile and not lack of, right??
Are you serious right now?!😱 I had my gallbladder removed in 1994. I also had a baby which messed up other parts of my body. Fast forward 30 years. I can’t remember a day not worrying about where’s the bathroom? How far? Minutes away? Can I make it? Holy cow. And all this time there’s been a medicine that could’ve made my life better? I feel like bawling rn. Wow. I’m talking to the dr next week when I see him. I also can’t eat too much at one time, drink alcohol, eat fatty foods, spicy foods, etc. I’m stunned. 😐😐😐😐😐😐
If you take colestipol without enough water, it will cause you to dry out and cause horrid constipation. My dr Rx 2 a day. It got to where my eyes even dried out. When I do take one, I do at bedtime.
i have diarrhea every day and still have my gallbladder 👍🏻
I just was diagnosed with microscopic colitis after months of diarrhea.
Yes! I have this and cholestyramine (bile acid binder) gives me normal poops 🥳🙌
Oh my God thank you. I've been dealing with this issue and my doctor just told me to take fiber, which doesn't really help 😭
Thanks. I always thought that. Yet I have been told IBS.
It's almost like taking out a body part doesn't fix problems. I think we need to take long hard look at cholecystectomy as a whole. I'm an ER RN and see surgeons ripping them out all day at the SLIGHTEST hint of inflammation. it's a quick buck.
Fiber one bars worked for me.
Pancolitis? Just diagnosed, 1.5 months in the hospital. Any advice will be appreciated! Thank you 🙏
Are waxy leafy vegetables/sterols still a good idea as a natural binder?
Is that what Chokestyramine does?
How do you get the medicine?my endocrinologist says that's just part of not having a gallbladder.
Hey doc i saw your videos you're an amazing doctor and knows what you do!
I just wanted to ask for an advice i have chronic diarrhea form past 4 months i went to multiple doctors even gastrologist and head of department they all said i have ibs but i don't feel like its just ibs i have dihreeea everyday almost which ranged form 2-3 times a day I've had stool culture which was normal stool test for occult blood,frank blood, parasite,ova,cyst,red blood cells in stool all of this was negative i also had many blood tests for liver, liquid profile, hepatitis b,c,all thyroid tests, they all were clear I've lost so much weight as well one think is that i don't really feel weak but this is concerning im 18 years old 19 in 1 month what do i do doc is it really ibs?
I still have my gallbladder and have had several attacks but there were no stones so they didn't believe me. I get incredibly sick if I eat greasy foods. My abdomen hurts badly where my gallbladder is, I will vomit and have diarrhea. No doctor ever listens to me. I give up!
What bile acid binder do you suggest ????
I can’t eat spicy, fried or ice cream anything fatty since have my gallbladder out years ago, I was only in the hospital over night as I went into an anesthesia coma
This magic drug called bile acid binder.... you mean fiber?
I kept it. It was a painful ten years. The Canadian healthcare system is shit. I have to wait over six months for someone to call me. If I miss that call, I'm screwed.
So what if I've had my gallbladder removed but fatty foods don't cause diarrhea for me and I have chronic heartburn that even 20mg Omeprazole doesn't fix?
I want him to talk about the Sphincter of Oddi!!!
3 years since mine was removed and I'm still having the issue, they gave me cholestiramine. Which didn't work and now I can't eat anything
I wish you were my GI. I have a diarrhea problem that happens when I eat too much fat, proteins or dairy. I am taking enzymes now for that (OTC) I even had a fecal elastase test done and my pancreas is fine. My number is high. I do have my gallbladder with no stones also. Maybe I have a bile acid malabsorption issue then?! 😩
My mother in law just had her gallbladder taken out may 23rd. Now i know she has diarrhea 😂. Thanks for that. Lol.
Thankfully I don't get that but I do have excess bile because i reflux acid and bile. 😭
I wish someone had explained this to me 20 years ago. Knowing what's happening and why is the only thing that will change my behavior when it comes to certain things. If they refuse to explain the how's and why's I just assume another crappy doctor is gaslighting me again
Question, I just had gallbladder surgery, and I eat fatty foods, and nothing happens. Should I be worried?
If you have no problems after eating, you have nothing to worry about. ❤
The gut usually lets you know if there’s a problem thankfully 🙃
What happens when you also don't have half of your pancreas?
Can you get Bile Acid Diarrhea *WITH* a gall bladder still in place? Or *ONLY AFTER* gallbladder removal??
Cholestyramine
Ok, but what about NEVER having any diarrhea or even loose stool after gall bladder removal?? I'm here to tell you that even after our annual fried food gluttonous peak (the county fair), I have 0% problems. I am an equal opportunity fat digest-er, and I feel robbed!!
Pffffft maybe you have that excess acid problem and just eat so much fatty food it evens out?
You feel robbed by not having diarrhea? That's a first
You should be careful, could be a sign of bile production insufficiency, oily stool, fatigue and itchiness are some of many symptoms
@keagangilmore1706 I also want him to talk about the Sphincter of Oddi because apparently it's a not unusual complication after gallbladder removal for it to dysfunction, clamp down and refuse to let bile through the common bile duct, and it feels exactly the same as having a dysfunctional gallbladder--pain and all.
And I had all of the symptoms for that so they put me on a calcium channel blocker that relaxes all the smooth muscle in your abdomen--including your heart so you have to have your BP monitored--but all that did was make me have to urinate every 30-45 minutes with no pain relief (in some people, it will let the Sphincter of Oddi relax to let the bile through) because my problem was my team was too busy fighting with me about how I felt to know I had a bile leak at the common bile duct for 2 weeks.
But I more specifically want to hear him talk about it because I want to know the actual truth of why surgeons sometimes choose not to operate on it, and why some people get .45-caliber-sized drains put between their ribs instead of an ERCP to do a stent.
I just want to hear it from someone else with a bird's eye view because I just feel like the residents are lying to both me and the attending
What do u mean u feel robbed?!
love you.......
My dad asked me if I still 💩 being on TPN. I laughed, but he was so serious because IV nutrition is in your blood, not your GI system. I couldn’t explain the full medical reason, but I was like I wish I didn’t have to go at all. I have dumping syndrome pretty much a the time. I don’t even know what it’s like to have normal 💩. It can get pretty miserable!
Now talk about No Gallbladder PLUS Roux-N-Y GBS. That’s me. I’ve had loose stools done 2001.
Why didnt my Doc or Surgeon inform me about this? Modern Medicine😂😂😂😂 I learned from a non medical doctor and took Tudca and/or Purified Bile Salts to treat my problem.
Biochemistry 🦊
If this goes untreated can it cause ulcers or scarring??
No typically just diarrhea
@@Doc_Schmidt my poor grams 😭
Wow. So much suffering from incompetent practice of medicine.
Fatty food, lettuce, a few other raw vegetables are what got my husband. He got a low fat diet after that
And causes cancer
The binder?
Aw man. I was eating :( why must you paint such a vivid scene
😬
Literally more information in 60 seconds than 7 years as a gi patient. 🤌