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Living After Gallbladder Removal
The gallbladder is a small, pear-shaped sac located under the liver (on the right side of the abdomen) that contains about half a cup of yellow-green fluid called bile. Bile is produced in the liver before moving to the gallbladder, where the bile becomes 4-12 times more concentrated. A healthy, functioning gallbladder then acts as a reservoir for concentrated bile before it moves to the duodenum (small intestine).
The main function of bile is to help the body digest fats by breaking fats into thin droplets. It helps pancreatic enzymes break down fats into small particles that can pass through the intestinal walls.
When partially digested food leaves the stomach and moves into the small intestine, the gallbladder contracts and the concentrated bile moves through the bile ducts into the small intestine. Once the gallbladder is removed, liquid liver bile continuously flows from the common bile duct directly into the small intestine instead of being stored in the gallbladder. This low-quality liquid liver bile that constantly flows into the duodenum cannot properly digest fats, causing fat intolerance and diarrhea in some people.
Bile is helpful in removing dangerous toxins such as bile pigments, bile acids, cholesterol and heavy metals. The antimicrobial property of concentrated bile helps protect the small intestine from dangerous invaders such as bad bacteria, parasites and yeast. As a result, the absence of a gallbladder leads to Candida yeast and small intestinal bacterial overgrowth (SIBO), which can cause gas and indigestion.
Healthy alkaline bile neutralizes half-digested acidic food from the stomach, creating the proper alkaline environment in the small intestine for pancreatic enzymes to function. It is well known that pancreatic enzymes require an alkaline condition in the duodenum to digest the food consumed. When bile is not alkaline, undigested food in the small intestine ferments, causing gas, bloating, abdominal cramps, and uncomfortable bathroom visits.
The gallbladder acts as a buffer reservoir that prevents bile from backing up and prevents high pressure in the bile and pancreatic ducts. This high pressure dilates the common bile duct and causes pain. Enlargement of the common bile duct is a common finding after gallbladder removal. When there is no gallbladder, the increasing pressure inside the pancreatic duct can cause pancreatic enzymes inside the pancreas to activate, and as a result, inflammation of the pancreas can develop.
The liver, gall bladder, pancreas, duodenum, bile ducts and muscle valves work together thanks to the perfect regulation of the body. Doctors and scientists have discovered that cutting nerve branches surrounding the gallbladder can disrupt the proper functioning of the sphincter of Oddi, the valve between the bile and pancreatic ducts and the duodenum. Almost 20% of patients after gallbladder surgery suffer from sphincter of Oddi dysfunction. Spasm of this strategic valve leads to a backup of bile and pancreatic juices with subsequent pain, nausea and the possible development of pancreatitis.
Concentrated bile is essential for intestinal motility, digestion, and absorption of fat-soluble vitamins such as A, D, E, and K. Lack of bile causes less peristaltic movement, making people prone to constipation.
The main reasons for gallbladder surgery are inflammation and/or gallstones. Removing the gallbladder does not stop the formation of stones and inflammation of the bile ducts. Therefore, in people without a gallbladder, inflammation and accumulation of stones in both the liver and the bile ducts can often be observed.
Although the loss of these gallbladder functions is not life-threatening, removal of the gallbladder can cause many unpleasant symptoms. For some people, life after gallbladder removal is a miserable existence. This condition is called postcholecystectomy syndrome. The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after a cholecystectomy (surgery to remove the gallbladder).
What can be done to reduce the consequences and symptoms of postcholecystectomy syndrome?
Many of these unpleasant symptoms can be alleviated by many non-drug and non-surgical treatment techniques. Some of them have been widely used for a hundred years all over the world.
The medical diet is one of the oldest, cheapest, safest and most effective medicines in the world.
Dietary changes are vital for a person suffering from post-operative digestive problems.
In a healthy and functioning body, the gallbladder, pancreas, bile and pancreatic juices are naturally alkaline. Whole body acidity is one of the main causes of poor liver, gallbladder and pancreas function. The acidity causes biochemical changes in the bile, which causes caustic irritation of the bile ducts, sphincter of Oddi, and small intestine. Aggressive acidic liver bile irritates the surrounding tissues, causing spasms and reflux. This aggressive mixture of acidic bile and pancreatic juices regurgitates into the stomach and esophagus and/or causes the sphincter of Oddi to spasm. This can be the cause of the heartburn, nausea, and upper abdominal pain that often occurs after gallbladder surgery.
An alkaline diet involves eating mostly alkaline-forming foods and avoiding acid-forming foods such as sugars, red meat, sodas, dairy products, white flour, white rice, alcohol, etc. A self-diet requires eating only one type of food at a time. Mixing foods such as salad, soup, main course, dessert, sodas and alcohol in one meal, as people usually do, puts a huge strain on the digestive system. When people without a gallbladder (who do not have the presence of good quality bile) continue to eat in this way, many digestive symptoms such as abdominal pain, nausea, belching, flatulence, heartburn, diarrhea and/or constipation occur.
People without a gallbladder usually have two problems: one is Candida yeast overgrowth and the other is food sensitivities. An elimination diet and anti-Candida diet can be very beneficial for these conditions.
It is known in simple chemistry that the body needs enough minerals and bicarbonates to neutralize acidity. Unfortunately, today’s food contains very little of these vital nutrients, so supplementation is a practical way to obtain them. The easiest way to get minerals and bicarbonates is to drink healing mineral water.
Doctors from Europe have been using healing mineral water for hundreds of years. There are many mineral spas in Germany, Austria, France, Eastern Europe and Russia. Thousands of people come to these spas for cleansing, rejuvenating and healing procedures. The most researched mineral water with 500 years of use is the Karlovy Vary spring water in the Czech Republic. It is hard to believe that the first medical book mentioning the use of this water for digestive problems was written in 1522. Since then, many medical articles, books and dissertations have described the healing effect of the Karlovy Vary medicinal water on many digestive and metabolic disorders, including post-cholecystectomy syndrome. Healing mineral water prepared from vaporized genuine Karlovy Vary thermal salt has been drunk at home by millions of Europeans for more than 250 years.
According to European doctors, this mineral water supports the formation and rapid passage of bile, makes it more alkaline and improves the function of the pancreas. All these actions are beneficial for people without a gallbladder to improve digestion and reduce the symptoms of post-cholecystectomy syndrome.
Cellular magnesium-potassium, another alkalizing agent, can also reduce acidity in the body.
How do we know if our body is acidic or alkaline? Checking the pH of saliva and urine with litmus paper is an easy and inexpensive way to check the acidity of the body. If the pH of saliva and urine is often lower than 6.6, this can be a warning sign of total body acidity.
Drinking herbal tea can relieve cramps, gas, heartburn and indigestion. A knowledgeable herbalist can tailor herbal remedies for many conditions. Some preparations from European and Chinese herbal medicines can reduce the number of stones in the bile ducts, make liver bile liquid and less aggressive, and reduce spasms and pain.
People with post-cholecystectomy syndrome can alleviate a number of unpleasant symptoms with the help of herbal preparations. They are not quick fixes, but in the long run, herbs are safe and effective remedies.
Some people who have had gallbladder surgery lose the proper interaction between the liver, gallbladder, pancreas, duodenum, and stomach. To normalize this teamwork, you can be treated with acupuncture. Acupuncture is the oldest treatment method for digestive disorders. In recent decades, many medical works have been published that confirm the positive effect of acupuncture in the treatment of post-cholecystectomy syndrome. Another positive result of acupuncture is that it can help cure addiction to alcohol and painkillers.
Medical science has not yet developed a surgical technique to replace the gallbladder after its removal. However, we can control the terrible symptoms of post-cholecystectomy syndrome using various drug-free and non-surgical treatment methods. These methods are safe, effective and relatively inexpensive and can be used in conjunction with modern medicine.
The information in this article is provided for educational, informational purposes only. It is not intended as a substitute for the diagnosis, treatment and advice of a qualified licensed professional.
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