A discussion on gallbladder problems
Written by:When there is disruption in the gallbladder, it can disrupt the balance of our digestive processes, leading to pain, discomfort and health issues. Here to explain more about the symptoms, surgery and associated risks is distinguished consultant upper GI and bariatric surgeon Mr Ahmed Hamouda.
What are the symptoms of common gallbladder problems?
The most common gall bladder problem is the formation of crystals, which enlarge and become stones. Bile is stored in the gall bladder and is then released in response to hormonal signals when we start eating food.
The presence of gall stones and/or infection of the gall bladder can result in discomfort going to the back or shoulder on the right side, bloating and nausea after a meal when the gall bladder attempts to contract in the presence of stones or infection.
Can gallstones be treated without surgery?
There are some suggestions that they can be dissolved by special diets or medication. However, in reality, this never works. Gall stones cannot be zapped or lasered to make them smaller, unlike kidney stones, as this runs the risk of them moving into the main channel and becoming trapped leading to jaundice, pancreatitis or cholangitis.
What dietary changes are recommended for managing gallbladder issues?
The recommendation is to follow a low-fat diet. Bile stored in the gall bladder aids in the digestion of fats and serves as the primary trigger for its contraction. To prevent irritation to the gall bladder, it is recommended to maintain a diet with significantly reduced fat content.
What are the risks associated with gallbladder surgery?
Gallbladder surgery poses the same risks as general surgery, such as:
- Bleeding
- Infection
- Clots in the leg
- Veins travelling to lungs
- Injury to bowel or conversion to an open procedure.
More specific risks linked to gall bladder surgery include the rare risk of injury to the main channel (common bile duct) or passage of stones during surgery leading to postoperative jaundice and pancreatitis.
How does the removal of the gallbladder affect digestion and overall health?
The gall bladder, like the tonsils and appendix, has a limited role and the body can function without them. Following the removal of the bile reservoir, bile continues to flow from the liver through the common bile duct to the bowel throughout the day. This may result in loose bowel movements during the initial weeks until the body adapts to the change.
Generally, the body’s digestive capacity is diminished after surgery, therefore, it is best to avoid heavy meals and foods rich in fat.
If you would like to book a consultation with Dr Hamouda, do not hesitate to do so by visiting his Top Doctors profile today.
