Second Guessing Gallbladder Removal

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Veebo
Regular Member


Date Joined Nov 2007
Total Posts : 147
   Posted 7/27/2009 5:47 AM (GMT -7)   
I am scheduled to have my gallbladder out this Wednesday and I am sitting here worried that it may not be the right choice. A few months ago I started having these sharp cramping pains in my middle...sort of on the right side. They would last for about 15 seconds and then release and occur a couple times an hour. I was able to function just fine but would on occasion guard my middle. I had no other issues at the time. Then I started having issues with a distended stomach after I ate which was very uncomfortable followed by escalating issues with trouble eating food like red meat, pork, and bananas....LOTS of gas. I had a HIDA scan done with CCK and my Ejection Fraction was 22% which is below the lowest normal percentage of 35. But still not super low. My GI suggested I have my gallbladder removed...I went to see a surgeon he concurred. After the HIDA scan I proceeded to have a lot of on again off again nausea and some URQ pain which went resolved about 2 weeks after the scan. Somewhere in there I started having flare issues...lots of D 10+ times a day and lots of rectal pain that drove me crazy. So I went to my GI and stated a course of xiafaxin which helps control flares for me. Now 2 weeks later I feel pretty darn good....so a big part of me is wondering all the pains etc were being caused by a flare and not the gallbladder and that the gallbladder's low ejection fraction was just a coincidental finding. Maybe I am just being a chicken but since I feel pretty good right now I am really worried that the surgery is not going to make me feel any better (aside from the obvious post op pain) and that it was a flare the whole time (I am not longer having issues with meat etc). Then again it could be that my gallbladder is just functioning sometimes and not other times...in which case it would probably be best to just get it out....but I am still so unsure if this is the right choice. I would love to hear others experiences with this as I know many IBDers have had their gallbladders removed. THANKS!

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 7/27/2009 6:07 AM (GMT -7)   
Well maybe you should tell the doctors to postpone the surgery for now, and see how things go first. If you are thinking its just a flare, maybe taking just a little time will be needed to see whether the gb is going to give more problems or not. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 7/27/2009 6:30 AM (GMT -7)   
My understanding of gall bladder disease is that it doesn;t get better on its own -- once your ejection fraction is below a certain number it is likely to keep declining and you run the risk of getting a stone lodged in one of the ducts and suddenly going from a chronic gall bladder problem to an acutely infected one, with emergency surgery (maybe done open as opposed to the laporscopic route.) You did not indicate what the ultrashound showed -- do you have visible stones? From all I know, an ejection fraction of 22% is a pretty solid indicator that it ought to come out to avoid even bigger trouble down the road. 

Veebo
Regular Member


Date Joined Nov 2007
Total Posts : 147
   Posted 7/27/2009 7:42 AM (GMT -7)   
Thanks for the replies.  I don't have any stones so they suspect I have a chronically inflamed gallbladder or acalculous gallbladder disease.  My GI thinks that it explains some of the random non flare issues I have on and off.  MikeB your line of thinking about better to get it now rather then when there is an emergency is the line of thinking that brought me to the decision to consent have the surgery...its just that I feel pretty good right now after months of crap...so I guess I am just reluctant to go and have the surgery.  

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 7/27/2009 9:05 AM (GMT -7)   
Veebo just fyi my gallbladder was removed not because of stones but because I had a filmy like substance separating my gallbladder in two and it was giving my problems. So you don't have to have stones to need the surgery. JMHO

Hugs
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 7/27/2009 10:48 AM (GMT -7)   
I had mine removed because it was functioning less than 100% (I don't know what % it was...has been 9 years) and because that was their best guess as to what my pain was from (before my Crohn's diagnosis).  Removing it took care of some of the pain I was having, but not all of it.  I'm still glad I had it removed because now I know for sure when I'm hurting that it's not my gallbladder doing it! 

Crohn's Disease, Acid Reflux/Gastritis, Hashimoto's Thyroiditis, Endometriosis, Arthritis, Depression/Anxiety.  Too many meds to list them all.  =) 


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 7/27/2009 2:07 PM (GMT -7)   
The gallbladder can become inflamed from the same causes as the gut - sensitization to gut bacteria. The inflammation and the presence of the triggering gut bacteria will cause gallstone formation. Since you don't have stones, the issue is inflammation. That is likely to recur whenever you have a Crohn's flare. It is the inflammation that results in the low ejection fraction, so while your Crohn's is under control, your gallbladder should be happier. You are likely to form gallstones in the future (based on a review paper: gastrojournal.org) but you may want to talk to your doctor about the urgency of your surgery. It may be worth it just to have one less source of pain during flares.

Veebo
Regular Member


Date Joined Nov 2007
Total Posts : 147
   Posted 7/30/2009 11:44 AM (GMT -7)   
Well I went for it and had the sucker (or more appropriately "pumper") removed. As expected I am sore but glad they were able to do the surgery with the new single incision procedure. Just one cut in the belly button. Hopefully this was the right choice...only time will tell.

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 7/30/2009 12:09 PM (GMT -7)   
Hugs Veebo!!! Hope having it out will help you to feel better. Do take it easy and rest up!

Hugs
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

HabsHockeyFan
Veteran Member


Date Joined Jan 2006
Total Posts : 3130
   Posted 7/30/2009 1:12 PM (GMT -7)   
Veebo...I am hoping your as happy sans gallbladder as I am. I went for months follwing the special diet to keep mine frm inflaming and stoning before my surgery. If I had to follow that diet plus my CD diet for the rest of my life, i would go completely bonkers (I'm halfway there now :-) ).
Glad to hear it went smoothly
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 10, 2016 11:48 AM (GMT -7)
There are a total of 2,735,970 posts in 301,342 threads.
View Active Threads


Who's Online
This forum has 151440 registered members. Please welcome our newest member, Ian88.
251 Guest(s), 12 Registered Member(s) are currently online.  Details
blueberrymuffin, TOOTY, tennisplayer, tickcheckguy, getting by, stevclemon, Ariel Smith, Mustard Seed, bdavis, Csweeney1002, teddydog, Tall Allen


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer