Diarrhea after gallbladder removal

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JVShilo
New Member


Date Joined Jan 2007
Total Posts : 4
   Posted 1/2/2007 9:37 PM (GMT -6)   
Ok sorry, don't really know how this works gallbladder removed now have Diarrhea all the time very embarrassing any one have suggestions what to do afraid to eat anything don't even consider going out to eat
Meds: synthroid, Imitrex only at time of migraines, Vitamins; oneaday. please help scheduled for another colonoscopy & gastro endoscopy I think because he doesn't know what else to do.
Thanks

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 1/2/2007 10:30 PM (GMT -6)   
Hi JV,
Welcome to HealingWell! :-)
It is quite common to have biley D after getting your gallbladder removed. You might want to ask your doc for Welchol (or a similar med). It is a cholesterol med thats side effect is binding the bile. Keriamon knows a lot about this and will probably be on to talk more to this. You can also try taking Calcium with vitamin D. The best is Caltrate w/Vitamin D. The calcium will help the D and it will soothe any inflammation you may have.
I hope that helps some. Others with your same problem will be along to give more input.


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Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 1/3/2007 10:27 AM (GMT -6)   
Definitely get a prescription for the Welchol before you get any testing done because, I assure you, they won't find anything on the tests. I take one pill a day, plus one calcium pill a day, but some people on here take as many as 6 a day. It all depends on how much bile you have. With the Welchol, I can eat just about anything. Caffeine was my major trigger before I got my GB out, and I still can't have it, and I have to be careful about fried foods and stuff, but other than that, I'm fairly normal.

JVShilo
New Member


Date Joined Jan 2007
Total Posts : 4
   Posted 1/3/2007 5:57 PM (GMT -6)   
Thanks so much for your answers does the Gastroenterologist give me this or my primary what if I don't have high cholesterole. Thank you it will be a blessing to go out with my family to eat again. i usually don't last 10-15 min before i am up and running. I just recently started taken caltrate d so thanks again.

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 1/4/2007 12:37 PM (GMT -6)   
You will probably have to see a GI to get it, as most other doctors haven't heard about its off-label use (although my GI recently retired and I got my gyno to refill my prescription for it--my GI was her GI too, so she's very sympathetic; even she hasn't found a replacement for him yet).

You don't have to have high cholesterol to take it. I got on it when I was 24, so you can imagine how good my levels were BEFORE, lol.

lnape
Regular Member


Date Joined Mar 2003
Total Posts : 185
   Posted 1/9/2007 8:25 PM (GMT -6)   

First you need to ask you doctor if he knows what bile salts diarrhea is because about 30% of the people having their gall bladders removed get it. It is the diarrhea that comes from having too much bile acid in the body and no place to store it any longer and it is passing through your system and causing irritation and diarrhea.

You take synthroid so you need to take the calcium one hour after taking the synthroid.  I take my synthroid as soon as I wake up then get ready for work then eat breakfast and take my first calcium then it should be about 1 hour after the synthroid.  Stop the vitamins because vitamin a c e and magnesium in them will give you more diarrhea.

Start with 1/2 calcuim carbonate with vitamin d with your 3 daily meals for 3 days then see how you are and then adjust up or down with the dose.  You can safely take up to 3 full tablets a day.

Let me know if I can help you get adjusted to the calcium with timing and amount.  Email me is good if you like.

 

Linda



JVShilo
New Member


Date Joined Jan 2007
Total Posts : 4
   Posted 2/1/2007 7:16 PM (GMT -6)   
 ok ladies I finally got the welchol the GI said no but the nurse practioner at my primary gave me samples. is calcium carbonate w/d the same as 1/2 of a caltrate d sorry don't mean to sound dumb also I can't eat 3 meals a day cause I am scared I eat once in the pm immodium ad not working. GI prescribed 2 a day I was up to 3 & 4 a day.

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 2/1/2007 7:44 PM (GMT -6)   
There are no dumb questions.  In fact, I thought it was a good question because I always mix up names.  I believe calcium carbonate is actually an ingredient in Caltrate.  I don't think you can buy calcium carbonate as supplement alone.  You can, however, buy Caltrate anywhere.  Sometimes you will see it referred to as Calcium Caltrate plus D - but the actual name (I think) is just Caltrate 600 + D.  Or it is something very similar to that.
Here is a link to a site that talks about 2 different calciums: Calcium Citrate vs. Calcium Carbonate
 
Now about the Welchol... It's great you got some!  Combining the Calcium and Welchol should really do the trick for stopping the D.  You will have to be careful though because you can probably get C real quick by taking both.  Hopefully Keri or Linda will be around to give more input on these meds.
Good luck!
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Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 2/2/2007 3:14 AM (GMT -6)   

A much cheaper way to get calcium carbonate is to buy some regular ol' school chalk. :-)

My chemistry professor in college started out our class by writing his name on the chalk board, then eating the chalk.  It was crazy.  He was crazy.  But it was funny.  Chalk is calcium carbonate! 

Still, I'd probably seriously go with regular Caltrate, or at least some Tums, which also contains calcium carbonate.


lnape
Regular Member


Date Joined Mar 2003
Total Posts : 185
   Posted 2/2/2007 12:46 PM (GMT -6)   
First of all I would not advise eating chaulk because you need a measured dose at regular intervals with you daily food intake to help get control of the diarrhea. I would stop all that I could no vitamins especially and imodium only if you get diarrhea. Take you Synthroid as soon as you get up in the morning on an empty stomach and in one hour eat breakfast even a small piece of toast but something must be eaten when you take the calcium or you will get indigestion. Start with 1/2 tablet with your 3 daily meals or at least a small snack and do this for 3 days until you see how it affects your.

Here is the calcium information. I know it is a lot to take in but it may be will worth it to see if this simple solution can offer you the relief it has me and many others. You need to follow it as close as you can to get the best results. I know it sound too simple to work but it really does help a lot.

This is what has helped me for more than 8 years with almost daily attacks of urgent diarrhea after having my Gall Bladder removed. Calcium is known to be constipating so if you are that IBS type do not take it. All calcium is not the same. Here is the what and how to take the calcium information if you suffer from diarrhea.

Calcium is an OTC supplement we all do not usually get enough of. No Rx is needed to purchase this.

When you take calcium about 40% of the dose gets to the bones the rest is eliminated in our waste. The calcium goes to the intestines and soaks up excess fluids and binds them together and they are gotten rid of in our waste.

This is a process that can be continued by taking the calcium carbonate on a daily basis thus giving a more formed BM.

There is calcium carbonate which helps us with diarrhea and there is calcium citrate which is more easily absorbed by the body and gets to the bones but is not as helpful in controlling diarrhea.

A lot of the calcium supplements contain a 2 to 1 ratio of calcium to magnesium. Magnesium is not helpful for us with diarrhea only causing more in most cases. So, do not purchase this combination. It will only make things worse. Also if you are taking a multi vitamin with magnesium this may be a source of some of the problem if you are having diarrhea. Also for me vitamin A, C, and E seemed to cause me stomach upset. If you check this out your will see they too can cause diarrhea. It is better not to take a multi vitamin while trying to get the calcium to help.

The dose to take is different for everyone. I must take 3 a day one at each meal and it does not make a difference if I take it before during or after just take it regularly. Taking them at least 4 or 5 hours apart is also necessary so the calcium has time to go through the system and soak up excess bile and water. Sometimes, because of the long number of hours between dinner and breakfast it may be necessary to adjust your timing to taking one at bedtime with a small snack to get better results if you are a person who usually suffers from diarrhea in the mornings. I think the way it works is the dose you take prior helps with the current meal and the distress it may cause.

The most success has come from using any formula of calcium supplement that is like Caltrate 600 Plus with Vitamin D and Minerals in the purple and white box. This information is from the many users that have sent me emails and of the posters on the web sites I have dealt with. I hope this will help anyone wishing to try it and I am always here to answer any questions for you. I have a lot of feed back form many users.

You must also have some testing done to be sure you are not dealing with anything more serious. This is most important.
There are other things to consider. If you take any other meds check the side effects and also check with the Doctor or Pharmacist to see if taking calcium will interfere with your other medications and how you might take them. I know if you take thyroid meds it is important not to take the calcium at the same time but you can take the thyroid meds one hour before you take calcium or 4 hours after taking the calcium. The calcium will soak up the thyroid medication and you will not be getting the benefit from it. You should also look at the side effects of any other meds you may be on this can contribute to the success or failure of using calcium to help to control your diarrhea. You may also consider if you are constipated and taking calcium this may be the reason for your constipation. You can most likely switch to another form of calcium to relieve this also.

The only side effect is at the beginning of taking the calcium, you may have some gas or indigestion but this usually goes away soon after taking a regular dose for a few days as your body adjusts to the added calcium. For most it is about 3 days and it is important to start with the lower dose so you don't have the added distress and think the calcium is not helping but making you worse.

Starting with 1/2 tablet doses with each meal will lessen this problem and it may be enough to control the diarrhea attacks without making you constipated.

Constipation can be a problem so be careful not to take too much. It is safe for most of us to take 1800 mg a day as long as your body processes calcium correctly and you do not have some underlying problem. Check with your Doctor.

I had my gall bladder removed in 1976 and from that time on I had suffered urgent attacks of diarrhea. It is now known to me that is called Bile Salts Diarrhea. This happens to a good percent of people who have had their Gall Bladder Removed. I Went through a lot of test but nothing else could be found. I took many of the meds for bowel spasms and cramps over the years but nothing ever seemed to help. I started to take a calcium supplement to help prevent bone loss in later years and from the first day I felt relief. I was pretty much a prisoner to the bathroom or had to go without eating to be able to leave the house.

I must take 1 tablet with each meal and the diarrhea does not come back if I miss taking it I get diarrhea. It is a trial and error situation to find the right amount that may help you.

The way it works is the calcium carbonate it a binder and when you take it only about 40% of the calcium gets to the bones and the rest is gotten rid of in our waste. During that process it gets to the intestines and soaks up excess bile and water and helps give a more solid BM. Now that you have no gall bladder the bile fluid goes directly into the intestines and causes irritation and diarrhea. That burning yellowish color that you may see is the bile. The calcium carbonate soaks this up and no more diarrhea. It works great for a lot of us and you just have to take the calcium regularly and do not miss.

I started with Caltrate 600 Plus with vitamin D and minerals and it does seem to make a difference in the ingredients of calcium... This one seems to do the best job for most. You can buy other store brands of calcium with the same ingredients that work just as well but they need to have the same ingredients. I get Member's Mark Brand from Sam's Club you get 300 tablets for 8.99. I know Walgreens has their brand with the same ingredients and if you live in the UK Boots has been reported to have something similar. Let me know if you need more help. You won't be sorry if you try it.

I suggest starting with 1/2 tablet with each meal at first this may be enough to control the diarrhea if not in a few days up the dose to 1 tablet with each meal or any combination there of. The side effect is constipation so if you feel it coming on just stop taking it until you have a BM then start back on a lower dose. It is important to use a calcium that is as much alike as the Caltrate brand from the feedback I have gotten.

Let me list the ingredients:

Vitamin D 400 IU (The sunshine vitamin needed to help the body absorb calcium)

Calcium 500 or 600 MG (This should be calcium carbonate form) (Calcium is the most abundant mineral in the body. It is essential for maintaining strong bones and teeth. Calcium is vital to muscle and nerve function, blood clotting and metabolism.)

Magnesium 50 MG (No more than this amount because magnesium will cause you to have diarrhea but because calcium is constipating the magnesium helps to counter act that effect) (Magnesium is essential to build bones and is needed for muscle function, energy metabolism, trans-mission of nerve impulses and to make genetic material and protein.)

Zinc 7.5 MG (Zinc is necessary for some metabolic processes, normal growth and sexual development, and proper immune system functions.)

Copper 1 MG (Copper promotes iron absorption and is essential to red blood cells, connective tissue, fibers and skin pigmentation.)

Manganese 1.8 MG (Maganese plays an important role in metabolism and is also needed to build bones and tendons.)

Boron 250 MCG. (Improves calcium and magnesium retention. Similar improvements can also be seen in Vitamin D deficient post menopausal females.)

There are other brands with the same ingredients so get something as close as you can. Then start with 1/2 tablet with each meal and in a few days if this is not enough to control your diarrhea then up the dose to 1 tablet with each meal. If you feel you are becoming constipated then cut back on the dose. You may have to stop the calcium completely then start back after you have a BM at a lower dose.

It has been working since the first day I started taking it July 1998 and as long as I take 3 a day (this is the amount I must take it may be different for you) I remain diarrhea free. No cramps, bloating or diarrhea. No stomach noises, gas or pain. If I should happen to have a case of diarrhea for who knows what reason it is very short lived and not the pain involved like before and this I am sure happens to even normal people. It is usually a one shot deal and it is over.


The dose you take with each meal is not the dose that is helping you at that meal it is the prior ones that have time to works their way through you system to soak up excess bile and water in the intestines.

It also works for those of you who still have the gall bladder.

Take Care,

Linda

LNAPENTS@netscape.net


BumTum
Regular Member


Date Joined May 2006
Total Posts : 274
   Posted 2/2/2007 10:35 PM (GMT -6)   
I had my gallbladder removed in 1980. I had terrible crampy diarrhea for several months after the surgery. It took a while for my body to adjust but it finally did. Stay away from high fat foods. Eat small meals. Be patient. It will get better.

BumTum
  • Pancolitis since 5/06 at age 50, IBS since childhood
  • Prescribed: Asacol, Atenolol, Zoloft, Hydrocodone, Synthroid, Menest, Xanax
  • OTC:  Primadolfilus Reuteri, Multi Vitamin, B Complex, Turmeric, Fish Oil
 
 
 


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 2/5/2007 12:05 PM (GMT -6)   
Someone else on the board is on that synthetic thyroid medicine, and she has to be careful when she takes either Questran (in the same family as Welchol) or calcium because both block the absorbtion of the thyroid medicine. While I've found it best to take the Welchol and calcium first thing in the morning, and an hour or two before eating, if you take your thyroid medicine first thing, then you have to wait several hours before you can take the other stuff. My suggestion would be to try the Welchol and/or calcium right before bedtime and take additional pills, if needed, no earlier than after lunch. Hopefully by taking them before bed, they will still be in your system to help you in the morning when most people are worst.

Sheree
Regular Member


Date Joined Dec 2006
Total Posts : 37
   Posted 2/11/2007 2:35 PM (GMT -6)   
Yes, I am the one on Synthroid and Questran. I am so glad you mentioned this as I need to tell this lady some things about the Questran and Welchol. I have suffered with the cramps and D since the middle of October when my gall bladder was removed. Finally I went on Questran and had some difficulty with finding my dosing level. To little is still D, to much is constipation. I have finally found my dose amount for the moment. Friday night was the first time I could go out to dinner and not have to run to the bathroom. I still have about 3 movements a day, but they seem to come in the AM and after breakfast, and then late before bedtime. It is normal, no D and finally formed stool most of the time. I tried the calcium but thought it was to much as it would bind me up to much.
OK the first thing that is most important, is the mixture of Synthroid and these products (Questran, Welchol, and calcium.) I started the questran 1 hour AFTER Synthroid with breakfast. I rapidly became HYPO THYROID. I went for my blood work and was shocked at my numbers. TSH went from 1.25 to 20.1. I have never been so HYPO which told me the Questran was negating the Synthroid within the one hour the manufacturer tells you to wait (not enough time). That was 2 weeks ago. I cannot live without Synthroid as my thyroid was radiated in 1989 due to hyperthyroidism. What to do, that was my dilemma? I have now started a new regime (as I need both meds) and am taking Synthroid first thing in the AM, having breakfast within an hour, and then the Questran 2 1/2 hours later. I am going for another test in two weeks and I think this is working as my memory is back, and I feel the Sythroid is being absorbed and utilized, or at least I hope so. Synthroid needs more than 1 or 2 hours to absorb in your gut, although everyone is a wee bit different. I have called the manufacture and spoken with them (Questran) as one hour is not enough time for anyone on ANY MEDS to absorb them before taking these bile salt binders. I hope this helps! I will let everyone know when I redo my thyroid panel the week after next. I am so grateful to all you wonderful people for your support with this post gallbladder D. It is a life of hell to be going through cramps, frequent BMs all day long. Any questions about this, just ask!!!!!

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 2/16/2007 4:10 PM (GMT -6)   
BUMP
Co-Moderator for the IBS Forum
 
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Sheree
Regular Member


Date Joined Dec 2006
Total Posts : 37
   Posted 2/16/2007 10:06 PM (GMT -6)   
What does BUMP mean???
Sorry........

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 2/16/2007 11:11 PM (GMT -6)   
When you post a reply to a thread it will BUMP it up to the top. I bumped this thread because someone was looking for it... It made it easier to find. :-)
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Sheree
Regular Member


Date Joined Dec 2006
Total Posts : 37
   Posted 2/16/2007 11:35 PM (GMT -6)   
Thankyou.....I am new here so I don't understand the workings of the site yet!!!

emerald
New Member


Date Joined Feb 2007
Total Posts : 6
   Posted 2/18/2007 5:09 AM (GMT -6)   
 hi
 
I was just reading about all the problems that other people experienced after having their gall bladder removed, and am so glad that I am not the only one. I have suffered severe diarrhoea,for 7 yrs now to the point of uncontrollable diarrhoea, many many times. I used to take physllium husk with my cereal for a long time, along with caltrate and centrum, but now i have found a new tablet which has worked miracles for me. Its called IBS support. I would highly recommend it.

Sheree
Regular Member


Date Joined Dec 2006
Total Posts : 37
   Posted 2/18/2007 1:56 PM (GMT -6)   
Emerald, who makes this product and where do you get it? Thanks for all suggestions!

emerald
New Member


Date Joined Feb 2007
Total Posts : 6
   Posted 2/19/2007 6:41 AM (GMT -6)   
Hi Sheree
 
I got the IBS Support from the Chemist in Carousel, Cannington, I suppose all chemists would supply in around Australia. The chemist keeps these tablets in the fridge.
 
Its called IBS Support -Ethical Nutrients- Professional natural medicineS. The product is made by HEALTH WORLD LTD,741 NUDGEE ROAD,NORTGATE, QLD 4013, AUSTRALIA.
 
Its a naturally derived  vegetable capsule(Vegecaps) No added artificial colouring, flavour or preservatives. Free from corn, wheat,milk, eggs, starches, yeast and salt.
 
Hope this tablet is of benefit to you, as it has benefitted me.
 
thank you
 
 
 

debaser
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Date Joined Nov 2006
Total Posts : 1745
   Posted 2/19/2007 12:20 PM (GMT -6)   
Weird. I had my gallbladder out and they said I'd have the runs, but I did only for a few hours one day. That was it. The rest of the time I was constipated, believe it our not. I'm abnormal in every way, it seems.

Anyway, when they were warning me about the diarrhea, they were telling me I'd need to take fiber to bulk things up. And they said there are a few people who never seem to adjust to the surgery, but that most people do. It could take up to a year.

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 2/19/2007 2:46 PM (GMT -6)   
It's not uncommon to get constipated instead of diarrhea after GB removal; it's just that D is a lot more common.

I found that what I eat has a lot to do with whether or not I have C or D. Too low-fat a diet gave me terrible C. If you're dealing with C, you can try upping your intake of dairy and nut fats (provided you aren't allergic) and see if that helps. Also, soluable (non insoluable) fiber is what you want to look to take, since it is what makes poo moist--whereas insoluable fiber provides bulk. It's my understanding that all fiber products have both, but some lean more to one type and some more to the other, so look for one that's high in soluable fiber. You may get some relief from aloe vera capsules or prunes/pune juice.

Also, I read about a product called "bile salts" which are supposed to be an old-timey remedy for constipation. They replicate the bile that you're not producing enough of. I couldn't find any in my regular pharmacy, but you might find them in a non-chain pharmacy (i.e. an old-timey, hometown pharmacy) or you can get them online. Try Googling "bile salts" to read more about them. I never tried them (I adjusted my diet before I resorted to them), but they may work better than conventional C aids, since you have an unusual cause of your C.

I'd like to know where your medical staff got that most people get back to normal after a year; I don't know that I've met anyone who IS normal afterwards. Mine's been out four years now and I have to take medicine every day to keep from getting D. My mother's has been out for about a decade and a half and she still has terrible acid reflux. My stepmother, great-aunt, mother-in-law: all have D problems unless they take medicine, and all have had their gall bladders out from 4 years to several decades. Maybe they just think everyone adjusts to their GB being missing because after a year, everyone suddenly gets diagnosed with "IBS" or "GERD".

emerald
New Member


Date Joined Feb 2007
Total Posts : 6
   Posted 2/20/2007 4:35 AM (GMT -6)   
Hi
 
You are very lucky that you do not suffer from the symptoms that most people suffer after the gall bladder removal. Since my removal, i have become lactose intolerant, I have to watch what I eat all the time, and sometimes i do get depressed at what is happening. So count your blessings, you are not abnormal but a very lucky person.
 
thanks

emerald
New Member


Date Joined Feb 2007
Total Posts : 6
   Posted 2/23/2007 8:33 AM (GMT -6)   
hi sheree

Forgot to tell you also, that if you are taking the IBS support, and u get a bit of heart burn/or indigestion. Take a small glass of pineapple juice and the indigestion will go away.

This is my 3rd week of taking the tablets, and i feel really good.

hunybunz
New Member


Date Joined Mar 2007
Total Posts : 2
   Posted 3/18/2007 5:53 PM (GMT -6)   
Hi, I am so glad that I have found this......Any advise that I can get will be so greatly appreciated... I had my gallbladder removed about three weeks ago, quiet unexpected, I ended up in the hospital with my 3rd or 4th "attack" and they sent me home with acid reflux, well as now I know that's not what it was, I ended up trying to follow up with my doc within a couple of days when I had another "attack", and ended up having to see a PA, which I had no problem with I hadn't been in to see her but I had taked my daughter to her and she was great with her so fine... Well she says the same thing and changes my meds and sends me home, telling me to watch what I eat and give the meds time to kick in well I was getting the feeling like they just weren't listening to me, so I called the docs office back to try to get an appt. with my doc, and he just happen to be off that day, anyway I finally got in to see him after my calling his nurse at home and telling her what was going on and that I knew it was something more but not just what, so she started saying maybe I had a hytal hernia, or maybe the gallstones so I went in the next day got a ultra sound and sure enough I have eight good size gallstones, so there was my problem. So happy to have found a reason for all the pain, I was glad, so sure enough that afternoon my doc asked for me to go ahead to come on back before the next day scheduled appt, to have found out the results, because he had already followed up with the untra sound...So anyway I ended up getting scheduled for the next day with a surgical place and went on in for a 30 min. wait for a 10 minutes with the doc that said that it was a very common case, my gallbladder needed to come on out and soon... Anyway he schedules the surgery for 2 days later on a Monday and I was rushed to go to the hosp. to do blood work and all that afternoon.. Any with all of this going on so quickly, and me having to get everything tied up, finding someone to help me get my daughter to daycare and all, I had no time to think or even look in to all that was going to happen to me, the surgery doc did say that I would have loose bowls for a while but I could control most of it with watching what I eat and so on... So here's my problem I have lost 16 lbs to the day (3 wks) b/c I cannot eat anything with out it going right through me in minutes, some times I can not even finish eating.. and then I will  slack off on eating at all, til I am just weak, so I have gone to the health store and the only direction that they can point me to is a liquid vitamins and acidulphus, which neither is helping, I have quit eating breakfast so that I can take the vitamins so that I can hopefully absorb as much as possible, and easy lunches and some times something for dinner.  But now every 3 to 4 days now I will get constipated and just can not go but I have the erge to do so, so I am scared that all of this is really going to mess with me in ways that might not have been worth all of this, so I want to know what I can to (anything ) at this point to try to get some kind of schedule for my body to be as normal as possible... Any suggestions.... And I have followed up with the surgical doc for another watch what you eat and come back in a month..... Thank You so much for any directions that you can point me to....This has been one experience that I am scared for my health...
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