Post-Gallbladder Syndrome or IBS?

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Opie65
New Member


Date Joined Aug 2007
Total Posts : 8
   Posted 8/21/2007 4:09 PM (GMT -7)   
confused  Hello, I'm new to the board.  I'm not sure if I'm suffering from IBS-D, post-gall bladder syndrome or a combination of both?  I had my gall bladder removed in 1997.  I do get "phantom" gall bladder pains from time to time, especially after a fatty meal.  Lately, I notice that if I skip a meal, I'll have terrible cramps and D right after my next meal.  My family physician suggested trying a low fat diet, with several small meals throughout the day.  Any suggestions?

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 8/21/2007 6:10 PM (GMT -7)   
Hello Opie and welcome!  We have a lot of members (myself included) who've had cholecystectomies and you'll find lots of good information here.  It sounds like your symptoms could be related to your lack of a gallbladder and your physician was right-on with trying smaller but more frequent meals.  You might also try taking a calcium citrate supplement, which has helped lots of people control their diarrhea.  Welchol and Questran are two drugs that bind bile acids and can greatly relieve the D as well; Welchol is a pill and Questran is a powder and the active ingredient in both is cholestyramine.  Keriamon will give you some good advice, I'm sure; she has lots of experience with this problem.  Again, welcome to the board.
Co-moderator - IBS Forum


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 8/22/2007 7:50 AM (GMT -7)   
I was able to control my D with a very low-fat diet, but who can stay on one of those indefinitely? You never eat anything that tastes very good. I have been on the Welchol for about 4 years now and it works to keep me from having D. I still have to be a bit careful about my food--still no caffeine and no deep-fried fast food stuff--but I do have a wider range of foods available to me. I also take calcium as that helps the Welchol keep my stools normal and helps soothe my intestines from having that excess bile in them.

A lady I used to work with would get phantom gall bladder pains from time to time as well; as far as I know, there's nothing much to be done about those. Depending on what's the ulimate source of the pain, the calcium might help; it helped me when I was having general intestinal pain.

lnape
Regular Member


Date Joined Mar 2003
Total Posts : 185
   Posted 8/22/2007 2:44 PM (GMT -7)   
If you send me an email I will send you the info on taking calcium carbonate to help control the diarrhea attacks after having you gall bladder removed.

Linda


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 8/22/2007 3:10 PM (GMT -7)   
Inape's the reason why I found calcium and got over my bad patch a couple of summers ago. :-)

Opie65
New Member


Date Joined Aug 2007
Total Posts : 8
   Posted 8/22/2007 3:41 PM (GMT -7)   
:-)   Thanks so much for all your suggestions!  I will definitely give the calcium a try...

lnape
Regular Member


Date Joined Mar 2003
Total Posts : 185
   Posted 8/22/2007 5:35 PM (GMT -7)   
This is what has helped me for more than 9 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 C and E seemed to cause me stomach upset.

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.

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 site. 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 maybe 4 hours apart. 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.

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. 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. 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. 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 cut the 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.
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
Suffered Urgent Diarrhea Attacks After Having Gall Bladder Removed in 1976. This is now controlled by taking Calcium Carbonate.

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