Dani asks:
I had my gallbladder removed some years ago. Since then, all I have are soft/runny poops, with hardly any warning beforehand. My life revolves around being near a toilet after each meal and it's driving me nuts! The doctor said this is normal after gallbladder removal, but I can't believe there isn't something I can do to stop the flood out of my rear. Any suggestions?
Dear Dani,
I can't believe you have had this problem for years without some sort of treatment being offered.
Here's why it happens:
Bile acids are normally stored in the gall bladder and released with eating. After gall bladder surgery, the bile reservoir is gone and the bile acids constantly circulate through the small intestine, being absorbed by the ileum and then returned to the liver from which they are secreted into the intestine. A small amount of acid is not absorbed by the intestine but instead enters the colon. In the colon, the bile stimulates water secretion by the colonic mucosa, causing diarrhea.
While it is not uncommon to have some digestive or bowel disturbances after surgery, these should not exist to the point of impairing your daily activities.
There are medications such as Cholestyramine, which absorbs the bile acids, thereby preventing the stimulation of colonic secretion. There are other medications available, too.
You might try a brief trial of Imodium to see if it helps; but you really should go back to the doctor. If your symptoms are severe and interfering with your life, don't take "this is normal" for an answer!
Good luck, and thanks for asking Poonurse!
Please be advised that I am only a Poonurse. I am NOT a medical doctor. Any advice I give should be taken moderate skepticism. Please consult a REAL medical doctor if you feel you have a serious medical condition.
-- Poonurse
Poonurse is an RN with 25 years experience in labor and delivery. Her qualifications include seeing a lot of poop, and owning a computer. Also, she works in Michigan, which she calls the asshole of the universe, so that's another bit of credibility.
Got a question for her?