Post-Surgery Concerns: Managing Pain After Bile Duct Stone Removal - Gastroenterology and Hepatology

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Surgical removal of common bile duct stones?


Hello, Doctor.
I have a history of liver transplantation.
I would like to ask you about my situation: I was hospitalized on October 4th due to abdominal pain without fever and had a drainage tube inserted to drain bile.
On October 31st, I underwent traditional open surgery to remove a stone from the common bile duct, which was very successful, and the bile duct was connected to the jejunum.
I was discharged on November 11th.
Before discharge, there was some serous fluid from the wound, which continued until yesterday.
The wound still hurts when I walk.
The nurse advised that as long as there is no pus, it is fine.
Yesterday at 5 AM, before breakfast, I took my stomach medication and experienced abdominal pain for a few minutes, similar to the pain I had on October 4th.
I'm not sure if it's stomach pain or something else.
Is this normal, Doctor?
Additionally, I have another question: My parents are making chicken essence themselves, not store-bought, and they have removed the layer of oil on top.
Can I consume that?

Wenwen, 40~49 year old female. Ask Date: 2022/11/16

Dr. Chen Shidian reply Gastroenterology and Hepatology


The diet should be low in fat and easy to digest.
For wound symptoms, please consult the surgical team.
~ Also, I am "he."

Reply Date: 2022/11/16

More Info


Post-surgery pain management, especially after procedures like bile duct stone removal, is a common concern for many patients. Your situation, particularly given your history of liver transplantation and the recent surgery for bile duct stones, requires careful consideration.

Firstly, it is not uncommon to experience pain after surgery, especially in the abdominal area. After a traditional open surgery, such as the one you underwent for bile duct stone removal, patients often report varying degrees of pain and discomfort as the body heals. This pain can be attributed to several factors, including the surgical incision, manipulation of internal organs during the procedure, and the healing process itself. The presence of blood or fluid at the surgical site, as you mentioned, can also be a normal part of healing, but it should be monitored closely to ensure there are no signs of infection.

Regarding your specific symptoms of abdominal pain that feels similar to what you experienced before the surgery, it’s essential to differentiate between post-operative pain and potential complications. While some discomfort is expected, if the pain is severe or accompanied by other symptoms such as fever, nausea, or vomiting, it may warrant further evaluation. It’s advisable to keep in close contact with your healthcare provider, especially since you have a complex medical history. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any complications like bile leaks or retained stones.

As for your question about consuming homemade chicken essence, it is generally safe to consume homemade broth or essence, provided it is prepared hygienically. The layer of fat on top can be skimmed off if you prefer a lighter broth. However, given your medical history, it’s always best to consult your healthcare provider or a nutritionist before making significant changes to your diet post-surgery. They can provide personalized advice based on your overall health, nutritional needs, and any medications you may be taking.

In summary, while some pain and discomfort after surgery are normal, it’s crucial to monitor your symptoms closely. If you notice any changes or worsening of your condition, do not hesitate to reach out to your healthcare team. They can provide the best guidance tailored to your specific situation. Additionally, regarding dietary choices, always consult with your healthcare provider to ensure that what you consume aligns with your recovery plan.

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