Post-Operative Concerns After Laparoscopic Cholecystectomy for Acute Cholecystitis

Postoperative Issues Related to Acute Cholecystitis

Hello Doctor, two weeks ago I underwent laparoscopic cholecystectomy due to acute cholecystitis.
Since the surgery, I have been experiencing a loss of appetite, a feeling of bloating in my stomach, and a slight shortness of breath.
I feel fatigued even after climbing 3 to 4 flights of stairs.
Sometimes I experience sharp pains in my stomach, and I can only sleep on my back; lying on my side is uncomfortable.
My urine is very yellow.
I'm not sure if these symptoms are related to the surgery.
Could you please help clarify this for me? Thank you!

andy, 20~29 year old female. Ask Date: 2013/06/19

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Mr.
Andy, please return for an outpatient examination to check for any complications.
If it is only postoperative symptoms, adjusting to a light diet and taking oral medications should help improve your condition.
Changhua Hospital cares about your health.
Dr.
Chen Shidian.

Reply Date: 2013/06/19

More Info

After undergoing laparoscopic cholecystectomy due to acute cholecystitis, it is not uncommon to experience a range of post-operative symptoms. Your concerns regarding loss of appetite, bloating, shortness of breath, fatigue, abdominal pain, discomfort while sleeping, and changes in urine color are valid and warrant attention.

Firstly, it is important to recognize that post-operative recovery can vary significantly among individuals. After gallbladder removal, the body undergoes adjustments, particularly in digestion, as the gallbladder plays a role in bile storage and release. Without it, some patients may experience digestive issues, including bloating and discomfort after eating, especially if they consume fatty or heavy foods. Therefore, a bland diet that is low in fat is often recommended during the recovery phase.

The sensation of bloating and abdominal pain could be attributed to several factors, including gas buildup, which is common after surgery due to changes in diet, reduced physical activity, and the effects of anesthesia. Additionally, the abdominal cavity may still be healing, which can contribute to discomfort. It is advisable to gradually increase physical activity as tolerated, as this can help alleviate gas and improve overall recovery.

Your experience of shortness of breath and fatigue, especially when climbing stairs, may be related to a combination of factors, including reduced physical conditioning during your recovery period and potential anxiety related to your surgery. It is essential to listen to your body and not push yourself too hard too soon. If these symptoms persist or worsen, it is crucial to consult your healthcare provider to rule out any complications such as fluid accumulation or infection.

The yellow color of your urine could indicate dehydration or concentrated urine, which can occur if you are not drinking enough fluids, especially if you are experiencing a decreased appetite. Ensuring adequate hydration is vital for recovery, so aim to drink plenty of water throughout the day.

Regarding your sleeping position, it is common for patients to feel more comfortable sleeping on their backs after abdominal surgery. If side sleeping causes discomfort, it may be best to continue sleeping on your back until you feel more comfortable. Using pillows for support can also help alleviate discomfort.

In summary, while many of the symptoms you are experiencing can be attributed to the normal post-operative recovery process, it is essential to monitor your condition closely. If symptoms such as persistent abdominal pain, significant changes in appetite, or shortness of breath continue, it is advisable to return to your healthcare provider for further evaluation. They may recommend imaging studies or blood tests to ensure there are no complications such as infection or bile duct issues.

In conclusion, while post-operative symptoms can be concerning, many are manageable with appropriate care and lifestyle adjustments. Focus on a light diet, stay hydrated, gradually increase your activity level, and maintain open communication with your healthcare provider to ensure a smooth recovery.

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