Post-Gallbladder Surgery Complications: Symptoms and Causes - Gastroenterology and Hepatology

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Are there any complications or symptoms that may arise after gallbladder surgery?


More than two months ago, my mother underwent surgery to remove her gallbladder due to gallstones, but this turned out to be just the beginning of a nightmare.
After the surgery, she occasionally experiences unexplained palpitations and elevated blood pressure.
Moreover, although the incision should have healed by now, it hasn't; any slight movement causes abdominal pain, and she frequently feels the urge to have diarrhea.
I would like to ask the doctor what could be the cause of these symptoms.

[email protected], 40~49 year old female. Ask Date: 2013/10/03

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: After gallbladder removal, aside from wound issues, the most common problem is diarrhea triggered by fatty foods.
In some cases, this may improve after a year and a half; generally, it is advisable to avoid overly fatty foods.
As for palpitations and high blood pressure, they are not necessarily related.
If there is still pain at the surgical site or abdominal pain, it is best to consult the original surgeon.
Wishing you good health, Dr.
Chi-Feng Chen, Taoyuan Hospital.

Reply Date: 2013/10/03

More Info


After gallbladder surgery, also known as cholecystectomy, patients can experience a variety of symptoms and complications. Your mother’s experience of heart palpitations, elevated blood pressure, persistent abdominal pain, and frequent diarrhea are concerning and warrant further investigation.

Firstly, it’s important to understand that the gallbladder plays a crucial role in the digestion of fats by storing and concentrating bile produced by the liver. When the gallbladder is removed, bile flows directly from the liver into the small intestine, which can lead to digestive issues, particularly when consuming fatty foods. This can manifest as diarrhea, often referred to as post-cholecystectomy diarrhea, due to the lack of bile storage and the continuous flow of bile that may not be adequately regulated.

The abdominal pain your mother is experiencing could be attributed to several factors. One possibility is that she may be experiencing post-operative pain related to the surgical site. Even after two months, it is not uncommon for patients to have lingering discomfort, especially if they engage in activities that strain the abdominal area, such as lifting heavy objects. Additionally, nerve damage or irritation during surgery can lead to abnormal sensations or pain in the abdominal region.

The heart palpitations and elevated blood pressure are less commonly associated with gallbladder surgery but could be linked to several factors. Stress and anxiety about the surgery and recovery process can lead to physiological responses such as increased heart rate and blood pressure. Furthermore, if your mother is experiencing significant pain or discomfort, this can also trigger a stress response in the body, leading to similar symptoms. It’s essential to monitor these symptoms closely, as they could indicate other underlying health issues that may need to be addressed.

In terms of management, it is crucial for your mother to follow up with her healthcare provider. They may recommend dietary modifications, such as reducing fat intake to help manage diarrhea. Additionally, if her abdominal pain persists or worsens, further evaluation may be necessary to rule out complications such as bile duct injury or post-operative infections.

If her heart palpitations and blood pressure issues continue, a thorough cardiovascular assessment may be warranted. This could include an electrocardiogram (ECG) or other cardiac evaluations to ensure there are no underlying heart conditions exacerbated by the surgery or recovery process.

In summary, while some symptoms post-gallbladder surgery can be expected, the combination of heart palpitations, high blood pressure, persistent abdominal pain, and diarrhea should be taken seriously. It is advisable for your mother to consult her healthcare provider for a comprehensive evaluation to address these symptoms and ensure a smooth recovery. Regular follow-ups and open communication with her medical team will be key in managing her post-operative health effectively.

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