Your gallbladder has been removed. Now you have stomach cramps and sudden "running" into the bathroom with diarrhea. You are not alone. Last year alone, 700,000 Americans lost their gallbladder. This operation has a medical term; cholecystectomy. According to medical statistics, 15-20% of people without a gallbladder have ever had symptoms such as pain, gas, bloating, heartburn, nausea, and constipation. Ten percent of people from whom gallbladders were removed in the past, sooner or later have chronic diarrhea.
The cause of diarrhea after removal of the gallbladder is not clear. Some doctors believe this is due to an increase in bile entering the colon. Doctors refer to diarrhea after gallbladder removal, as “Bile acid diarrhea” or “bile acid malabsorption”. They believe that bile acids act as a laxative.
A person with chronic diarrhea, after removing the gallbladder, experiences diarrhea for more than two weeks. Symptoms may vary, but in most patients there are usually four or more watery, yellowish stools every other day, often immediately after a meal. A group of patients experiences some convulsions right before the bowel movement. Because of the urgency and possible accidents in the bathroom, people know the location of each public toilet and generally avoid long trips to an unknown deer.
First question: can it be prevented? No, even brilliant, experienced surgeons. have patients with chronic diarrhea after gallbladder operations. It depends on the lack of gallbladder. If we have a gallbladder, no dirich, the absence of a gallbladder causes diarrhea of bile salts.
Deeply immersed in medical literature, facts and research, I will share my opinion on post cholesthesitic diarrhea. Let's get the facts.
First, the liver constantly produces bile inside the bile ducts. The bile of this liver moves down to the entrance to the duodenum, where a special muscular valve-sphincter of Oddi.
Secondly, this valve works along with the gall bladder. Most of the time the sphincter of Oddi is closed. Consequently, the pressure inside the bile duct increases, so the liver bile is redirected to the gallbladder. The gallbladder expands to collect more bile. Bile is concentrated here.
Thirdly, if semi-digested food from the stomach enters the duodenal part of the small intestine, Oddi's sphincter opens, and the gallbladder constricts the concentrated bile to digest fat. This process is under the complex control of the nervous system and specific blood messengers - digestive hormones. When the sphincter of Oddi opens, the pancreas also secretes digestive enzymes, so a mixture of bile and pancreatic juice enters the duodenum to digest 90% of fat and 50% of proteins and carbohydrates.
Fourth, bile is a balanced solution consisting of water, minerals, bicarbonate, cholesterol, lecithin and bile acids.
Fifth, bile acids are extremely aggressive detergents. Their work makes the fat drops so tiny that pancreatic lipase can break them. In the normal state, bile acids are in water-soluble form, promote the breakdown of fats and do not irritate the surrounding tissues. The main factor that keeps bile salts in water soluble form is pH.
Acid changes in bile cause precipitation of bile acids, which makes them very aggressive chemicals. Can you imagine what can happen if someone swallows laundry detergent? Acidic bile with precipitated bile acids corrodes, damages the gallbladder, bile ducts, sphincter of Oddi, duodenum. I medically explain this in detail in my book: a healthy pancreas, a healthy one. Do not forget that bile is also a remedy for toxic substances such as alcohol, heavy metals, bile pigments, drugs, toxins.
Acidic bile causes reflux when an aggressive, corroded mixture of bile acids and active pancreatic enzymes creates harsh contracts of the duodenal walls and moves incorrectly. When this aggressive mixture is pulled to the stomach or esophagus, it causes irritation, inflammation, ulcers, and sometimes cancer of the stomach and esophagus.
For a hundred years, eye surgeons and now gastroenterologists with an endoscope can see bile (bile acids) in the infected and ulcerated duodenum, stomach, and even the esophagus. Deposited precipitated insoluble bile acids irritate the small intestine and large intestine. In turn, this can cause abdominal pain, cramps, chronic diarrhea with yellowish urgent stools.
However, why gallbladder removal causes so many problems, you ask. That is why, because the gallbladder suffers most from acidity. Acid changes in the gallbladder of the concentrated gallbladder and sedimentation of bile acids cause inflammation, spasms, and development of gallbladder stones. The gallbladder takes the first massive bump of acidity; therefore, this is the first goal for a surgical knife.
Removal of the gallbladder does not eliminate the causes of irritation, inflammation with aggressive bile acids. Now that the gallbladder has disappeared, it is a series of bile ducts, sphincter of Oddi, duodenum, stomach, colon, etc. This creates many symptoms and disorders.
Doctors call this postcholecystectomy syndrome. Chronic diarrhea after cholecystectomy is only one of the problems after removal of the gallbladder.
The absence of the gallbladder leads to other problems that can worsen chronic diarrhea: fat dyspepsia and dysbiosis (growth of Candida yeast and bacterial overgrowth of the small intestine, SIBO).
Chronic diarrhea has many causes, but the acidity of the body is a major factor and must be corrected first. There is no need to process complex tests to confirm body acidity. Measuring saliva and urine for two weeks with a litmus test at home will show the true picture. If the pH of saliva and urine is often less than 6.6, there is too much acidity, therefore, the body’s acidic radicals are removed through body fluids such as saliva and urine. It may also suggest acid changes in the bile and pancreatic juice.
According to common sense and basic physiology, the treatment of postcholecystectomy syndrome began with the normalization of acid-base balance. Naturally, a person can neutralize acidity with an alkaline diet, using alkaline mineral supplements, such as cellular magnesium-potassium and drinking healing mineral water. Drinking healing mineral water is almost unknown in the United States, but has a long history of use in Europe.
Since the surgeons began performing cholecystectomy, more than 150 years ago they could observe chronic diarrhea in their patients. European doctors either advised to drink Karlovy Vary mineral water from the thermal spring, or drinking water prepared from real thermal thermal salt in Karlovy Vary at home. Karlovy Vary is a famous mineral resort in the Czech Republic.
Various medical documents confirming the therapeutic effect of Karlovy Vary mineral water on digestive and metabolic diseases, including postcholecystectomy syndrome with pain and diarrhea. According to European doctors, the healing mineral waters of Karlovy Vary supply the body with alkaline minerals, bicarbonate and microelements, biliary and alkaline, therefore, less aggressive.
Experiments and clinical findings confirm the beneficial effect of this healing mineral water in case of abdominal pain, sphincter of Oddi dysfunction, bile reflux, dysbacteriosis, gas, abdominal distention, constipation and chronic diarrhea. Healing mineral water Karlovy Vary can be used safely or as a complete, non-drug remedy with a healthy diet, nutritional supplements, restoration of friendly intestinal flora, hydrotherapy with a colon, etc.
The information contained herein is presented for educational, informational purposes only. It is not intended to diagnose, treat, cure or prevent any disease. This information should not be used to replace the services or instructions of a physician or qualified physician.
