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Old Sat, Dec-14-02, 11:21
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rustpot rustpot is offline
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Posts: 1,110
 
Plan: atkins/protein power 1st
Stats: 269/278/210 Male 5 feet 10 ins.
BF:33%/30%/ ?
Progress: -15%
Location: Hertfordshire
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I have been following protein power and have not had any problems with increased levels of protein nor do I have any problems with increased fat intake.

I also have had laparoscopic cholecystectomy and the absence of gall bladder is not a problem.

However, it is not uncommon to have temporary digestive difficulties after gallbladder removal . The main reason is usually a difficulty in handling fats in the diet. Fat and certain fat-soluble vitamins require bile in order to be absorbed. When the gallbladder is present, it stores bile that the liver makes. During a meal, the gallbladder contracts, releasing a pool of bile into the intestine that is used for fat absorption. After cholecystectomy, bile is still produced by the liver, but is released in a continuous, slow trickle into the intestine. Thus, when eating a meal that is high in fat content, there may not be an adequate amount of bile in the intestine to properly handle the normal absorption process.

The change in intestinal bile concentration during high-fat intake may cause diarrhea or bloating, because excess fat in the intestine will draw more water into the intestine, and because bacteria digest the fat and produce gas. But I stress for others who may have a concern that this soon dissapears and is not normally an ongoing problem

In fact, some studies suggest that diarrhea after cholecystectomy may also be caused by excess bile in the intestine between meals, because bile is released into the intestine continuously.

A few points should be emphasized:
1. Most persons do not have digestive difficulty after cholecystectomy.
2. When it does occur, post-cholecystectomy diarrhea is temporary in most persons.
3. There is usually no "malabsorption," in the sense that the amount of intestinal bile is sufficient to absorb the fat and vitamins necessary to remain healthy.
4. There may be other reasons for bloating and abdominal discomfort after cholecystectomy.

I am not a Dr. but my own doctor advised me after my operation that the most common reason after any abdominal surgery-is post surgical adhesions or motility problems of the bowel.

If you are still having problems It would be advisable to see your own doctor because adhesions, or intra-abdominal scars, are a later complication of abdominal surgery, and can cause recurrent difficulties.
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