One of the most common operations in the field of surgery is cholecystectomy. It consists in the removal of such an internal organ as the gall bladder. Moreover, any surgical intervention is a serious stress for the body. In cases where a person loses an organ, stress is twofold. The thing is that the body is forced to adapt to new conditions.
Gallbladder function
The difficulties on which the lifestyle depends after the removal of the gallbladder are associated with the functions of this organ. The first is the deposit, it manifests itself in the fact that bile accumulates in it, which is secreted by the liver. The second function is called evacuation. It consists in the contractile activity of the gallbladder. This internal organ releases bile into the duodenum during the digestive process.
The third function is called concentration. It lies in the fact that bile accumulates in the gallbladder, which gradually thickens. If this function of the gallbladder is inhibited, the process of stone formation begins. The absorption function is manifested in the process of absorption of bile components through the walls of the gallbladder. The valve function is to ensure the flow of bile into the gastrointestinal tract.
Life after removal
All internal organs serve to ensure that the whole body in a single system works smoothly. When at least one is removed, it affects the future lifestyle in a very radical way. Often, life after surgery to remove the gallbladder becomes associated with functional restructuring of the biliary system.
In other words, the lifestyle after such surgery is changing. The body begins to work in unusual conditions. Addiction is associated with the fact that in the process of digestion, cystic bile is no longer involved. The exocrine function of the liver also changes.
Experts have different answers to the question, what is life after removal of the gallbladder. And this is due to the fact that perestroika sometimes happens imperceptibly, and sometimes gives the patient discomfort. Postcholecystectomy syndrome is a term that appeared in American medicine at the beginning of the 20th century. He took a fairly strong position in medicine of those years. Although the term has been used for a long time, it is still considered overly general and devoid of specificity.
At the moment, the so-called hypertonicity of the sphincter of Oddi. It develops after surgery to remove the gallbladder. This is due to the fact that contractility is impaired, obstacles appear for the outflow of bile, as well as pancreatic secretion in the digestive tract.
PHES Clinic
The main symptom is liquid stool. It is caused by the fact that the flow of bile into the duodenum increases, since the consequence of the removal of the gallbladder and life afterwards is the situation when there is no other container for bile. After that, the sphincter of Oddi contracts to create an obstacle to its outflow. Due to the fact that it is disturbed, a fairly rapid development of stagnation and hypertension occurs. As a result, attacks of pain in the hypochondrium begin, sometimes the phenomenon of pancreatitis is accompanied.
The main symptom of PCES is a series of attacks of hepatic colic. Intolerance to fatty foods, bloating of the abdominal cavity, belching, and nausea are considered additional symptoms.
Therapy
First aid for colic is the use of antispasmodic drugs like drotaverine. They help cope with the hypertonicity of the sphincter of Oddi. After that, resort to conservative treatment methods. It aims to restore the biochemical composition of this substance, to form an adequate outflow of bile, as well as pancreatic juices.
The most effective measure that allows the body to adapt as soon as possible is the use of a diet. The thing is that, according to the advice, life after removal of the gallbladder should change. Doctors made several recommendations related to the diet after such surgery.
It is important that the diet is balanced in every way. It should be thermally gentle. It is necessary to eat fractionally, five to six times a day. Dishes should be boiled, steam, it is necessary to exclude fried products, stewed, sautéed.
The diet of the patient should include lean meat, poultry, soufflé from fish, meatballs. Vegetable dishes should consist of potatoes, beets, zucchini, pumpkin, cauliflower. It is important to include cereals, pasta, oatmeal, buckwheat, rice porridge, semolina in the menu. Be sure to eat protein steam omelette, dairy products, fruits, berries, a rosehip broth. Without fail, vegetable, butter is added to the finished product.
During remission, the same products are used without fail, but without wiping. Expanding the range of products, including fresh fruits, vegetables, vinaigrette in the diet. A variety of culinary treatments are carried out, including stewing, baking in the oven, boiling.
It is recommended to exclude pork, lamb, duck meat, do not eat fish of fatty varieties, pastries with cream and pastries. It is better to abandon cocoa, coffee, chocolate, spices, marinades, pickles, sour berries, fruits, legumes, sorrel, spinach. You can not drink alcoholic products, millet, mayonnaise, carbonated drinks should be excluded from the diet.
Danger
What is life after gall bladder removal? The consequences after surgery include some dangers. For example, bile can accumulate in the liver, as a result, it concentrates, and when a person eats food, it ends up in the duodenum. After surgery, bile is in the intestine, getting here from the liver. For this reason, its concentration is not so high.
It is enough to ensure the processing of small portions of food. In cases where a person eats a lot, he suffers from heaviness in the stomach and nausea. Due to the removal of this internal organ, the activity of digestive system enzymes decreases.
How to avoid
You must take care of your liver. An important tip - life after removal of the gallbladder should first take place on boiled or steamed products. It is best to wipe them in addition. In no case should you take alcoholic beverages.
Thanks to this, there will be a faster adaptation of the digestive tract to new conditions. After 6 months, the diet expands, fresh vegetables and fruits are included in the diet with the exception of onions, garlic, lemon, radish. Fish products and lumpy meat are added to the menu. After a year and a half, the patient returns to his usual diet. Due to the presence of refractory type fats or too sharp components, many products are discarded.
Chew food thoroughly. Due to the fact that it gradually enters the digestive tract, the enzymes awaken, and the liver acquires enough time to be included in the work.
What else needs to be changed in life after removal of the gallbladder? An important tip is to regularly take enzymes. The body often needs their artificial inclusion in the diet. Only doctors will be able to choose a drug that realizes this need of the body.
The danger of new stones
It should be borne in mind that the absence of the gallbladder is not a guarantee that the patient will no longer suffer from gallstones. They are formed due to the fact that the composition of bile changes or because of its stagnation. Stagnation, if present, most often occurs in the bile ducts. What is life after laparoscopy (removal) of the gallbladder?
Ways to Avoid Stone Formation
To prevent this from happening, you need to eat fractionally and in small portions. During any meal, bile is secreted again. The more often this happens, the greater the likelihood that stagnation will form. It is best to eat five to seven times a day. But if a person eats two or three times a day in large portions, it is likely that bile will be delayed.
It is necessary to reduce the amount of cholesterol consumed. When it enters the body in larger quantities, stones also form. It is important to reduce the consumption of fatty meat, as well as butter - it is allowed to eat 20 g per day. You need to choose dairy products, the fat content of which has moderately decreased.
Life expectancy after removal of the gallbladder increases if a person is engaged in physical activity. But it is impossible to begin this immediately after surgery. It is better to start after 1.5-2 months after the operation. It is recommended to start with walking for 30-40 minutes every day. Then bile will stagnate much more slowly. In the same way, swimming has a positive effect on the body. Water will massage the abdominal area.
It is best to start going to the pool six months after surgery. Morning exercises will be beneficial. It is best to do it according to the scheme described above regarding walking. But it is important to take into account one important nuance - it is recommended to strain the press no earlier than a year after surgery.
The danger of negative phenomena in the digestive tract
According to reviews, life after removal of the gallbladder is associated with frequent flatulence, constipation, diarrhea. The reasons for these phenomena lie in the fact that there is too active bacterial growth in the intestine.
The bile produced by the removed organ ensures the coherence of the digestion process. It destroys harmful microorganisms that are in the digestive tract. However, hepatic bile has less effect. Because of this, microorganisms are not destroyed. And then there is an imbalance in the microflora. Then the so-called revolt in the intestine begins, and a person is tormented by all kinds of unpleasant symptoms - diarrhea, constipation, flatulence.
Ways to avoid negative effects in the digestive tract
According to reviews, life after removal of the gallbladder does not go without making changes to the diet. And thanks to this, the prevention of negative phenomena in the organs of the gastrointestinal tract is provided. Microbes actively multiply when there is an excess of sweet food on the patient’s menu. It is best to replace such products with berries and fruits. They contain a lot of vitamins, they support the body and destroy harmful microbes, which normalizes the microflora in the intestines. Cinnamon with cloves have the same effect. According to reviews, in life, after removing the gallbladder, it is best to use these components more often, adding them to food: this normalizes digestion.
It is worth supporting the microflora, using probiotics, prebiotics. They contain dietary fiber, which is food for beneficial microorganisms.
It is necessary in life after removing the gallbladder, according to reviews, consult a doctor for any questions. This will increase its duration. The specialist will talk about how to get rid of too fast bacterial growth. According to the schemes that the doctor provides, sometimes it will be necessary to take antiseptics that can affect microbes in the gut. They will not be absorbed by the circulatory system. In this case, only a doctor will correctly select such medications.
Intimate life
Talking about intimate life after removing the gallbladder, doctors advise not to have sex for at least 2 weeks from the date of surgery. The same restriction applies to any kind of activity that may require physical stress. At the end of this period, if the patient feels well, and the doctor has agreed, sexual life after removal of the gallbladder resumes in full. In the future, it is carried out without any restrictions.
Prevention of constipation
It is important to remember that removing the gallbladder alone does not lead to constipation. But due to the fact that the diet changes, life reviews after removal of the gallbladder feature information that difficulties begin with bowel movement. If constipation is rare, an enema is used to eliminate them. But if they are chronic, an enema will lead to a violation of microflora. Then dysbiosis will develop.
For this reason, patients who have undergone such surgery are often advised to exclude rice and oatmeal from the diet. Every day you need to eat fermented milk products. It is sometimes useful to add vegetable and fruit salads to the diet. It is best to eat wheat bran. This process is carried out in stages. Take two teaspoons of bran three times a day before meals. Before going to bed, be sure to drink a glass of cold water.