After removal of the gallbladder, bitterness in the mouth indicates that the usual function of the accumulation of bile from the liver and discharge into the intestine is impaired. Systems and organs have to go through difficult periods of reconfiguration, as evidenced by unpleasant signs.
Who is cholecystectomy indicated for?
The organ is removed in cases where drug therapy does not make sense, does not give positive results. The main reason for making this decision is the impossibility of outflow of bile due to obstruction of the ducts with calculi. The body signals the fact that there is a problem with the following symptoms:
- cramping in the abdomen;
- intense pain in the stomach;
- violation of the stool (diarrhea alternates with constipation);
- bouts of nausea and vomiting;
- yellow vomit with impurities of bile;
- yellowness of the skin, sclera with an advanced form of pathology.
The symptoms are bright, with painkillers in this case, it is impossible to help. Inaction is dangerous and can lead to irreversible processes. Even small stones can block the ducts and form an accumulation of bile pigment - bilirubin, leading to obstructive jaundice. Cholecystectomy is a quick and effective way to solve a problem.
The causes of bitterness
After removal of the gallbladder with the same intensity, the liver secretes secretion into the duodenum, but it is not enough to process the usual volumes of food. The remains of products begin to deteriorate, undergo putrefactive decomposition. Dysfunction leads to insufficient intake of beneficial substances in the walls of the digestive system, dyspepsia, flatulence.
According to the physiological characteristics of the female body, the postoperative period can lead to spasm of the sphincter of Oddi, which leads to dysfunction of the biliary system. Increased muscle tone builds up pressure in the biliary tract, pancreas. This development of events is mainly the cause of bitterness in the mouth after removal of the gallbladder.
After the operation, it may be noted:
- Duadenogastric reflux. The consequence after removal of the gallbladder is the throwing back into the stomach of the contents of the duodenum. Judging by the reviews, the feeling is not pleasant. This makes it possible to feel what reflux is, which is often accompanied by heartburn.
- Increased bilirubin concentration. It is important to clearly understand what reflux is, as the symptoms provoked by this cause also give an unpleasant aftertaste in the mouth. Excess bilirubin causes pain and leads to digestive dysfunction.
- Increased consumption of foods saturated with bile acids. Only by eliminating this category of ingredients can one get rid of bitterness in the mouth.
People who take good care of health, follow the doctor’s recommendations without exemptions, tolerate surgery and recovery period well. Discomfort hardly annoys, life returns to its usual course.
Discomfort Factors After Cholecystectomy
With calculous cholecystitis and gallstone disease, removal of the gallbladder is the only right solution. Thus, it is possible to exclude the development of inflammatory foci, to get rid of chronic pain.
After cholecystectomy, bitterness in the mouth appears not only due to surgery. The absence of an organ requires a complete revision of lifestyle, diet, and habits. Negative factors that cause a taste of bile in the mouth can be:
- The usual diet, if necessary, follow a diet.
- Chronic dyskinesia of the biliary tract.
- Dysfunction of the liver and pancreas.
- Digestive enzyme deficiency.
- Pathology of the digestive system with acute course.
- Accumulation of bilirubin due to congestion in the liver tissue and ducts.
- Uncontrolled physical activity, if necessary, observe the gentle regime in the first year after surgery.
- Alcohol consumption.
It is important to follow the doctor’s prescriptions, since the first months after surgery there are concomitant disorders caused by the prolonged course of gallstone disease. They can progress if the therapeutic treatment regimens and preventive measures are not followed.
Associated signs accompanying bitterness in the mouth
Bitterness in the mouth after removal of the gallbladder is not the only symptom of postcholecystectomy syndrome. The following symptoms may signal this:
- girdle pain in the upper quadrant on the right side;
- cutting or dull pain in the peritoneum;
- bouts of nausea, vomiting;
- bloating;
- belching with bitterness, heartburn;
- prostration;
- refusal to eat;
- diarrhea;
- yellowing of the skin.
When additional symptoms appear, the doctor prescribes instrumental and laboratory examinations to exclude probable shortcomings and associated pathologies.
Diagnostics
After a thorough examination, the gastroenterologist appoints laboratory tests. According to the results of a blood test, you can see the presence of an inflammatory process in the organs. Further, the leading specialist appoints, depending on the feasibility:
- Ultrasound of the peritoneum;
- radiography of the stomach with contrast;
- gastroscopy and other endoscopic studies of the digestive system;
- scintigraphy;
- endoscopic pancreatocholangiography.
Diagnostic measures are important, as they reveal the hidden pathologies of the biliary system. It is worth noting that the most informative methods to study the source of the problem in several projections at the cellular level are CT and MRI. If the doctor prescribes such a diagnostic method, it means that he still has some doubts about the diagnosis.
What difficulties does the patient face?
The absence of an organ entails changes in the work of all the chains of the body. It is quite natural that the absence of the gallbladder makes significant adjustments to the usual way of life. The patient should be prepared for the fact that:
- gastronomic preferences in food will have to be reviewed, abandoned some of your favorite dishes and made less interesting, but healthy products;
- daily more attention should be paid to hiking, physical exercise, observe sleep patterns, abandon addictions;
- a change in eating habits will lead to a violation of the stool, and constipation or diarrhea will probably appear.
In some cases, after surgery, patients suffer from cholestasis syndrome. The accumulation of secretions in the ducts of the liver creates discomfort in the right hypochondrium. An increased concentration of liver enzymes is reduced by choleretic drugs.
Drug therapy
How to treat bitterness in the mouth after cholecystectomy, the doctor decides. If bothering symptoms appear, it is worth discussing this phenomenon with a leading specialist. A gastroenterologist may prescribe:
- preparations with bile acids in the structure ("Allohol", "Liobil");
- antispasmodics for relaxing smooth muscles (No-Shpa, Mebeverin);
- hepatoprotectors - supportive therapy for the liver;
- prokinetics - to normalize intestinal motility, restore sphincter function ("Cerucal", "Motilium");
- enzymatic agents (Mezim, Pancreatin).
The dosage prescribed by the doctor should be maintained, it is also worth paying attention to the list of contraindications and side effects.
Diet
All patients are advised to adhere to diet No. 5, so you can avoid stagnation of the secret in the moves and eliminate bitterness in the mouth after removal of the gallbladder. What is the method:
- fats of animal origin with increased refractoriness are excluded;
- nutrition should be high-quality, healthy, wholesome, on schedule, at least 5 times a day;
- cooking methods are mainly gentle (cooking, stewing);
- alcohol should not be present in life at all;
- fats should prevail plant origin;
- caffeinated drinks and sweets are excluded from the usual diet;
- cold food is prohibited; dishes should be served warm;
- recommend that you pay attention to the drinking regime, as during the day they drink at least 1.5 liters of water;
- after the meal, you should not cruise towards the sofa - it is better to take a walk in the park;
- vegetable broths during the diet are boiled not concentrated;
- for home use, get non-fat varieties of fish, meat;
- dairy products are selected with moderate fat content.
For dessert, it is better and more beneficial to enjoy fruit. Also, do not forget to include cereals in the diet.
How to deal with constipation?
Constipation after cholecystectomy is a frequent occurrence. They indicate an imbalance of beneficial and pathogenic microflora, contribute to the development of intoxication of the body. So that the appearance of bitterness in the mouth after the operation is not aggravated by problems with the stool, it is worth:
- refuse to eat rice, instant oatmeal flakes;
- add kefir, yogurt to the diet;
- 6 weeks after surgery, consume more fruits and vegetables rich in fiber;
- dilute the menu with wheat bran;
- start the morning with a glass of water at room temperature.
To accelerate the process of defecation, micro enemas with vegetable oil are made. If all measures are taken, and the stool is not restored, the doctor prescribes laxatives.
Physical exercise
To quickly pass the rehabilitation period, sports should not be excluded from life. Refusal from the elevator and a walk to a stop - this is not a sufficient load on the body. Walking at a moderate pace daily is necessary for 2 to 3 hours. You can ask the doctor for recommendations and a scheme for performing therapeutic exercises. Important! Steep reliefs in the press area should be discarded in the first six months after the intervention of surgeons.
Alternative treatment methods
Alternative medicine offers high-quality effective prophylactic agents made from natural, natural ingredients. As a main treatment course, alternative methods are not prescribed. After the operation, after consulting a doctor, you can include in the complex therapy the medicinal preparations of lingonberries, corn stigmas, flaxseed, chamomile. Herbal mixes with a mild choleretic effect are sold in pharmacies.
If you immediately take a rosehip infusion immediately after removing the gallbladder, you can eliminate the appearance of signs of nausea, bitterness in the mouth. Such a drink replenishes the water balance and saturates the body with vitamins.