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Pancreatitis Abdominal Pain After Gallbladder Operation
10-15 percent of individuals experience upper abdominal pain after gallbladder removal. This pain can occur either in two weeks or appear a few decades after the gallbladder removal operation. This stomach pain can radiate to the left rib cage, back, and be accompanied by gas, bloating, nausea, fullness, little appetite, heartburn, diarrhea, etc.
LUQ pain can vary in intensity or duration, but usually it arises after improper food combining or alcohol consumption. Stress and depression typically aggravate abdominal pain and, conversely, abdominal pain can cause a person to be depressed.
There can be three situations in which the pain can appear:
The first is the beginning when all the tests look normal. A patient receives OTC pain relievers, schedules an appointment to a pain management clinic, or has a referral to a psychiatrist for possible stress, depression, and anxiety. Usual advice “Don’t eat fat and don’t drink alcohol!”
The second situation is when the tests reveal an increase in pancreatic or liver enzymes. This is followed by many visits to the doctors, gastroenterologists, hospital ER’s, and taking all kinds of tests and various medications. Visual images of the stomach, pancreas and bile ducts may show dilatation of the common bile duct, pancreatitis, scarring, gastritis, hepatitis, deformation of the duodenum, etc.
And last but not least is the third reason, many tests have revealed severe structural changes in the bile duct, pancreas, liver and sphincter of Oddi. This leads to the visits of many doctors, medications, ER admissions, consultation of professors in specialized laparoscopic centers and endoscopic surgeries. All this leads to prolonged, mental and physical exhaustion, and personal and financial problems.
All these situations are not separate disorders. These are the three stages of chronic biliary pancreatitis.
1. Operational stage
2. Structural stage
3. Advanced stage
Gall is the medical term meaning relation to bile, gall bladder and bile ducts. It is known; the health of the gall, gall bladder, and bile ducts is indistinguishably linked to the health of the pancreas.
At first, let’s focus on the first, widespread, functional stage of chronic biliary pancreatitis after gallbladder surgery, when there are no abnormalities in the regular tests. This is a critical time for the natural, life-changing, non-drug, non-surgical approaches of alternative, holistic medicine. It can be particularly useful to avoid potential, structural problems that are difficult to deal with. Even in the structural or advanced stages, these methods are valuable to improve the quality of life and life expectancy of the patients.
Most likely, your gallbladder is gone because you had a typical gallbladder attack with RUQ pain, gas, nausea, vomiting, jaundice, fever, which was supposedly related to gallbladder stones and inflammation. You thought the pain after gallbladder surgery was gone.
Unfortunately, your upper abdominal pain began to spread to the left and back. This pain after gallbladder removal often goes along with gas, bloating, nausea or vomiting, burning sensation, etc. It occurs regularly after unhealthy food combining sugar, protein, fat and starch or drinking alcohol.
The functional stage of the biliary pancreatitis is very similar to the type III of the sphincter of Oddi dysfunction. If you are here and you are reading this article, you probably know that the sphincter of Oddi is a muscular valve strategically located between the bile and pancreatic ducts and the duodenum – the beginning of the small intestine. The sphincter of Oddi controls the flow of the mixture of pancreatic juice and bile into the duodenum.
Without food in the duodenum, the sphincter of Oddi closes. At that time, liver bile is redirected into the gallbladder. Gallbladder expands like a balloon to accumulate and concentrate bile for future digestion. If food approaches the duodenum from the stomach, the gallbladder contracts, throws bile through the open sphincter of Oddi into the duodenum for digestion of fats and fat-soluble substances.
The pendulum effect connecting gallbladder and sphincter of Oddi is necessary for healthy digestion. It also prevents the rise of pressure in the bile and pancreatic ducts and promotes the proper flow of bile and pancreatic juice.
Sphincter of Oddi dysfunction can be biliary, when pain is located on the right side, or pancreatic type, when pain mainly occurs in the LUQ with radiation in the left thorax and back. A history of previous hospital admission with severe LUQ pain, gas, nausea and an increase in the blood pancreatic enzymes evidences the pancreatic injury and development of chronic pancreatitis.
I have worked for decades with patients who suffered from acute pancreatitis in the ICU and the individuals with chronic toxic, alcoholic or biliary pancreatitis in the outpatient setting. This practice convinced me that even one attack of pancreatic pain is a symptom of pancreatic injury. Therefore, an individual’s health, life and future depend on recognition of the situation and a persistent and persistent fight to prevent deterioration. Never say never”; nor say “It’s too late to do anything!”
However, we must focus on what leads to complications and progression of chronic pancreatitis.
First and foremost, it is the acidity of the liver bile and pancreatic juice. Of course, they are alkaline solutions. I will let you in on a most secret; normal alkalinity of the pancreatic juice and bile is core to proper digestion.
Why do these liquids turn sour and what is wrong with it? I medically explain things in my eBooks and articles. If the bile becomes acidic, the amount of aggressive, precipitated, corroded bile acids in it increases. Bile acids begin to irritate bile ducts, sphincter of Oddi, duodenum and stomach, esophagus and even colon. Irritated, corroded bile acids are the culprit of stubborn heartburn, gas, bloating, stomach inflammation, bile acid diarrhea, and, of course, cholepancreatitis.
Presumably, your gallbladder is gone because the concentrated, aggressive, acidic bile corroded and irritated, like an active detergent, your gallbladder, causing it to become inflamed. Acidity is an important causative factor for precipitation of the bile acids, cholesterol, calcium salts, and bile pigments. As a result, it forms bile sludge and gall bladders. Therefore; collected in the gallbladder acidic, aggressive bile leads to damage to its walls and makes the gallbladder the first target for a surgical knife.
In addition, acidic changes in the pancreatic juice cause premature activation of the pancreatic digestive enzymes. Activated within the pancreas, enzymes digest their own pancreas causing pancreatitis. It is known that pancreatic digestive enzymes require an alkaline environment to actively digest the food. Conversely, in an acidic situation, they absolutely stop working. Incompletely digested food is fermented by bacteria and yeasts with the creation of toxins and gases, which then cause cramps, pains, bloating, heartburn, burning, itching and internal toxicity.
When the gallbladder is gone, aggressive, acidic liver bile begins to irritate bile ducts and the sphincter of Oddi – the muscular valve in the wall of the duodenum. Spasm of the sphincter of Oddi increases pressure within the bile duct causing its dilation and pain.
In the worst case, this gives the possibility of throwing out the bile in the pancreatic duct. Scientists have confirmed that even the small amount of bile acids occurring within the pancreatic duct could activate pancreatic digestive enzymes; resulting in damage and inflammation of the pancreas, which is called biliary pancreatitis.
What should be done here?
Restoring the normal alkalinity of the hepatic bile and pancreatic juice is fundamental. How do we naturally do this? Eating the alkaline-forming foods, using cellular magnesium-potassium and drinking healing mineral water can physically restore correct acid-base balance; therefore, alkalinity of the liver bile and pancreatic juice. Healing mineral water sounds strange to most Americans, but many Europeans spend healthy vacations in the healthy mineral spa. European doctors recommended drinking Karlovy Vary healing mineral water to their patients with digestive and pancreatic disorders since the XV century.
After the first cholecystectomy; gallbladder surgery that was performed in Berlin in 1882, this operation became extremely common in Europe. Later, European doctors encountered complications after gallbladder removal surgery as well as pancreatic disorders. For many years, European doctors have suggested their patients with liver, pancreas, and digestive problems after gallbladder removal surgery to drink Karlovy Vary mineral water. Water can be used either from the thermal springs in the Karlovy Vary or by drinking healing mineral water that is prepared from the genuine Karlovy Vary thermal spring salt at home. European doctors have proven a favorable activity of this healing mineral water in the post-cholecystectomy syndrome.
For a person without a gall bladder to drink Karlovy Vary healing mineral water that can make pancreatic juice and also liver bile liquid and alkaline, it is a perfect solution. According to my personal experience of caring for patients with post-cholecystectomy syndrome or chronic biliary pancreatitis, this action is the basis of the healing success. Through a medical study by European doctors, drinking Karlovy Vary healing mineral water reduces pain, cramps, gas, bloating, reduces heartburn and improves laboratory tests in people with post-cholecystectomy syndrome and chronic biliary pancreatitis.
What else can be useful in sphincter of Oddi dysfunction type III after gallbladder removal?
A tailored healing diet, acupuncture, herbal medicine and nutritional supplementation can make bile liquid and alkaline; reduce spasm of the sphincter of Oddi, reduce pain, inflammation and indigestion. European whole body cleansing, abdominal massage, colon hydrotherapy, restoration of friendly intestinal flora, can reduce many unpleasant symptoms of biliary pancreatitis.
Many individuals without a gallbladder have a history of using broad-spectrum antibiotics, drinking alcohol, craving sugars. This, in turn, decreases the amount of the friendly (beneficial) intestinal bacteria, which are responsible for the proper digestion, metabolism, immunity and suppressing the overgrowth of the unfriendly, opportunistic infection such as Candida yeast, harmful bacteria, parasites. Regardless of common belief, drinking “yogurt” and taking probiotics cannot restore beneficial gut flora, especially in a person with acidic bile and pancreatic juice.
Without proper quality of bile and pancreatic juice, along with the unhealthy balance of the beneficial bacteria in the intestines, individuals suffer from many nutritional deficiencies. These symptoms are very far from the abdominal area. It can be depression, stress, anxiety, insomnia, allergy, low immunity, skin rashes, muscle pains, neuropathy, etc. Habitual taking of painkillers, fasting or insensitive “liver cleansing”, can bring more severe problems to pancreas.
Everything I mentioned above makes sense also in the structural and advanced stages of biliary pancreatitis. Alternative medicine, holistic, natural non-drug methods can be well combined with conventional treatment. The goal is to find an experienced, licensed practitioner who will involve you in the intensive healing process.
The information on this article is presented for educational, informational purposes only. It is not intended to replace the diagnosis, treatment and advice of a qualified, licensed medical professional.
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