With cholecystitis and the presence of a large number of large stones, an operation called cholecystectomy is performed. Like any surgical intervention, this procedure has some consequences and requires a recovery period. Often after removal of the gallbladder, the right side hurts and there is a heaviness in it. In most cases, these symptoms (postcholecystectomy syndrome) disappear after 2-3 weeks.
Why does the sore hurt immediately after the removal of the gallbladder?
As a rule, the operation for excising the organ is performed by a laparoscopic method. Despite the small invasiveness of such cholecystectomy, after it there are still injuries of soft tissues, to which the body immediately reacts with a weak inflammatory process. In addition, to create sufficient space for the removal of the gallbladder, the abdominal cavity expands by filling with carbon dioxide.
These factors are the main causes of discomfort immediately after surgery. Usually in the first 2-4 days, anesthetics are injected intravenously or by infusion. The next 1-1,5 months after removal of the gallbladder there are pains in the side of weak intensity due to the fact that the body adapts to the altered conditions of functioning of the digestive system. Bile continues to be produced by the liver in the former quantities, depending on the volume and fat content of the food consumed, but it does not accumulate, but flows down the ducts and immediately enters the intestine.
Severe pain after removal of the gallbladder
In those cases when the postcholecystectomy syndrome is very intense, accompanied by nausea or vomiting, dyspepsia disorders in the form of diarrhea or constipation, an increase in body temperature, we are talking about complications of surgery or exacerbation of chronic pathologies.
The reasons for this condition can be:
- pancreatitis ;
- adhesions in the biliary tract;
- hepatitis;
- presence of residual stone in the common bile duct;
- irritation of large intestine;
- duodenitis;
- formation of a hollow neoplasm from the remainder of the cystic duct;
- ulcer of duodenum;
- narrowing of the bile ducts, their spasm;
- dyskinesia of bile ducts .
In addition, severe pain on the right after removal of the gallbladder is often caused by a violation of the diet. Rehabilitation with cholecystectomy involves frequent and divided meals with a restriction or a complete exclusion of fatty, fried, spicy, acidic and salty foods. The use of such products requires a lot of bile for digestion, and in the absence of a storage tank (bubble), it is not enough. Unprocessed pieces of food enter the intestines, causing bloating, pain, flatulence, and stool disorders.
The solution to the problem lies in strict adherence to the prescribed diet and parallel therapy of the disease that caused the postcholecystectomy syndrome.
Liver aches after removal of the gallbladder
With normal recovery and adaptation of the body to new ways of functioning, the liver produces the right amount of bile, sufficient for digesting dietary food. Rarely there is a syndrome of cholestasis, which is characterized by stagnation of fluid in the internal ducts of the organ. At the same time, the bile becomes thicker and stops flowing freely into the intestinal lumen. Simultaneously, the blood increases the content of bilirubin and liver enzymes, which provokes intoxication of the body, accompanied by palpable pain in the liver and right hypochondrium.
Treatment of cholestasis involves the administration of choleretic preparations, hepatoprotectors and correction of the diet.