Activity is dependent on how the patient feels. It can result from malabsorption secondary to Jun 21, 2021 · Habba Syndrome, Summit, New Jersey. I actually have the opposite of Habba Syndrome. You can also try dairy-free cheese made from cashews or tofu. About 45 million Americans struggle Apr 24, 2023 · pain that doesn’t get better with time, new abdominal pain, or pain that gets worse. This can cause chronic, watery diarrhea . But no doctors told me this. The gallbladder is a pear-shaped organ that sits just below the liver on the upper right side of the abdomen. Aug 30, 2022 · There also may be an increased risk for metabolic changes after gallbladder removal. For many people, the side effects of a gallbladder removal (cholecystectomy) are just temporary. The reason for this remains unknown, but research indicates this may have to do with bile acids. Restricting certain activities, like heavy lifting, swimming, or sports for one to four weeks. It is characterized by abdominal pain, digestive issues, and changes in bowel habits. While the exact cause of this syndrome remains unclear, several theories have been proposed to explain its development. These scars are pink at first and gradually fade over the next few months. BAD is also known as bile acid malabsorption (BAM). You should also avoid foods that cause gas and contain a lot of fat. It’s difficult to separate causation and correlation between gallbladder removal and these liver conditions. Although treatment is available for most causes of persistent symptoms after gallbladder removal, optimized indication for surgery remains key. Phantom gallbladder pain is commonly due to post-cholecystectomy syndrome. These foods can worsen gas, so add them to your diet gradually. Light, clay-colored stools. That’s because gallstones have many of the same risk factors as liver problems. Without a gallbladder, bile is continuously released into the small intestine, which can overwhelm the digestive system and lead to digestive issues such as bloating, diarrhea, and gut discomfort. Habba Syndrome. These products help restore the skin's moisture barrier and prevent further irritation. High blood sugar. Mar 9, 2022 · Keeping your incision site (s) clean and dry. Dec 12, 2023 · Rarely, it may last for years. sour cream. Bile is typically produced in the liver, stored in the gallbladder and distributed to the small intestine during the digestion process to break down foods. Based on the clinical observations and findings of Dr. No. Call your doctor or 911 if you think you may have a medical emergency. This is a condition associated with pain and other gastrointestinal symptoms after a cholecystectomy (gallbladder removal surgery). Butter, whole milk, and cheese all contain MCT fat but they also may contain a high amount of LCT fat. Gall- stones can prove to a useful indication of the presence of the syndrome. Limit these. Jul 1, 2018 · Gradually add solid foods to your diet. It occurs when symptoms around the gallbladder mimic cholecystitis pain but stem from a different cause. It is worth noting that long-term management is vital for individuals diagnosed with Habba Syndrome, as recurrence of symptoms can occur even after the initial treatment. These metabolic changes can include a higher risk of developing non-alcoholic fatty liver disease, hyperglycemia, and metabolic disorders like diabetes. Amylase enzymes help to break down carbohydrates. what can i expect 3 months after gallbladder removal?: Good: Most pain should be gone, appetite better. Galllstones often cause no symptoms. Symptoms after gallbladder removal are collectively known as postcholecystectomy syndrome. * Effective weight loss: Clinical trials have shown that Wegovy can help individuals achieve significant weight loss when used in conjunction with a reduced-calorie diet and increased physical activity. Absence of the gallbladder leads to development of functional biliary hypertension and dilatation of common bile duct and the common hepatic duct (1-8). This will ensure you get a proper diagnosis and the right course of treatment. Bile leakage. Avoid spicy foods. May 12, 2023 · Side effects and complications. The surgeon inserts a lighted scope attached to a video camera (laparoscope) into one incision near the belly button. But you may want to avoid them shortly after your surgery because they can worsen diarrhea. When your wound has healed, you have small scars. For a daily 2,000-calorie diet, this equates to around 74 grams of fat. If cutting out dairy isn’t realistic for you, try to choose fat-free Aug 19, 2007 · I disagree with the gastros in that the original diarrhea WAS connected with gallbladder bile (Habba syndrome going on, I think). Common symptoms of gallbladder disease include: Pain in the upper right abdomen. Otherwise “healthy fats” may not be so healthy. Some patients diagnosed with irritable bowel syndrome may actually have a new, easily treated digestive condition. Aug 17, 2023 · Takeaway. Current as of: October 19, 2023. Check labels and follow the serving size listed. The cause of diarrhea after gallbladder removal isn't clear. Bile acid diarrhea is a common complication of gallbladder surgery. Postcholecystectomy syndrome sometimes occurs when abdominal symptoms develop after surgery to remove the gallbladder (cholecystectomy). Once liquids or a diet is tolerated, patients leave the hospital the same day or day following the laparoscopic gallbladder surgery. Sphincter of Oddi dysfunction may also occur. After the gallbladder removal the physiology of gallbladder bile formation is changed. Your body will have problems digesting fat right after surgery. After your surgery, you shouldn't eat more than 30% of your calories from fat Jun 18, 2014 · IBS mistaken for another digestive condition. a waistline of more than 40 inches in men and more than 35 inches in women. systolic mm Hg of 120 and above, diastolic mm Hg of more than 80. Mar 30, 2022 · This can lead to inflammation and sudden pain as well as other symptoms that may last from 30 minutes to many hours. Postcholecystectomy syndrome (PCS Apr 14, 2019 · Postcholecystectomy symptoms have multiple etiologies and can be divided into persistent and incident symptoms. It is common to experience all sorts of digestive problems, and you are at higher risk of developing a liver condition. . For example, a high-cholesterol diet can raise your risk of gallstones, metabolic syndrome, and nonalcoholic fatty liver disease. Symptoms of a bile leak include tummy pain, feeling sick, a fever and a swollen tummy. Saad Habba, a Summit, New Jersey-based gastroenterologist, Habba Syndrome is a distinct medical The main symptom of Habba Syndrome is post-prandial diarrhea (three or more bowel movements per day for at least three months, which can range from simple urgency to incontinence), which is generally thought to be due to dysfunctional gallbladder which produces inappropriate amount of bile, but cholecystectomy does not greatly influence the symptoms. The researchers determined that people who drank more than 6 cups (48 ounces) of coffee daily had In this video, Dr. Full recovery from open gallbladder surgery takes about six weeks; recovery from a laparoscopic surgery takes about four weeks. This generally means restricting fat to less than 30% of calories. In 2000, Dr. Symptoms may include: sharp pain in the upper right side or center of the abdomen, which may move to the shoulder. Sep 9, 2019 · According to the Cleveland Clinic, you should avoid most foods right after gallbladder removal surgery. Benefits of Wegovy After Gallbladder Removal. Hepatobiliary nuclear scintigraphy using Tc-99m-DISIDA with cholecystokinin (DISIDA with CCK injection) has to be performed to estimate the gallbladder ejection fraction, in accordance with the The laparoscopic cholecystectomy is considered the “gold standard” in chronic calculous cholecystitis treatment. Jun 19, 2009 · Posts : 33762. Components: 1/2 cup of oats, 1 cup of water or milk, a pinch of salt, 1-2 tablespoons of honey or sweetener of choice, 1 cup of fresh fruits. Recovery from open gallbladder surgery, for example, may take up to six weeks, while recovery from laparoscopic surgery may only take a week or two. What type of test do I request? Jul 27, 2023 · There are many studies showing that patients who had a cholecystectomy (removal of the gallbladder) could develop gallstones in the common bile ducts which are known as choledocholithiasis ( Ref ). So, you’re actually more likely to have bile reflux after having your gallbladder removed. Method: Boil water or milk in a saucepan, stir in oats and salt. whipped cream. But first. Pain after surgery. Yellowing of the skin and whites of eyes ( jaundice) Dark urine. It just stores bile, after removal the bile is piped into the GI system directly. The reason for this is due to how your body normally stores bile in the gallbladder. Cook about 10 minutes over medium heat, stirring occasionally. Dr. Welcome to Gallbladders! This subreddit is for people having gallbladder trouble, preparing for gallbladder removal, have had surgery, discuss diet or a place to discuss managing gallbladder disease symptoms. This syndrome is defined by the presence of abnormal gallbladder function and chronic postprandial diarrhea responding to BASs . Sometimes, even a normal gallbladder seen on ultrasound, does not rule out a possibility of the presence of the disease. Laparoscopic gallbladder surgery (cholecystectomy) removes the gallbladder through several small cuts (incisions) in the belly. 1. I live on Questran (cholestryamine for oral suspension) and Immodium and lately Nexium for the gastritis the bile is doing to my gut. Never disregard or delay professional medical advice in person because of anything on HealthTap. Definition. no bowel movement or passing Managing IBS After Gallbladder Removal Gallbladder removal, also known as cholecystectomy, is a common surgical procedure that involves the removal of the gallbladder. The removal of the gallbladder eliminates the organ that is meant to store and regulate the secretion of a digestive fluid known as bile. You can expect to feel some pain while you recover, and you may also feel fatigued or have Aug 4, 2015 · Just a few weeks ago, after all the tests were finished, we reviewed the results. It is important to speak with your doctor about your post-surgery symptoms. But mine was hyperactive (functioning at 98%). Clinical Review Board. Take a digestive enzyme with your meals and you shouldn't have any more pain or diarrhea. And after surgery I had normal post-gall-bladder surgery diarrhea. bloating. PCS also includes the development of symptoms Bile acid malabsorption ( BAM ), known also as bile acid diarrhea, is a cause of several gut-related problems, the main one being chronic diarrhea. Bile may act as a laxative. After the gall bladder is removed your body needs bile to break down your food. Oct 3, 2023 · Overview. If you over-exert your abdominal muscles before they are healed, you may prolong your gallbladder surgery recovery time. Apr 14, 2024 · The recovery time after gallbladder surgery can vary depending on the type of procedure that is done. Bile acid is a component of bile, which is a yellow-green fluid that aids in digestion. Recovery after laparoscopic surgery to remo Alcohol and Caffeine. I’ve lost 30 pounds because I’ve simply stopped eating in fear of how my stomach will react. ice cream. Symptoms of problems include nausea, abdominal pain after eating, and diarrhea. Lipase, protease, and amylase enzymes are all produced by the pancreas and are essential Feb 27, 2024 · Regular coffee consumption may protect against symptomatic gallstones, according to a 2019 study. This subreddit is for EVERYONE that includes people who are also trying to keep their gallbladder and do not want surgery. intense nausea or vomiting. Taking your pain medication as directed. I have asked my Dr about this and she said something about checking me for gallstones even after removal of gallbladder. The most common symptoms specifically related to gallstone Aug 28, 2023 · Post-cholecystectomy syndrome (PCS) is the term used to describe the persistence of biliary colic or right upper quadrant abdominal pain with a variety of gastrointestinal symptoms, which are similar to the features experienced by an individual before cholecystectomy. Nausea and vomiting. He prescribed Welchol and I have never felt better. Oct 27, 2023 · This includes post-cholecystectomy syndrome. Aug 8, 2020 · Dr Habba if to much bile in intestine causes diarrhea can not enough cause chronic constipation? I do not have a gallbladder. sauces or gravies made with cream. Chronic diarrhea after gallbladder surgery can occur. Oct 21, 2020 · Limit butter, oil and sweets. Gallbladder surgery can cause some side-effects. Mar 19, 2024 · 20 Breakfast ideas after gallbladder surgery. Postcholecystectomy syndrome (PCS) 2. Mar 13, 2023 · Once a stone becomes lodged in a bile duct, symptoms start. In fact, approximately 10% of patients have similar symptoms after gallbladder removal. The dilatation of right and left Jan 3, 2018 · After cholecystectomy, metabolic abnormalities are likely mediated by the gallbladder loss-of-function (ie, concentrating effect and rhythmic episodes of contraction/refilling during fasting and Feb 21, 2009 · I am not celiac (hubby is) but I am post-gallbladder removal 2 years and still have "D". Most symptoms seem to be caused by coexistent diseases and physiological changes due to LC. Hello I think you mean post cholecystectomy syndrome, which is after the gallbladder is removed. It involves removing the gallbladder and usually occurs due to gallstones. Although gallbladder surgery is relatively common and safe, there are some possible side effects and complications. Some potential issues may include: reactions to Habba Syndrome Irritable bowel syndrome (IBS) is a very common disorder, which affects as many as six million Canadians with symptoms that include Nov 26, 2018 · 5. butter. It has also been called bile acid-induced diarrhea, cholerheic or choleretic enteropathy, bile salt diarrhea or bile salt malabsorption. Chronic diarrhea is common after gallbladder removal surgery (cholecystectomy) due to the unobstructed flow of bile into the small intestine. Eating too much fat immediately after surgery can result in pain and diarrhea. The term postcholecystectomy syndrome is a fancy way of saying that a person is experiencing symptoms of abdominal distress after gallbladder removal surgery. 2. After gallbladder removal, also known as cholecystectomy, the interruption in bile storage and release can have a significant impact on digestion. Jan 26, 2010 · Gallbladder Removal Side Effects: Digestive Complications. Meaning if your son has Habba and his UC is in remission from the meds, the Habba would be a separate issue. [ 1, 2] These symptoms can represent either the continuation of symptoms thought to be caused by gallbladder pathology or the development of new symptoms normally attributed to the gallbladder. Initial HIDA scan, lab work, ultrasounds, colonoscopy, and upper GI scope all came back Feb 9, 2019 · A doctor has provided 1 answer. SOC 2 Type 2Certified. Aug 3, 2020 · Gentle exercise like short walks and mild stretches will get your adrenaline going and keep your muscles and joints from becoming stiff. This, in turn, allows Dr. 2. Gallbladder removal surgery rarely leads to hormonal imbalance, but this is one potential risk. Surgery Overview. When the gallbladder is removed, special clips are used to seal the tube that connects the gallbladder to the main bile duct. Jul 27, 2023 · Bile acid diarrhoea. Habba, who believes in treating the cause of the problem, not merely the symptom, treat the patient appropriately and most effectively so that they feel relief faster. Habba syndrome is from a dysfunctional gallbladder that provides too much bile flow. There is inappropriate bile in the gastrointestinal tract. . Bile acid diarrhoea may be caused by a problem with the bowel. Gallbladder attacks tend to occur in the evening, often after eating a meal. Nov 28, 2016 · Problems After Gallbladder Removal. These stones can result from bile stasis or bile production. * Improved metabolic health: Losing weight can have a positive impact on various aspects of Jan 26, 2023 · The fact is many people feel far from fine after getting their gallbladder removed. Cereals, whole-grain breads, nuts, beans, vegetables, and fruit add bulk to your stool. Low-fat foods will be easier for you to digest and are less likely to cause gas, bloating, or diarrhea. Once the gallbladder is removed, bile may overflow directly into the Oct 21, 2008 · A radiological test called a DISIDA scan with CCK injection can detect the gall bladder dysfunction that causes the Habba syndrome. Choose Low-Fat Foods. Gradually, you’ll be able to advance your diet and add more flavorful foods. Jun 15, 2021 · Studies show that bile reflux occurs in 80% to 90% of patients who have had gallbladder surgery. Problems with digestion after gallbladder removal are usually temporary. What works the best is digestuve enzymes with ox bile. After gallbladder removal surgery (cholecystectomy), your body might feel a little off After gallbladder removal surgery, it is important to manage your pain with painkillers and take care of your wound. For the first few days, your doctor may recommend that you consume only clear liquids, broths and gelatin. Fullington addresses recovery after gallbladder surgery, including pain, exercising, and diet. Posted 6/20/2009 12:12 AM (GMT -8) Hiit seems Habba syndrome is a malfunction of the gallbladder, not one of autoimmune disease, so I wouldn't think that the suppressants would help it. A cholecystectomy is a common surgery. Low-fat yogurt, dairy-free milk options, and some low-fat cheeses may be easier to tolerate if you eat them in moderation. However, recent studies provide clues that link cholecystectomy to a high risk for metabolic Jun 3, 2024 · Summary. Oct 24, 2017 · Therefore, as your bile output and consistency may be compromised as a person without a gallbladder, stick to MCT fats like coconut oil and palm kernel oil. r/gallbladders. Hence, surgical removal of the gallbladder to treat chronic diarrhea is not appropriate for Habba Syndrome. Jan 26, 2010 · Managing Digestive Problems After Gallbladder Removal. Test were clear but not checked for amount of bile secretion. My primary complaint the last 9 months has been stomach issues - literally everything goes right through me. Other foods that can intensify side-effects include high-fat foods, milk and dairy products and spicy foods. In the first few days after gallbladder surgery, just consume broths and clear liquids. If not, then removal of the Gall Bladder may put your system back in normal order. This condition, known as “Habba Syndrome”, relates chronic diarrhea to gallbladder dysfunction and has been widely applied and featured nationally and internationally on the Discovery Health Network and in standardized medical reference. Gallbladder removal is a major abdominal operation and a certain amount of postoperative pain occurs. Author: Healthwise Staff . Avoid rich, creamy soups, sauces and gravies. : First I am not sure that there is a true condition of "habba syndrome" as a cause of chronic diarrhea from gallbladder dysfunction. Many people find weight loss is incredibly difficult after gallbladder removal. Nausea and vomiting are not uncommon. Gas, bloating, and diarrhea. Choledocholithiasis (Stones within your common bile ducts) occurs in 3. Antihistamines: In cases where rashes or hives are present I had my gallbladder removed two years ago after a couple of bad attacks (and the realization that my years of random but frequent stomach problems were actually caused by gallstones). 4% of patients undergoing laparoscopic cholecystectomy (Gallbladder removal). But once the gallbladder is removed then this supposed "syndrome" cannot occur. There are three main types of digestive enzymes that are important for people who have had their gallbladders removed: Lipase enzymes help to break down fats. However, for some people, the consequences of a gallbladder procedure can be long-lasting. bloating in your tummy. Apr 12, 2023 · Don't eat high-fat foods, fried and greasy foods, and fatty sauces and gravies for at least a week after surgery. Getty Images; Thinkstock Mar 1, 2019 · This may overwhelm the small intestine's limited ability to absorb it back into the body for recycling, forcing it to send some of the bile’s building blocks – called bile acids – to the May 26, 2020 · Symptoms of late dumping syndrome are related to neuroglycopenia (indicated by fatigue, weakness, confusion, hunger and syncope) and autonomic and/or adrenergic reactivity (indicated by perspiration, palpitations, tremor and irritability). It can cause painful stools which are watery and without blood Surgical options, including cholecystectomy (removal of the gallbladder), may be recommended for patients with severe and refractory symptoms or underlying complications. Cholecystectomy is standard treatment worldwide for symptomatic gallstone patients. Some experts believe that it results from an increase in bile, especially bile acids, entering the large intestine. Cholestyramine is a resin, which puts it closer to the "natural" than most drugs, and it is effective in this syndrome. diarrhoea (or constipation, for some people) Jul 3, 2018 · Having your gallbladder removed can cause side effects like diarrhea, vomiting, indigestion, pain, and bile duct stones. Avoid high-fat foods. If there is too much, or your GI system is compromised by IBD, it may result in Bile Salts Diarrhea, or 'Habba Syndrome'. yellowing of your skin or the whites of your eyes. The gallbladder collects and stores a digestive fluid made in the liver called bile. Brugge notes that gallbladder removal-related digestive symptoms usually go away over time, but that some people need to take medications or Sep 11, 2017 · Cholecystectomy has long been regarded as a safe procedure with no deleterious influence on the body. Eating smaller portions puts less strain on your digestive system. I take digestive enzymes by Designs for Health but you can try different brands just make sure it has ox bile in it. You might have pain in 1 or both shoulders. May 8, 2023 · Bile acid diarrhea (BAD) is a condition in which bile acids aren't properly processed by the digestive system. fasting blood glucose of 100 mg/dL or greater. The surgeon inflates your belly with air or carbon dioxide in order to see clearly. This usually takes the form of upper abdominal pain (mainly right upper quadrant) and dyspepsia, with or without jaundice. Malabsorption is an inability of the body to properly Habba Syndrome is a complex medical condition characterized a range of symptoms following the removal of the gallbladder. Follow your doctor’s instructions about limiting heavy lifting and vigorous exercise. lard. 3: Early dumping syndrome symptoms occur within the first hour after a meal. Other reasons for gallbladder surgery include gallbladder inflammation or gallbladder polyps. Habba's is when your gallbladder isn't functioning at a high enough rate (it's supposed to be around 50-60%). Instead, choose fat-free or low-fat foods. 4. Post-cholecystectomy syndrome is defined as the recurrence of symptoms similar to those experienced before the cholecystectomy. Further studies are needed to investigate whether gallbladder removal is an independent risk factor for development of the metabolic syndrome. Much more often there is no medical problem causing the diarrhoea. Your diet after gallbladder removal may include fiber-rich foods like beans and broccoli, as well as healthy fats like almonds. Surgery was quick and I wasn’t given any painkillers to leave the hospital with, just instructed to use over-the-counter meds as needed. They are caused by the changes in how bile once stored in the Jun 30, 2014 · SIGNS/SYMPTOMS: The Habba Syndrome is a dysfunction of the gall bladder. Apr 3, 2024 · Low Fat Dairy. A cholecystectomy (koh-luh-sis-TEK-tuh-me) is a surgery to remove the gallbladder. 12 likes. Add fiber to your diet. In a 'no gallbladder diet,' the less fat you eat the better. These include the disruption of the enterohepatic circulation, the presence of residual gallstones or I have gallbladder surgery scheduled in 3 weeks. " Post-Cholecystectomy Syndrome (Symptoms after Gallbladder Surgery) “A critical weekly review of important new research findings for health-conscious readers…” An estimated 20 million Americans have gallstones (cholelithiasis), and about 30 percent of these patients will ultimately develop symptoms of their gallstone disease. As excellently reviewed by Chen et al, cholecystectomy may disrupt enterohepatic recycling of, and signaling by, BAs. After those first few days, you may need to make some longer-lasting dietary changes. They look at you with blank stares as if to say "I don't know. Seems I can't handle the irritation of random bile coming into my system. full-fat cheese. Bile acid diarrhoea responds very well to treatment with a medicine called a bile acid binder. Protease enzymes help to break down proteins. While this surgery may provide relief for conditions such as gallstones or gallbladder inflammation, it can sometimes lead to the development of irritable bowel syndrome (IBS Apr 29, 2022 · A cholecystectomy is the medical name for having your gallbladder removed. [1] As the name suggests, this syndrome can represent either a continuation of symptoms caused by gallbladder pathology or Feb 28, 2024 · Low-fat foods. Oct 24, 2020 · This includes foods like bananas, white rice, boiled potatoes, plain pasta, dry toast, and crackers. Metabolic Syndrome is a group of metabolic disorders characterized by the following: High blood pressure. Symptoms of postcholecystectomy syndrome may include: Upset stomach, nausea, and vomiting. While it is not the norm to experience digestive problems after gallbladder surgery, they can include: Difficulty digesting fatty foods Post-cholecystectomy syndrome refers to a collection of symptoms that occur after gallbladder removal surgery. Treatments you and your healthcare team may consider for controlling your diarrhea after cholecystectomy include: May 5, 2024 · After having gallbladder removal surgery, patients are often advised to minimize the amount of fat in their diet. Low-fat foods are those with no more than 3 grams of fat in a serving. Abdominal obesity. More than 750,000 Americans have their gallbladder removed Side-effects are the unwanted but mostly temporary effects that you may get after having surgery. The symptoms can be troubling for patients and interfere with May 13, 2024 · However, problems after gallbladder removal may occur years later or could occur immediately after the procedure. The Mayo Clinic, Cleveland Clinic and Asian In patients with cholesterol gallstones, often harvesting already several metabolic disorders, cholecystectomy should be considered after careful selection of patients based on available clinical and epidemiological evidence, since gallbladder removal would act, at a systemic level, as a predisposing factor to the metabolic syndrome. Oct 17, 2022 · Your Diet After Gallbladder Surgery. Feb 16, 2023 · full-fat yogurt. The primary symptom is diarrhea The treatment options for skin problems after gallbladder removal may include: Moisturizers and Emollients: Using moisturizers and emollients can help alleviate itching and dryness of the skin. But bile fluid can occasionally leak out into the tummy (abdomen) after the gallbladder is removed. While not everyone who undergoes gallbladder removal will develop these symptoms, it is important to be aware of the potential connection between the Mar 6, 2023 · Summary. May still have some. Habba is best known for his work on the condition named after him, Habba Syndrome. Cholecystectomy (removal of the gallbladder) should not influence the outcome of the symptoms. Habba identified a new medical syndrome published in The American Journal of Gastroenterology. Yes: Gall bladder removal does not treat habba syndrome and does not affect the symptoms of habba syndrome. Eat smaller, low-fat meals. Increase the fiber in your diet. The Jul 25, 2022 · The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. Bile acid diarrhoea is common, especially in people who are thought to have irritable bowel syndrome. According to Johns Hopkins Health Alert, you will be able to drink alcohol and caffeine after you've had a cholecystectomy. These include: pain and discomfort in your tummy (abdomen) and in your shoulder. ld tp ys og re mz kx oi ez zh