ext_160470 ([identity profile] dr-kromm.livejournal.com) wrote in [personal profile] dr_kromm 2009-01-22 05:22 pm (UTC)

How does cholecystectomy affect your diet?

You absorb fat less well, which can lead to minor digestive upset at times if you eat a fatty meal. Nothing like gallbladder pain, though. Apparently, this can affect absorption of fatty vitamins. That said, neither the surgeon nor my regular physician gave me any special dietary precautions.

My previous doctor never recommended it—he favored dietary control—but I have thought abou it.

No sane physician will recommend unnecessary abdominal surgery! Laparoscopic or not, it isn't trivial to have an organ removed from your abdomen. Diet is a good start. However, gallbladders nearly always act up because of gallstones, which sooner or later outstrip dietary control. Drugs that can dissolve these are dangerous . . . and eventually the choleliths get too large to smash ultrasonically. The question of surgery is less "if" than "when," so it's wise to have it when one is younger and healthier, and of course when one can best deal with it financially.

But I've gotten the impression that I would need an even lower-fat diet afterward than is currently safe for me, and I really don't want to deal with more stringent dietary constraints. Is the range of foods you can eat restricted now?

I specifically asked that of both my own physician and the surgeon who treated me, the latter of whom is quite highly regarded. Neither put any special restrictions on my diet. Generally, the approach is to treat symptoms should they arise. Going on two years since my surgery, I can't say that I've noticed anything to speak to a doctor about. I did go back to my surgeon with slight pain, but it proved to be scarring – nothing you can do much about.

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