Is it possible for gallstones to come back and cause pain, even after a gallbladder removal?

Doctor's Answers 1

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Dr Wai Leong Quan

Gastroenterologist

The primary function of the gallbladder is to temporarily store and, at the same time, concentrate the bile juice within. Unknown to many, bile juice is secreted by the liver and not the gallbladder. After leaving the liver, the bile juice enters and leaves the gallbladder through the cystic duct which connects the liver ducts to the gallbladder.

We now understand that the gallbladder functions very similarly to a store room for spare bile. As such, removing the gallbladder will not have a great impact on one’s health and certainly should not cause a drastic deterioration.

One may expect some loose stools especially after a fatty meal shortly after removal of one’s gallbladder. This is usually transient and should not have any long term effect.

Sometimes, people with their gallbladder already removed continue to have pain at a later time. Besides the possibility of retained stones and new stones formation in the bile duct, one common reason for such pain is wrongly attributing the initial pain or discomfort to the gallstones.

Many people have concurrent digestive problems together with asymptomatic gallstones detected on a routine scan. Removing the gallbladder surgically in such cases will not address the pain. This is why one should always be confident that the pain is related to the gallstones before undergoing surgery.

Similar Questions

Is there a way to cure gallstones without removing the gallbladder?

For symptomatic gallbladder stones, the right approach is surgical removal of the gallbladder together with the stones. This method is time proven and offers the best long term outcome, provided the patient is both fit and also keen for surgery. Unfortunately, there is no effective, alternate method of removing gallstones at the moment. In selected cases with only a few small gallstones, medical treatment to dissolve the stone may be possible. This treatment requires oral medication for a long time and the result is not guaranteed, making it less attractive to both doctors and patients.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

How do doctors investigate and treat persistent gastric discomfort?

Looking at the response to PPI (proton pump inhibitor) and antacid, your problem is likely related to gastric acid production since both medicine reduce the acid load in your stomach. Partial treatment response may mean too short a treatment duration. This is especially so if we are dealing with ulcers in your stomach or duodenum. Having said that, persistent gastric pain should not be taken too lightly. A common test to investigate persistent gastric discomfort is endoscopy which involved inserting a flexible tube into your stomach to inspect the stomach lining.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

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