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The situation when the gallbladder is removed, the liver still hurts, many patients who have undergone surgery interfere. Minimally invasive methods do not pass without a trace for the human body. When an internal organ is removed, there is a small amount of soft tissue damage and the body responds to their presence with painful symptoms. Not always after the removal of the gallbladder hurts the liver. Instead of painful symptoms, a person may feel heaviness and discomfort. Pain and heaviness in the hypochondrium occur immediately after the intervention. To weaken them, the patient is prescribed the introduction of anesthetic substances. But the feeling that hurts in his side, will be present for another month and a half, it is quite natural, and you should be ready for it.
In the body is restructuring
Pain is usually weak, but the same in intensity. They are connected with the fact that the intervention makes its own adjustments to the functioning of the digestive system, to which the body needs to adapt. The liver and in the absence of the gallbladder continues to produce bile in the same volume. The volume of bile directly depends on the quantity and volume of food taken by a person. The bubble is absent, and, therefore, bile does not accumulate in it, but is transported along the ducts directly into the intestine.
Pain symptoms after surgery may be accompanied by:
- diarrhea or constipation;
- narrowing of the bile duct.
The bile duct or ducts may cover spasms at this time. As a rule, these conditions are observed if the internal organ is removed, where bile had previously accumulated due to complications arising after the operation. Similar conditions in a patient are present when his chronic pathologies are in the acute stage. Pain occurs during postoperative exacerbation of pancreatitis, duodenal ulcers, hepatitis. If after removal of the gallbladder, where there were stones, foreign entities were left in the duct, patients experience pain.
About the importance of diet
The postoperative period requires special attention to diet.
As medical practice shows, patients who do not adhere to strictly fragmentation and portioned nutrition constantly face painful symptoms. Eating spicy, fatty, fried foods (even in a small amount) after the operation is strictly prohibited. Its digestion is possible with a sufficient amount of bile, which no longer has a reservoir, where it accumulated earlier. Therefore, heavy products that are not fully processed are transported to the intestines, causing pain symptoms, flatulence, and defecation disorders.
If the body adapts normally to a new food processing system where there is no longer a gallbladder, the discomfort and pain will not be significant and will gradually disappear. Dietary food contributes to the speedy postoperative adaptation. It is also necessary for creating conditions when internal tissues heal faster. Syndrome cholestasis in the postoperative period occurs rarely, but nevertheless 100% to insure against it is impossible. With this syndrome, the fluid in the ducts of the internal organ is retained and, in parallel with the patient’s blood, the concentration of liver enzymes, bilirubin, increases. They become the cause of intoxication and pain in the liver and right hypochondrium.
After removal of the gallbladder, many people think that they have passed the disease, and all the torment is in the past. And when some time passes, the discomfort starts to bother you again, including the liver area. Exacerbations are rare, but still happen. Why does the liver hurt even after the gallbladder is removed?
Mechanism of pain
When the postoperative period passes in normal mode, the liver continues to produce the bile the body needs. And in the internal hepatic ducts stagnation does not appear. Bile, which is formed, flows through the channels to the intestinal passage.
The gallbladder and liver are closely related. To understand why we need the gallbladder and what function it carries, we delve a little into anatomy. As you know, the liver is the largest gland in the body and performs many important functions. One of its main tasks is digestion.
What is the gallbladder and what are its functions?
Liver cells, hepatocytes, produce bile, which passes through a complex system of biliary ducts and enters the gallbladder. The organ is located on the visceral side of the liver in the fossa of the gallbladder. Its shape resembles a bag, often pear-shaped. The bladder can hold 40–70 ml of bile. Its muscle walls are very elastic and can significantly stretch, several times exceeding the norm. If pathological changes occur, the shape of the organ may change.
Like the liver, the gallbladder performs several functions:
- reservoir, that is accumulative for storage of the formed bile;
- contractile – helps bile to get into the cavity of the duodenum;
- concentration – accumulating in the bladder bile is able to concentrate;
The liver covers most of the gallbladder, but its widest part, the bottom, can be palpated. The innervation of the gallbladder is intense, which explains the strong pain in the pathologies of the organ.
After eating, the contraction of the gallbladder begins and the bile along the duct moves to the duodenum. At the end of the bile duct is the sphincter of Oddi, which prevents the uncontrolled outpouring of bile into the duodenum. The pancreatic duct joins the common bile duct with its sphincter.
What is bile for?
Bile formation is a complex multistep process. The composition of bile polycomponent. It contains bile acids, enzymes, minerals, fatty acids, cholesterol, metabolic products of hormones and other biologically active components, drug metabolites, toxins. The main part of the bile is water. Because of this, it is fluid and can freely pass through the biliary tract, as well as act as a solvent, removing all harmful substances filtered by the liver into the intestine. A healthy person produces more than a liter of bile per day.
The physiological significance of bile is diverse:
- directly participates in digestion, emulsifies fats, preparing them for further splitting and assimilation;
- activates and enhances the action of pancreatic enzymes – trypsin, amylase and lipase;
- neutralizes pepsin activity, is alkaline in the intestine, and acidic in the stomach – bile changes gastric digestion to intestinal digestion;
- stimulates intestinal motility, promoting better digestion and food movement;
- with the help of bile, metabolic products of hormones and drugs, toxic substances and poisons are excreted;
- participates in the digestion of proteins, fats and carbohydrates, helps the absorption of vitamins and minerals;
- beneficial effect on intestinal microflora, preventing the development of pathogens.
The peculiarity of bile is that it is not only a digestive secret, but also capable of removing various substances of internal and external origin.
Among all diseases of the biliary system, the following groups can be distinguished:
- functional (dyskinesia);
- inflammatory (cholecystitis, cholangitis);
- exchangeable (gallstone disease);
- postcholecystoectomy syndrome (dysfunction of the sphincter of Oddi).
All groups of diseases of the gallbladder and ducts are very painful for the patient, disturbing the peace and quality of life. In some cases, conservative therapy is not enough and you have to resort to surgical treatment. With the development of gallstone disease, most often the gallbladder is removed. But this does not always lead to a full recovery, and the patient continues to be disturbed by pain and indigestion. After all, calculous cholecystitis is an exchange disorder and gallstones are just its consequences.
Why does the liver hurt if there is no gallbladder?
Very often, patients after gallbladder removal complain of pain in the liver. Why is this happening, because the stones have been cleaned, the inflamed gallbladder has been removed and it would seem that there is no longer any reason for pain. This is not entirely true.
Removal of the gallbladder is a great stress for the body, since this organ performs many functions and its absence interferes with the normal functioning of the liver and the entire digestive system as a whole.
The formation of stones is a consequence of a violation of metabolic processes and a violation of fluidity, the bile thickens, becomes saturated, stagnates and precipitates in it. It is from such a sediment that stones begin to form. These effects can be associated with past stresses, severe dietary errors, hepatitis, pregnancy and injuries.
Another cause of stone formation can be infections. If there is a violation of the liver and gallbladder, then the intestine will suffer. After all, bile regulates the microflora of the duodenum, inhibiting the growth of pathogens. With an insufficient amount of infection through the sphincter of Oddi from the intestine can get into the gallbladder, and from it into the liver.
Causes of pain after cholecystectomy
The patient decided on the operation, the gallbladder is no more, and the liver hurts. What are the main causes of pain when there is no gallbladder?
Dysfunction of the sphincter of Oddi
The mucous membrane of the gallbladder is able to release biologically active substances that are able to increase the tone of the sphincter. In a healthy person, a reflex relaxation of the sphincter occurs when the bladder is filled. If the bladder is removed, the tone of the sphincter of Oddi may decrease, leading to a violation of its function. Weakly concentrated bile constantly enters the intestine, regardless of the phase of digestion. This contributes to the infection of bile, the ingress of pathogens into the bile ducts and the occurrence of inflammation there.
Normally, in a healthy person, the gallbladder produces substances capable of activating pancreatic lipase. If there is no gallbladder, then over time, digestive pancreatic insufficiency occurs.
The main signs of failure of the Sphincter of Oddi are pain in the right hypochondrium and indigestion (bloating, nausea, vomiting, heaviness, belching, upset stool). Depending on the extent of the sphincter lesion and involvement in the process of the pancreatic duct, the nature and localization of pain can be varied. The pain is usually prone to appear after eating and at night, more often localized in the epigastrium, but can give to the hand or scapula, as well as being encircling. With prolonged sphincter insufficiency, diseases of the biliary tract, intestine and pancreas occur.
This disease results from the inflammation of the bile ducts. The most common cause is stones in the biliary tract (cholelithiasis). Also, inflammation can cause pathogens, worms, Giardia, trapped from the intestine. In case of late diagnosis, the infection can rise higher and cause hepatitis, abscess, or even peritonitis.
The clinical picture of acute cholangitis is characterized by an increase in body temperature with profuse sweating and chills, malaise, yellowing of the skin and sclera, nausea, vomiting, confusion, hypotension, pain in the right hypochondrium radiating to the right arm and scapula. Perhaps a lighter flow, prone to chronic process. But there were also cases of lightning development of sepsis, which was fatal.
After removal of the gallbladder, stones may remain in the duct. If they are small, then they will probably go down, go out into the duodenum, and with the feces leave the body unhindered. If the stone is large, it can become stuck in the bile duct or intestines, causing pain and other symptoms. A complication of this condition can be blockage and rupture of the bile duct, secondary biliary cirrhosis, cholangitis, sepsis, liver abscess, fistula formation, acute pancreatitis, intestinal obstruction, and even neoplasms.
The main symptom is jaundice and pain under the ribs on the right.
Also, pain may occur when complications occur after cholecystectomy, such as: postoperative adhesions, scar formation on the bile ducts, “false” gall bladder at the stump site. All of these complications can give persistent pain. Such conditions require surgical treatment, that is, reoperation.
Many patients after cholecystectomy ask themselves: “Why does the liver hurt me after surgery, if the gallbladder does not exist anymore? What to do with this and really the operation was done in vain? . No, not in vain. It is worth remembering that any surgical intervention is a huge stress, and even the removal of a part of an organ will affect the functioning of the whole organism. But there are situations where there is a risk to life or the threat of serious complications, then you can not do without the help of surgeons.
After surgery, you should carefully listen to yourself and pay attention to the slightest symptoms. If complications could not be avoided, then there is no need to postpone your visit to the doctor. Depending on the pathology encountered, the doctor will select the most effective treatment. For severe pain, antispasmodic group drugs will be prescribed. For the purpose of intestinal rehabilitation, a course of antibiotic therapy may be prescribed.
But we must remember that if there is no gallbladder, the liver becomes more sensitive and susceptible, so many drugs can not be used. It is not recommended to engage in self-treatment, you can aggravate the condition and worsen state of health. To treat complications is difficult, long and not always effective.
Perfectly support the function of the liver and help restore damaged cells drugs group hepatoprotectors. Also for the treatment of digestive insufficiency used enzymes and cholagogue preparations.
You can use traditional recipes and herbal medicine, but before treatment you should consult a doctor. Liver cleansing is popular, it should be carried out as a preventive measure, in case of illness such procedure can cause harm. It is advisable to purge the whole body through fasting days and eating foods rich in fiber. But remember that when choosing this method, it is necessary to give preference to the most gentle cleaning, not to use aggressive and irritating substances, always be guided by common sense, and if you have any doubts, consult your doctor. Cleaning the liver is not a panacea for disease and in some cases can cause much more harm than good.
Of course, it is always easier to prevent a disease than to treat the consequences. As a prevention of diseases of the gallbladder and liver, it is worth adhering to the principles of dietary nutrition. It is enough to abandon the use of harmful and fatty foods, alcohol, and go to the sparing methods of cooking. Some postoperative complications do not even need to be treated, sometimes there is enough nutrition correction. For these purposes, it is recommended to adhere to the diet table No. 5. The use of a sufficient amount of pure water will rid the body of toxins, will help the liver more effectively filter harmful substances. It will be a kind of natural cleansing and help the body.
Full rest and avoidance of stress will help restore health and improve well-being. There are complexes of physical therapy aimed at improving and restoring the work of the liver and bile formation.
The very first remedy for stones at gallbladder – this operation, no gallbladder – no stones, no problem! After reading such a statement, any person will feel an internal protest. How so – really only an operation? And you can not try to save your own, such a dear and such a favorite gallbladder? Is it possible to forget about cholelithiasis after surgery? Let’s not be so careless. Stones in the gallbladder – this is just a consequence, and the cause of the disease in the liver is not working properly. Predisposing factors – pregnancy, postponed hepatitis, drug or alcohol intoxication of the liver, cholecystitis, pancreatitis, biliary dyskinesia, infection with Giardia, elevated levels of cholesterol in the blood, poor diet. Moreover, stone formation is promoted equally by excessive consumption of fatty foods, as well as by dietary restrictions, strict diets or starvation.
In these cases, the cells the liver begin to produce thick bile, there are many cholesterol and little bile acids, in which cholesterol dissolves. Bile stagnates, cholesterol precipitates, forms flakes, clots, and then stones. Initially, the disease is asymptomatic, but gradually the patient begins to experience a feeling of heaviness in his right side, nagging or cramping pains. There are rumblings and bloating, bitterness in mouthu, constipation. The patient turns to the doctor too late and receives, as a rule, one recommendation – “lie down, my dear, on the operating table!” After the operation, the person hopes that the trouble will go away, however, very soon the familiar symptoms return. But how so? After all, the stones are gone, the gallbladder has been removed, – why is it all new again? Because only the reservoir was removed, the complaints remained the same, plus the risk of the formation of new stones, but already in the hepatic ducts. And then what to delete? A piece of liver?
It is better to treat the very cause of stone formation, to eliminate the stagnation of bile.
This can be done easily and easily with the help of herbal medicine. Medicinal plants will help eliminate unpleasant symptoms, as well as get rid of calculus (stones) in the initial stage of the disease, when the stones have not yet completely formed. Excellent plant for such purposes. immortelle sandy. After all, it is the immortelle that has the unique ability to stimulate hepatocytes (liver cells) to produce bile of normal composition. Such bile is liquid, flowing, flakes and clots of excess cholesterol dissolve in it. Small, not fully formed concretions are washed with bile, disintegrate and dissolve. Add to this the antiseptic, hepatoprotective and antispasmodic effects of immortelle flowers and get into the top ten. Lazy enzyme systems of the liver are launched, toxins harmful to the body are faster processed into non-hazardous substances and excreted along with the bile, disease-causing bacteria and giardia.
It is best if the immortelle is sandy in the form of an extract. In this case, we are talking about Ziflane. At home, it is impossible to achieve such a concentration of active substances, which is achieved by industrial extraction. And to dissolve cholesterol clots, it is necessary that the active substances of the immortelle are sufficient, and it is important to maintain a constant dosage regimen and a dosing regimen.
After the operation, Ziflan should be taken as a prophylactic course – 15 days once a quarter. To dissolve flakes and clots of cholesterol – longer.