Life without a Gallbladder

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After gall bladder removal

It is not uncommon to have digestive difficulties after gallbladder removal. The main reason is usually a difficulty in handling fats in the diet. Fat and certain fat-soluble vitamins require bile in order to be absorbed.

The liver manufactures bile and sends it through the hepatic duct to the gallbladder where it is stored and concentrated. The gallbladder holds bile in reserve for those times when we consume greater amounts of fat and need additional bile for efficient digestion.

As fats travel through the gastrointestinal tract, the gallbladder secretes bile into the common bile duct that empties into the first portion of the small intestine where it performs the first stage of fat digestion. The bile breaks the fat molecules into smaller particles so as they travel through the small intestine they can undergo further digestion and finally become fully absorbed.

The bile salts contained in bile help emulsify the fats. In the absence of a fully functioning gallbladder, the liver continues to produce bile but the body can no longer draw upon its “bile reserve”.

After the gallbladder is removed, bile is still produced by the liver, but is released in a continuous, slow trickle into the intestine. Thus, when eating a meal that is high in fat content, there may not be an adequate amount of bile in the intestine to properly handle the normal absorption process. *

The change in intestinal bile concentration during high-fat intake may cause diarrhea or bloating, because excess fat in the intestine will draw more water into the intestine, and because bacteria then digests the fat which produces gas.

The treatment for digestive problems after removal will follow the reason for the problem.

Once a gallbladder is removed it is important to be on bile acid supplements. They need to be taken with every meal in which fat is consumed otherwise your fats may not be properly emulsified and absorbed.

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*Complications of Gallbladder removal – NNS UK

Studies – National Institute of Health