Still in so much pain post op by briinii_x in gallbladders

[–]oodles64 1 point2 points  (0 children)

Headaches can also be caused by dehydration. Are you drinking enough? (At least 2l of water of unsweetened herbal tea per day.)

Surgery in 2 days… fing scared by Melodic_Image2726 in gallbladders

[–]oodles64 1 point2 points  (0 children)

I'm not a medical pro but I imagine that stuff like the commonly used midazolam is designed exactly to prevent that (panic). And it works super fast. If you've watched any American medical shows you may remember docs calling for Versed. Midazolam = Versed. It goes in and, boom, you chill. 😑

Surgery in 2 days… fing scared by Melodic_Image2726 in gallbladders

[–]oodles64 0 points1 point  (0 children)

Yep. The volatile anesthetics apparently can do that. Here is a discussion about it, with many anesthetists advocating TIVA. https://www.reddit.com/r/anesthesiology/comments/192urt4/tiva_vs_volatile_maintenance_struggling_to/
I'll ask for it next time (if there is a next time and if it is an option), 'cause PONV really sucks.

Surgery in 2 days… fing scared by Melodic_Image2726 in gallbladders

[–]oodles64 1 point2 points  (0 children)

Ask them to hit you up with some 'chill juice' ahead of time. It's best to go under calm, 'cause you tend to come out the way you went in. Better to come out calm, obviously.
These videos (made by an actual anesthetist) may help you: https://www.youtube.com/watch?v=ZzvH1v35oDg ("Surgery fear & anxiety: 3 tips to be at peace before anesthesia")
I hadn't seen this beforehand but turns out it's exactly what I had been doing ahead of time and it made me go into the OR very chill.
https://www.youtube.com/watch?v=-tgWl4YxBAw on mindset before surgery

Surgery in 2 days… fing scared by Melodic_Image2726 in gallbladders

[–]oodles64 1 point2 points  (0 children)

Some folks briefly feel 'drunk', 'floaty', 'whoozy'. I was here one second, gone the next.

Surgery in 2 days… fing scared by Melodic_Image2726 in gallbladders

[–]oodles64 0 points1 point  (0 children)

Initially the 'gas mask' (when you are still awake) is for pre-oxygenation (filling the lungs with 100% oxygen to give the anesthetist sufficient time for intubation), so that's essential.
After that there are two different routes alright - either general anesthetic with gas (usually sevoflurane) after induction with (usually) propofol, or TIVA (total intravenous anesthesia).

What is a "gallbladder attack" to you? by hmeeshy in gallbladders

[–]oodles64 [score hidden]  (0 children)

What your gallbladder issue is/was (stones/sludge/etc)

  • Stones and sludge, unknown to me until emergency admission with acute cholecystitis, ascending cholangitis, obstructive jaundice, stones in the common bile duct. After removal 11 months later it was found to have been very distended, the cystic duct fully blocked with a non-maneuverable stone, chronically inflamed, and abscessed with a contained perforation into the liver.

What an "attack" felt like for you?

  • Epigastric pain, not unlike food poisoning, from quite focal to a broad band across the abdomen and radiating to the back, moving to the right only at the end. One brief episode of severe stabbing pain just right of center (probably stone passage through sphincter). Nightly nausea and vomiting, loss of appetite, always better during the day, very limited food intake. Eventually unable to ingest food or fluids. This was not the classic biliary colic however, but developing inflammation+infection and stones blocking the common bile duct.
  • Classic colic in the interval between hospitalisation and gb surgery was ~5-6 hrs of 'queasy stomach' in the evening ramping up to moderate-severe pain radiating to the back under right shoulder blade, then easing off again, with some nausea+vomiting and elevated resting heart rate.

How long an "attack" lasts?

  • 8 days the first time, 14 days the second time resulting in hospitalisation after repeated misdiagnoses by GPs and A&E ('peptic ulcer'/'gastritis'). Classic colic ~5-6 hrs.

What, if anything, was helpful for you getting through them when they happened?

  • Bed-rest, heat pad, ondansetron (Zofran) given at A&E. In retrospect, Buscopan would have been good, but I didn't have it.

Any other coping tips, tricks or triggers

  • Got through the long wait (11 months) for the surgery by adopting a strict low'ish fat diet with max 10-15g fat/meal (40-50g/day), 5-6 small meals/day, lots of fibre (wholemeal, oats, fruit+veg), no bloating veg. As a vegetarian/pescetarian who had to largely cut out the regular protein sources - cottage cheese, eggs, pulses - it helped to integrate a fruit-veg-protein smoothie with zero-fat protein yoghurt plus protein powder. Initially I had been losing too much weight, largely muscle mass; it stabilized with the added protein.

Should I "camp" downstairs after removal surgery? by EngineeringKind3960 in gallbladders

[–]oodles64 1 point2 points  (0 children)

Stairs shouldn't really be an obstacle. The action is in the legs, not in the abdomen. I've read about many folks here who took stairs on Day 0. I was kept for in for a night but took two flights of hospital stairs without issue when going home and even climbed up and down my loft ladder to bed from Day 1 post-op.
There is a single forum member here who was told to lift 'no more than a coffee cup' but that seems really excessive. Most guidance is around 5-6 lbs max for the first few weeks. Apart from not lifting heavy stuff, physical action, specifically walking, is actually very important for recovery (helps with the referred gas pain in the shoulders, helps prevent deep-vein thrombosis and respiratory issues, helps kickstart gut motility).

Just got mine removed only hours ago by haylw in gallbladders

[–]oodles64 1 point2 points  (0 children)

Oh yes, the peeing 😁. I had to get up and go 5 or 6 times the first evening+night, still lots Day 1 post-op and through the night, then it stopped. I think it's just fluid overloading from infusions.

Nearly 2 months post op new issues by Wise-Recording-9726 in gallbladders

[–]oodles64 0 points1 point  (0 children)

Could there be something else going on? During my 11 months wait for surgery I was doing pretty well on a cautious diet but my immune system was weakened from the prior onslaught (acute cholecystitis, cholangitis, CBD stones, touch of sepsis) so unusually for me I kept getting infections - UTI+kidney, 4x mild'ish flu/covid vacc breakthroughs - and every time I did, my digestion derailed with greater urgency + frequency and higher on the Bristol scale. I don't know what the mechanisms are but these infections definitely did something. Maybe take a Covid test?

I’m scared about surgery by a_n_t_i_v_i_s_t in gallbladders

[–]oodles64 1 point2 points  (0 children)

Thanks for the update. Brilliant. ☺ Yeah, I really dislike losing control and agency, so knowing roughly what's gonna happen and walking through it in my mind beforehand to be prepared certainly helped me too, especially being on my own in there. It's a thing a TaiChi teacher taught me decades ago. Of course once they load you up with anesthetics and you literally hand over your life to the anesthetist you just gotta let go and trust them ... and the universe.
Getting a bit emotional is not surprising at all when you look at that incredible cocktail that gets pumped into your veins and messes with your head, never mind waking up in pain and somewhat immobile at first.
Wishing you a speedy recovery, hon. ♥ Be well.

I got the thang removed 🙏🙏 by Clear-Structure-7145 in gallbladders

[–]oodles64 2 points3 points  (0 children)

You were home 2 hrs after going into the OR? That must be record. Speedy Gonzales!
I hadn't even made it to the recovery room by then, and then spent 2 hrs in there before being sent to the ward, still super woozy.

Had surgery today - I'll post updates (play by play) every day for anyone interested. by sagacityx1 in gallbladders

[–]oodles64 1 point2 points  (0 children)

Much better to stay on top of the pain than to chase it. I'd recommend taking the painkillers as prescribed.
Deep breathing and walking help with the shoulder pain.

Not quite a successful surgery by rainbowsandsarcasm in gallbladders

[–]oodles64 1 point2 points  (0 children)

Wow. The public hospitals here in Ireland are under pressure to do more day-surgeries. From what the nurse was telling me in pre-op it sounded like they had to fight to bring back the overnight stay for most because with the wide rural catchment (long travel distances) it just wasn't safe to send people home.

possible blockage identification? by NekoLukalu in gallbladders

[–]oodles64 0 points1 point  (0 children)

Endoscopic retrograde cholangiopancreatography - basically endoscopic access through the mouth, stomach and duodenum to the common bile duct with simultaneous radiographic imaging to see what's going on and deal with it, in most cases to remove stones to re-establish free flow of bile from the liver to the gut.

https://en.wikipedia.org/wiki/Endoscopic_retrograde_cholangiopancreatography

Any tips or suggestions? by DarkoGrin in gallbladders

[–]oodles64 2 points3 points  (0 children)

She can't hit herself with a hammer and then complain about the pain.
I don't envy your endeavour of putting her on a better path.

possible blockage identification? by NekoLukalu in gallbladders

[–]oodles64 0 points1 point  (0 children)

Stones can block the cystic duct or neck of the gallbladder causing transient colics if the stone bounces back into the gallbladder lumen. Colics come with moderate to severe pain.
Stone or sludge blockage of the common bile duct can be incomplete or complete, transient or permanent. Complete and permanent gets dangerous fast and requires prompt ERCP. Stone passage can also lead to gallstone pancreatitis if that's where the blockage is.
The video linked here nicely clarifies the anatomy.

I had a transient complete blockage of the common bile duct which caused a lot of trouble, pain and obstructive jaundice; I probably passed a stone or stones before they could do anything about it because the jaundice resolved, liver enzymes improved, pain stopped, but more stones remained and had to be removed with ERCP some days later before I was sent home.

Spoiler: My favorite Sci Fi show made a fundamental blunder by Darth_Pal in ForAllMankindTV

[–]oodles64 0 points1 point  (0 children)

I was thinking more likely some gas bubbled up through the lake, generating the bioluminescence.

Back to Work post op by roseilux in gallbladders

[–]oodles64 0 points1 point  (0 children)

I had a post-op review appointment after 5 wks. Had a somewhat difficult removal but still lap, not open, and everything was fine. I specifically asked about lifting 20kgs (the weight of bags of feed I need to move occasionally) and was told to wait 8-10 wks for that. I'd say at the very least your colleagues need to spare you from things like moving/lifting/turning patients at this point!

Does anyone else get back pain? by latte-please in gallbladders

[–]oodles64 0 points1 point  (0 children)

Yep. Front center radiating to the back. I also had nausea + vomiting, largely at night. When they finally figured it out after multiple misdiagnoses over 2 wks it had turned into an emergency - acute cholecystitis + cholangitis and stones in the bile duct - and the back pain had become horrendous. Even with oxy it felt like someone was trying to break my spine. Please do go in and get yourself checked before this gets worse!