Undecided About Gall Bladder Surgery
Persian99
Posts: 48 Member
Hi all. Just some history: I lost 70-something pounds (probably closer to 80 but I didn't start tracking until I joined this site), and it took me about 60 weeks to do (with one pregnancy happening smack in the middle of that time). I'm now about 30 pounds from my goal weight, which I'm realizing might be a bit too lean so maybe only 20 something from my true goal. I'm sure I'll know more when I get there.
Last week I had an attack that lasted about 4 hours and was extremely painful. I'm normally a pretty clean eater, and this attack hit after my first taste of McDonalds in a couple of years. Nothing since, and no digestive issues. I saw a doctor because I was concerned about it being gall bladder related given my pregnancy and weight loss. The ultrasound showed "sludge". The surgeon is recommending surgery. I'm waiting to get a second opinion today. The surgery would be laproscopic and based on my history, I think I'll probably have a very easy recovery.
Has anyone been in this situation? How did you handle the "sludge" diagnosis, and are you happy with that decision?
Thanks all in advance.
Last week I had an attack that lasted about 4 hours and was extremely painful. I'm normally a pretty clean eater, and this attack hit after my first taste of McDonalds in a couple of years. Nothing since, and no digestive issues. I saw a doctor because I was concerned about it being gall bladder related given my pregnancy and weight loss. The ultrasound showed "sludge". The surgeon is recommending surgery. I'm waiting to get a second opinion today. The surgery would be laproscopic and based on my history, I think I'll probably have a very easy recovery.
Has anyone been in this situation? How did you handle the "sludge" diagnosis, and are you happy with that decision?
Thanks all in advance.
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Replies
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I had had several gall stone attacks that I basically just put up with....then I had one that resulted in pancreatitis and I had to be hospitalized for 9 days. I was told that I should have the gall bladder removed asap as another attack could result in pancreatitis which can be serious. I had the surgery and everything went well, but I have continued to have some digestive issues on and off since...may be because of the surgery or because I had taken nexium for heartburn for several years.0
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The surgeon is recommending surgery.
Listen to the surgeon not opinions on the internet.
A good friend of mine just had hers taken out as the attacks started coming more frequently(and more painfull) and now feels so much better.0 -
The surgeon is recommending surgery.
Listen to the surgeon not opinions on the internet.
A good friend of mine just had hers taken out as the attacks started coming more frequently(and more painfull) and now feels so much better.
The reason I'm curious about others' outcomes is because his recommendation was not a firm one, it was more like, "I recommend you have this surgery because that attack could have been from the sludge, and you could have more. Though statistically the sludge isn't likely to result in anything..." etc. Also, my general doc wasn't quite as sold on the surgery, hence why I'm going the second opinion with another surgeon today. This was not one of those "you must do this or else" scenarios, it was a less definitive, "I think you should because ___, but it's your call" scenarios.
Also, I'm not the kind of person who jumps through a hoop just because someone says so. I try to be a good advocate for my own health, and I'm doing tons of research (including asking for people's anecdotal/informal experiences).0 -
As a general rule I'd say listen to your surgeon but I think it's a better idea to listen to TWO surgeons. Get a second opinion BEFORE someone starts cutting on you. If you have a friend in the area who has had the operation then talk to them about their experience and if it was good see if you can get a consult from their doctor.
I had my gall bladder out which was probably medically a good call. But the surgeon I got was second rate. I now have a HUGE hernia, suffered through a post operative infection which was ignored, was hospitalized twice post surgery, etc. WHICH surgeon is as important as which treatment. Look around, ask questions, be assertive.0 -
As a general rule I'd say listen to your surgeon but I think it's a better idea to listen to TWO surgeons. Get a second opinion BEFORE someone starts cutting on you. If you have a friend in the area who has had the operation then talk to them about their experience and if it was good see if you can get a consult from their doctor.
I had my gall bladder out which was probably medically a good call. But the surgeon I got was second rate. I now have a HUGE hernia, suffered through a post operative infection which was ignored, was hospitalized twice post surgery, etc. WHICH surgeon is as important as which treatment. Look around, ask questions, be assertive.
I'm so sorry about your experience. That sounds horrific. But thank you for sharing your story.0 -
I know multiple people who have had the surgery done. One had hers removed and due to complications ended up losing close to 50 pounds and still has health issues. My ex had his removed and now cant eat certain foods without having digestive issues. Again another friend of mine every time he eats he has to be close to a bathroom because of digestive issues. I would honestly get the second and maybe even a third opinion since it is considered a major surgery.0
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I had to have emergency gall bladder surgery after a long evening spent in agony. My gall bladder was full of stones and the duct was blocked. I had had a few prior attacks but didn't know what they were. I wouldn't wish it on anyone. I admit I don't know anything about "sludge" though.
Considering that I had emergency surgery, mine was fairly uneventful and I recovered pretty quickly: it took about a week or so, and I was 50 lbs or more overweight at the time. I really don't notice a lot of consequences from not having my gall bladder.
I agree that you should get a second opinion, but would strongly consider the surgery if the doctors recommend it.0 -
I say just have it out. I developed pancreatitis due to a bad gall bladder, ended up very sick and in the hospital for more than a week. Having it done electively as a lap instead of emergently and open in the middle of the night is a whole lot better.0
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Thanks all. My 2nd opinion got postponed. Hopefully I'll be able to make a decision by end of week.0
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I had mine out after intermittent attacks due to stones over several years. Finally decided it wasn't worth the pain - it was excruciating at times. The surgery was easy outpatient lapro. Only side effect was bathroom frequency which was easily solved with a script I take every day. I'd take the pills over the pain and lost sleep any day.
I agree on the 2nd opinion or at least talk to your GP about it. Good luck!0 -
I had mine removed after having several terrible attacks, went to the ER 2x before they figured out what it was. I unfortunately had a couple complications. Surgery in March '11 went fine, got out of the hospital, next day. Then a month later I had the same terrible pain again in the same spot, go to ER do a test. turns out that some how a gull stone was left hanging out in the duck that goes out of the gallbladder, that they usually leave there when they remove the actually gallbladder. So had a second surgery to remove it, released the next day, come back the hospital with in 1hr because of unstoppable vomiting/diarrhea, turns out my pancreas was not a big fan of surgery number 2 and I was in the hospital for days with pancreatitis. Morally of the story, even with the best surgeon manure happens, listen to the risks. Both of my complications were things they said only happens in less the 5% of removal surgeries.0
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I'd say have the surgery - my mom had it and it was easy peasy. My friend decided to wait and ended up in the hospital for like a week and it was awful. Not good.0
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I had to have my Gall Bladder out when I was 24, I was pregnant and having attacks about 2 times a week and because I was pregnant at the time there was nothing that could be done. Until the baby was born I was miserable. As soon as she was born I was so relieved to be able to finally get something done. Scheduled the surgery for 3 weeks post pregnancy and had it done laproscopically. That was 19 years plus ago, the only thing that I have issues with now is my body really tells me when I have been eating too much fat.
Getting it taken out was best for me, just wish I hadn't had to wait so long to have it done.
Recovery was also very easy, even with having just given birth0 -
Hi there. I had sludge almost 3 years ago and a gall bladder infection due to two pregnancies within two years and losing pregnancy weight too fast. The doctor told me to get it removed but I went to get a second opinion. Second doctor suggested we try some medicine therapy with different medicines to flush the sludge out. It took a long time like 3-4 months but eventually it was all out. Stones are something that requires operation but with sludge not necessarily. Do your research and get a second or third opinion. Look into some natural remedies as well. They do help. I still have my gallbladder. I also try to eat as healthy as I can and exercise. I'm trying to lose the weight from my third pregnancy now but going slower and eating my fats. My doctor said tho if it happens again then I would probably require surgery. I wish you the best of luck.0
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I had my gallbladder out about 6 years ago. I had the "sludge" you mentioned and some of the most painful gallbladder attacks I can imagine. WAAAAAYYY worse than childbirth, in my opinion. The surgery was very minor - outpatient and laparoscopic. I controlled the attacks with diet for 6 weeks before the surgery, but lived in constant fear of having another one. The pain was excruciating and the attacks only got worse each time. I have had no side effects since the surgery - no digestive issues, etc. Definitely look into all your options of course, but I found the surgery fairly easy (as far as surgeries go) and well worth it to not have to worry about experiencing that pain ever again.0
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If you can afford the surgery and the time off work have the surgery as soon as possible.
It will not go away. The sludge will stir up sometime again.
I had mine out laproscopically and as a day patient, sometimes you need to spend the night in hospital depending how you wake up from the anaesthetic.
I'm a registered nurse so know the routine.
This problem doesn't fix itself.
Your weight loss may have contributed to the problem but you can't worry about that as it was going to happen anyway, sometime or other. Keeping weight off and eating well will help of course.0 -
I'm not you, and I can't tell you what to do. I can only give my tale.
About 15 years ago, it felt like someone had punched me in my kidneys. Got to the point where it was too painful to stand upright. Next day (Fri) I went to the doctor's office. (my dr was out of town for a week or so, but Nurse Practitioner was in.) They ran all the tests, did x-rays...the only thing they saw was an elevated WBC. Sent me home with a script for antibiotics & "If you don't feel better, come back Monday." Well...that night I came down with the rip-roaring flu! Back in the office on Monday am. Saw another doctor, he re-ran the tests & the WBC was lower (ya, been on meds all weekend!) but he looked at me & said "You are not my patient, but I can TELL you aren't right. Something is wrong." He attempted an abdominal palpitation & I about jumped off the table. Sent me for an ultrasound the next day, 2 days later, back in the office where the diagnosis was back: gall stones. Now, I've never had digestives issues ever before. Don't know how it happened, how long I had them...all I know is I was in PAIN! Few days later I was sitting in the surgeon's office & my surgery was scheduled for 12/27/99. I had the laparoscopic surgery, out for a week after, and I never looked back since. I even had a tattoo put over 1 of my scars!
Any time you go for surgery it is a heavy decision to make. Just inform yourself, talk it out, weigh the pros/cons...in the end, make the best choice for you. Good luck!0 -
I'm currently experiencing gallstones and getting to my primary care doctor to recommend surgery can't happen fast enough. So I've been to urgent care and finally found the stones. That was all due to an attack that really the pain only stopped while at the Urgent Care clinic.
Sludge can turn into stones, and stones cause blockage which then can cause greater issues than a faulty gallbladder. You could also go through the rest of your life without ever noticing another attack but do you really want to chance another attack? Clean eating doesn't mean you're not going to breakdown and have something that is too fatty, or fried, etc which could cause another severe attack (and 4 hours is severe).
A lot of people are telling me that the surgery is really easy, and wondered why they waited. The gallbladder is not a needed organ meaning you can live without the gallbladder and not have adverse effects.
Listen to the surgeon, get the surgery. You don't want to chance that you'll get more of the attacks if you can do something about it.0 -
I had mine out because I had sand (yup sand) in mine.
My issue was pain along with gastro issues.
I had it out and finally began feeling better.
I did notice that since surgery I could not eat iceberg lettuce as I would immediately spend the next hour in the bathroom.
That has since stopped as long as I limit iceberg lettuce in my diet.
Other dark green leafy lettuce were ok.
I'm glad you are seeking a 2nd opinion, that is so important.0 -
After an attack my mother had a MRI and was told that her gall bladder was full of sludge and the Dr recommended that she have it removed. She decided not to do so and had several attacks over the next year and the last one she ended up in the hospital for 5 days after having emergency surgery. I had an MRI due to kidney stones and was told that my gall bladder was sludgey in August and I scheduled my surgery for October. My surgery was outpatient and laparoscopic. on a Friday and I was back to work on the following Monday. I haven't had any digestive issues since. My mother really regrets not scheduling her surgery and by passing the painful attacks and the emergency surgery!0
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Like the others have said, it will only get worse. Get it done now while it can be done laproscopically. If it gets really bad they have to do the more invasive surgery, which has a much longer recovery time. I hope you are on the road to feeling better soon!0
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I had to have emergency gall bladder surgery after a long evening spent in agony. My gall bladder was full of stones and the duct was blocked. I had had a few prior attacks but didn't know what they were. I wouldn't wish it on anyone. I admit I don't know anything about "sludge" though.
Considering that I had emergency surgery, mine was fairly uneventful and I recovered pretty quickly: it took about a week or so, and I was 50 lbs or more overweight at the time. I really don't notice a lot of consequences from not having my gall bladder.
I agree that you should get a second opinion, but would strongly consider the surgery if the doctors recommend it.0 -
have had mine out for 5 years no problems your body will adjust better than having that pain.0
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I had mine removed 15years ago and it was quick and painless. I have suffered no ill effects. I think it will be an easy surgery for you if you have a good doctor.0
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I'm sort of on the same boat. Though instead of 'sludge' the doctor said that i have small mobile stones. I've had quite a few attacks and the one i had the worse i ended up in the hospital for 2 weeks (mostly because the hospital was busy and couldn't deal with me). They suggested i have it out. So i did research and decided that, though there are very few cases that the surgery goes wrong or ends up with negative side effects, i'd keep it and try my best to change my diet. Afterall, I would have to after removing it anyways! Might as well keep it and try. it's a body part you can't get back.
Since i made that choice, i've had small attacks but not nearly as bad as before. I had an ercp so they cut the tube a bit bigger so that could be helping.... that or the fact that i've been taking T3 every time the symptoms come up. I find it helps my body relax and lets the stones pass or go away or whatnot.
It's all up to you though of course! Goodluck!0 -
The surgeon is recommending surgery.
Listen to the surgeon not opinions on the internet.
With all due respect-- this is just plain stupid, stupid advice. Wow. :noway:
My obstetrician told me several years ago due to some bleeding that I had miscarried and should have an immediate D&C. We insisted on a second opinion. My son will be 19 years old next month.
Doctors are not God. You're a fool if you follow their advice blindly.
Having said that-- I had my gall bladder out in '08. I'd had episodes for years, but had no idea what they were-- thought it was acid reflux-- derrrr. Had a final attack-- gall bladder was severely infected, and I had a week stay in the hospital and emergency surgery.
Surgery is minimally invasive-- recovery went well. Curiously, my body hasn't metabolized anything well since. Not sure if there's a link...but right after that, my thyroid went kaput.
Don't ever stop asking questions-- best of luck to you.0 -
Go for the 2nd opinion if you need it. I had one severe attack which had me at the ER at 430am, and I couldn't keep water down nor stand straight for a week. I had a stone impacted in the duct, and thankfully it fell back into the gallbladder so I could recover.
My Dr scheduled the operation as needed, and one opinion was all I needed.
I had mine out about 3 mths later, laproscopic, fast recovery. Even went to a Rollinsband concert a week and a half later.
My digestion was a bit funny immediately after, but only when I ate too much fat. That was at least 12 years ago now, and I don't suffer any ill effects.
Good luck, I hope you stay well!0 -
I had my gallbladder taken out laparoscopia. It was considered an emergency, but I recovered fine. In fact I went on vacation two weeks after I had surgery. I haven't had any problems with the food I eat.0
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I had my gallbladder out laparoscopically 6 weeks ago today. I had severe problems from Oct. Thru Feb. I had negative ultrasound hidascan unrelated findings on egd & colonoscopy. I saw the surgeon who I know from other surgeries for 15 yrs. I had been told no sludge no stones etc. Ghe surgeon said take gb out cuz I was sick during hida scan and you sjould not be sick during hida scan. I could not eat nothing. I was miserable dailywas down to eating a grilled chicken breast and an apple a day. I had extreme pain like labor like my stomach was do full of air. Nausea bloating gas you name it. I had no guaranty it would work. The feeling that someone is crushing me pressure is gone but I still am adjusting to no gallbladder and pribsbly have other issues. Your body after gallbladder removal will have to be on low fat diet for 6 werks or you will need to be attached to restroom. Im at 6 weeks and still cant eat and leave house but it is an improvement. I believe 30% of ppl have continued issues.
Regarding your situation, the second opinion 95% of the time agrees with the first they are both surgeons thats what they do, surgery. I worked at surgeons ofc for 10 yrs.... It sounds like you, the surgeon and your primary Dr arent quite there yet. Its a big decision. Its not as big a surgery as it used to be but it is still a major operation. This is your body do you really want to remove an organ because maybe it what caused it? Ask if an addtl test would be more decisive. Hidascan if you have insurance. Who wants test but... who really eants to chsnge permanently the way their body works??? Mine was due to an ectremely narrow common bile duct. The bile couldnt pass thru the gallbladder and the cbd so the gallbladder would go into masdive spasms from the clog. They couldnt even scope my cbd during my surgery. The dr said this was the cause of my issues. Goodluck discussing with your drs and making the right decision for you.0 -
Follow up to my original post: Surprisingly, the 2nd opinion didn't recommend surgery. I didn't get in to see her for 4 weeks, and in that time I did not have any attacks. She told me she wasn't convinced that my gall bladder was the cause of the first attack (and really only attack other than one other minor episode that was probably indigestion), and although the surgery would incredibly quick/minor/common, she thought it wasn't unreasonable to have a wait-and-see approach. She said that I could schedule to come in and have it on one or two days notice in the event that I changed my mind.
It's been a few months and so far so good. Nothing even resembling an attack. Assuming that I continue to feel good, i'll probably go in for an ultrasound in the next 2 years to see if the sludge has resolved or turned into stones.0
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