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Old 10-18-2009, 08:28 PM   #1
Mike Romo
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Gallbladder question

I think my wife has gallbladder issues and may be facing a cholecystectomy. Anyone have any ideas of the implications in regards to fat metabolism and how it would cause the need for a diet change? What does the Zone say about this. She is not a CFer and we are not on the Zone----yet. Ideas, issues, past experiences.

I think she may be past the point of reduction of silent inflammation with the Zone, please share your thoughts.

Thanks
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Old 10-18-2009, 08:52 PM   #2
Michael Dries
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Re: Gallbladder question

How much grain is in her diet? Have you tried 100% paleo for a month to see how things go?
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Old 10-18-2009, 10:16 PM   #3
Frank E Morel
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Re: Gallbladder question

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Originally Posted by Mike Romo View Post
I think my wife has gallbladder issues and may be facing a cholecystectomy. Anyone have any ideas of the implications in regards to fat metabolism and how it would cause the need for a diet change? What does the Zone say about this. She is not a CFer and we are not on the Zone----yet. Ideas, issues, past experiences.

I think she may be past the point of reduction of silent inflammation with the Zone, please share your thoughts.

Thanks
there IS NO changes in fat metabolism after having GB surgery. The liver produces a fair bit of digestive enzymes for fat metabolism, the Difference is the liver produces a steady, constant stream of it. GB secretes it on demand.
There are some foods of course that need to be avoid but the main stuff, is just adjust the portions for the meal. The most important being red meat, which is high in difficult to digest animal protein and animal fat. Also minimize pork, poultry, dairy. Most of this varies from person to person and believe it or not, time to time. What one food didnt sit well the one meal, could be problem free the next. On the other had Fried foods, spicy foods and obviously greasy stuff... is a big no no, as they will lead to bloating and bad case of diarrhoea.
Oh yea... taking fish oil at this point is a bad thing as it will trigger an attack. I recall a person that was told by her naturalpath to drink a half cup of olive oil.. to squeeze out the stone. Well the stone blocked, and she developed a superinfection and died on the operating table. Yes she was that sick.

Does she have stones or just GB sludge? Eating paleo isnt going to cure her problem, if there are stones, it may well reduce the number of attacks that occur. If there is sludge, there is a chance that eating paleo and eating lean meat MAY delay surgery but its dependant on the reason for the sludge in the first place.
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Old 10-19-2009, 01:25 PM   #4
Benjamin Wheeler
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Re: Gallbladder question

Robb Wolf said at his Cert that gallbladder issues are usually undiagnosed celiac/gluten intolerance. Try removing grains from the diet.
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Old 10-19-2009, 01:54 PM   #5
Adrian Rusch
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Re: Gallbladder question

I had my gall bladder removed in February of 2008. I've had to cut out fried foods mostly but thats due more to wanting to be healthy. I havent noticed any decreased fat digestive capabilities. I've been on strict paleo for the last month and I think I've dropped almost 20 pounds. I've been eating red meat and plenty of spicy foods and it hasn't seemed to cause any issues at all. Ofcourse Im usually the exception to the rule too.
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Old 10-20-2009, 07:41 PM   #6
Robert Pierce
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Re: Gallbladder question

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Robb Wolf said at his Cert that gallbladder issues are usually undiagnosed celiac/gluten intolerance. Try removing grains from the diet.
This is really misleading. Those with celiac disease may have an increased risk of gallstones, but most folks with gallstones do not have celiac disease.
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Old 10-20-2009, 08:24 PM   #7
Mike Romo
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Re: Gallbladder question

We don't know exactly what her GB situation is right now. We've just been using what I know as a paramedic and what we have learned from various medical sources and assessment techniques to narrow it down to GB as the prime suspect. Not sure if it is stones, sludge or some other GB condition. She had a positive Murphy's sign and many of the smaller pieces of the puzzle seem to fit.

We are looking for a doctor to do a final exam and refer if need be. Her former primary care doc diagnosed an ulcer--idiot. She has had an ulcer before and knows what it presents like--this is not an ulcer. So, now we have to do the physician two step and start that process again.

I'll talk to her about grains and celiac and do some more research. Maybe cutting back will reduce symptoms. Paleo, strict or otherwise, is definitely not something she would try--just barely talking Zone and only baby steps.

I'll keep you posted as things develop.
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Old 10-21-2009, 05:37 AM   #8
Robert Pierce
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Re: Gallbladder question

How do you know the doc is an idiot? Ulcers may vary in location and presentation. Has she had had an upper endoscopy to rule it out? Has she had an ultrasound or a HIDA scan?

No good doc will do a "final exam" and come to any final conclusion about the cause of the pain. She needs a workup.
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Old 10-21-2009, 01:01 PM   #9
Everett Steinbarger
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Re: Gallbladder question

Dr. Pierce is right on. A good work-up will include a HIDA scan to assess GB function, and an Upper GI Endoscopy. Many times the HIDA is accompanied with an ultrasound. A regular flat plate X-Ray of the abdomen is also a necessity in diagnosis as well as proper laboratory studies.

Another possibility is that she may have a GB that is akinetic, (not moving/contracting). The HIDA will be able to assess this as well. Akinetic GB's can occur with or without stones.

Speak at length with your surgeon about all the possibilities when you have your consultation.
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Old 10-21-2009, 07:33 PM   #10
Mike Romo
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Re: Gallbladder question

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How do you know the doc is an idiot? Ulcers may vary in location and presentation. Has she had had an upper endoscopy to rule it out? Has she had an ultrasound or a HIDA scan?

No good doc will do a "final exam" and come to any final conclusion about the cause of the pain. She needs a workup.


You answered your own question with the final statement. He put a diagnosis of ulcer, prescribed prilosec OTC and told her to 'keep an eye on it'. I hope I did not offend you with my opinion of this doctor, but his lack of attention to detail left me wondering about his level of interest in my wife's condition. He did not refer us to a specialist, did not order further testing besides basic blood work and didn't even do a full abdominal assessment once he asked if she still had her appendix and she said "no." His words were, "Oh, I guess I don't have to do that test."

The reason we are looking for a new doctor is the lack of mention of the above procedures and the apparent 'satisfaction' that this was an in and out patient--next.

I hope you see my frustration. I'll keep posted on her progress.


What specific tests should we ask for with our next physician choice or surgeon choice? Thanks
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