Gallbladder problem
I am almost 2 years post BC, planning a ooph end of Feb, but have been experiencing lots of pain mid back. After CT scan and u/s, I have a 4mm sludge in gallbladder. Surgeon said to remove the GB with the ooph, we don't need it. But I'm worried about diet and long term effects? Is it true that one can get Colin cancer as a long term effect? Is this because of the arimidex i take or a combination of vitamins and meds? has anyone dealt with this? Thank you in advance!!
Comments
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B123 - here is a blurb from Dr. Weil on the subject of increased colon cancr risk from gallbladder removal:
The idea that having the gallbladder removed affects the risk of colon cancer was explored in a study of nearly 56,000 patients in Great Britain's General Practice Research Database. The investigators, from the University of Pennsylvania, found a very small increased risk of colon cancer among these patients. Their data suggested that of every 10,000 patients who had their gallbladders removed, 119 would develop colon cancer within 10 years. That compares to a slightly lower rate of colon cancer among the same number of British patients in this study who didn't have gallbladder surgery: 86 of them developed colon cancer in the same period of time. No higher risk of rectal cancer was seen among the patients who had gallbladder surgery. The study was published in the August, 2005, issue of the American Journal of Gastroenterology.
Here is also some info regarding stones in the gallbladder indicating about 10% of the population has gallstones:
http://health.usnews.com/health-conditions/digestive-disorders/gallstones
Some info on Arimidex and gallstones:
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That's very interesting Special K, thank you for sharing. So basically the risk of Colin cancer is the same either way? However I don't have a stone, it's called a sludge.. I have never heard of it till now. Caused by cholesterol, which I never had a problem with. Since I went on a1, my numbers all changed! Why can't we just live life!?
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I know, there always seems to be a new issue, but some of those could conceivably have happened anyway, right? My gallbladder has not been imaged in a while but I have had a recent PET scan. After hyst/ooph my cholesterol went quite high and I have been on a statin for several years. I just had a chat with my primary care doc and since I have eliminated the vast majority of processed food, sugar, grains, fats from my diet I would like to try to get off the statin. He reduced my dose from 40mg to 10mg for 6-8 weeks, then will recheck my cholesterol. If it is controlled he will let me discontinue the statin.
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I had an ab ct scan post dx that revealed a 3 cm stone near the neck of the gallbladder. I had not really noticed many symptoms, maybe excess acid, but since I'd met my out of pocket max for ins I had my gb removed in sept. The surgery was easy, and the recovery was also easy. I had a few issues initially, but within a couple weeks everything was just like it had been, except I seem to be able to tolerate a higher fiber diet. I have a couple more scars, but otherwise no problems. The surgeon said the stone was quite large a would have caused a lot of trouble down the road.
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SpecialK what is statin? I think the increased cholesterol is the problem but we don't have a choice but to take the meds...
Farmerlucyy what kind of problems did you have post? Was it enough to keep you home or were you able to work/function? Any regrets? Have you heard of it causing any problems in the long run? -
Your Doc already told you your gallbladder was not a problem & is only considering removing it along with your other surgery because despite his reassurance you are obsessing about it. You won't have to worry about side effects from removal if you just leave it alone. I would. There is really no good reason to have it out. The best thing you could do if you are concerned is work on your diet towards reducing your cholesterol level & take statins (cholesterol lowering drugs) if they are prescribed.
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B123, what I was trying to say is that I think your problem is with anxiety and not with your gallbladder. We talked about that in your earlier post. You really should discuss THAT with your docs. All the incidental findings on imaging do not warrant further action.
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Melissad,I do live on anxiety, it began when my BC began. I wish I could move forward and not look back, but I can't. When something new pops up, good or bad, I worry. Despite what doctors say, the best way to know what your options are and to understand them is to ask others who have experienced it or have knowledge of it. My peace is coming here to get advice and give advice, that's what is so wonderful about everyone here, we are all going through the same but are able to help and reassure each other. So I'm sorry if I seem pesty but I need to know everything I can before making a big decision that I can't go back on! It may be nothing to worry about now but no one can assure me this in 5-10 years. I have 3 kids and I need to make sure I do what's right for all of us. I do thank you for the advice, I do hope I can find someone who can help me thru this anxiety and learn to just live again.
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I didn't mean to sound short B123. I really empathize & have been there and I know you're scared. It's just that it seems you are afraid about things that aren't really problems and I don't think your doctor is getting that across to you. I don't think you're being a pest at all. I just hate to see you have unnecessary things done.
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B123 - statins are cholesterol lowering drugs like Lipitor or Crestor.
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I had loose stools for a week or so. That was it. Otherwise I have had no other problems.
I had a breakdown post dx, and the things that pulled me out of the darkness were anti-anxiety meds, an antidepressant, meeting with a Stephen Minister through our church, and time. I'm a year out now, and my PCP said to stay on the anti-anxiety meds until April, and then he'll wean me off. I'm ready to get off now, but I will do what he says. Oh and I exercise about an hour a day, and the endorphins really help chase the beasties away!
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Farmerlucydaisey, I'm sorry you have been through so much, I too had a kind of breakdown, I think I still am. I just don't know how to relax, I think that if I do and actually let go then I will pay the price for it. I know the hyster and GB are minor compared to BC but its killing me to know my childbearing is so permenant! Anyways, thanks for listening and thanks for letting me know, I feel better about the GB removal, I don't feel like I will suffer the rest of my life without it. Thanks for your kindness..
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Day, what made you have an u/s of your GB? do you have back pain or abdom pain from it? I have bad mid back and shoulder pain from it. The surgeon told me that if I leave it, it eventually will turn into stones. It will never go away....

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I've had BC 2x ('07 and '09). They could see on my CT scans that my gallbladder was calcified and full of stones. I was told it wasn't urgent but at some point I should have it out. A calcified gallbladder put me at risk for gallbladder cancer so I went ahead and had it out last January even though I had no symptoms. The Dr told me my gallbladder was in bad shape but showed no signs of cancer which was a huge relief. I didn't experience diarrhea after like many do. But I've had chronic nausea since the surgery. I got put on Prevacid which helped some but I don't want to be on it long term. My onc tried to give me Reglan which has horrendous side effects. I thought if that is what its come to, I need to change my lifestyle. The nausea apparently comes from eating too much fat now that my GB is gone and so the bile goes down into the stomach where it makes me nauseaus. I would personally not have mine out unless it posed a significant risk. They say you can live without it, but if your reason for having it out is more anxiety related then I would really think it over. Of course, not everone experiences side effects like I've had.
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Paxton, gosh I'm sorry to hear that.. I have back and shoulder pain, I need to take it out, it won't resolve on its own. I hope that I recover ok and don't suffer for it. I think we could all use a break and be able to enjoy life. I hope it gets better for you and something works. My surgery is in the morning, pray it goes well with no regrets!!
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B123 - last spring I went on a medically-supervised liquid diet, and within weeks my liver enzymes shot up pretty high. The doc in charge ordered an abdominal ultrasound which showed that everything was normal, except for the fact that I had sludge in my gallbladder.
Well, of course that freaked me out. But the way it was explained to me was that this was a common side effect of a starvation diet, and that unless I had pain or other gallbladder symptoms or pancreatitis, there was nothing that needed to be done.
I've heard (anecdotally) that sludge forms into stones, and therefore the gallbladder should be removed, but once I started researching this, the medical literature told me differently: that sludge, can and does resolve on its own.
In any case, I'm off the liquid diet but eating healthy, my liver enzymes are normal, and while I haven't had another US of my abdomen, I've had absolutely no gallbladder symptoms whatsoever.
Sorry you are having pain. I would say that if that were not the case, you would not necessarily need to have your gallbladder removed just because of sludge.
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Blessings, everything I read states the only way to resolve a sludge is to take the GB out. I wish there was another way, my back and shoulder were in so much pain so I am glad I went through with it. Just hope outcome down the road is good. I lost almost 20lbs in one month when first dx, so I think that's where it came from.. Sigh.. Hope you do well with yours and it remains no problems for you. Thank you blessings!!!
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Paxton, I have recently begun having nausea feeling each day with belly button pain and pain to left of it with pain where GB was.. Is this what you mentioned above? Is there reason for me to worry? I feel like I'm bloated/cramping and uncomfortable.. Not sure why..
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