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Discussion Starter · #1 ·
It has been a week after my gallbladder surgery I had a severe D attack today! I am so worried I was hoping that after surgery the D attacks will go away.Did anybody that has the gallbladder removed had D attacks?Please let me know whether or not this is normal during the recovery time.------------------AJ
 

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Hi AJ55Normal.It's late and I need to eat so I will be blessedly brief. For some info on a supplement that can help with just this kind of problem (no gall bladder, diarrhea, poor fat emulsification etc) go to www.leapallergy.com and click on RAFANI. Please read the info there and judge if you want to try it. They sell 100 million doses per year in Europe for 40 years of this natural digestive aid...it has helped other people with same problem. If it does not at first, call in (toll free) and they will help adjust the dosing to your diet (must know what you are eating to advise). If it then does not satisfy you send the boxes back and the money will be refunded 100%. Unconditionally.Have a DFD I hope.MNL
 

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I had D attacks for a good six months following my gallbladder removal. I could manage it mostly with diet; I had to eat very low fat foods. The cookbook that got me through it was "Live Don't DIEt" by Vicki Parks (no, I do not sell this cookbook or have anything to do with it). It has lots of normal meals made really low in fat. Your body just needs time to adjust to life without a gallbladder.
 

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I just bought that book too, on Mannie's recommendation! It has some great recipes. I just wish it had photos so I could see how the foods are "supposed" too look
Hope you start to feel better soon!Fiona
 

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Hi AJ:I'm sorry you're having a problem with the bad D right now. As Mannie said, you're body needs time to readjust after a gallbladder operation. I did a little reading on the Jackson Gastroenterology site and it did say people who have had their gallbladders removed, and who have IBS, may have D. It recommended a low-fat diet, and I'm going to copy it here for you. I'll let you know if I come across any other info.The url for this article is: http://www.gicare.com/pated/edtgs11.htm Low Fat Diet Purpose For a regular healthy diet, it is recommended that of the total calories eaten, no more than 30% should come from fat. However, certain diseases and medical conditions can make it difficult for the body to tolerate even that much fat, so a low-fat diet may help people with these conditions. Gallbladder Disease: Bile secreted from the gallbladder helps the body break down and absorb fats. When gallstones or gallbladder diseases are present, a low-fat diet is often used to prevent complications. Delayed stomach emptying (Gastroparesis) is a condition in which the stomach empties food into the intestine too slowly. This can cause bloating, nausea, and even vomiting. Normally, fat in foods delays stomach emptying, so fats make gastroparesis worse. Diarrhea can be caused by many conditions. When it occurs, it can be aggravated by eating fatty foods. Malabsorption of nutrients: Absorption is the transfer of nutrients into the bloodstream from the intestine. In some diseases of the pancreas and small intestine, patients have trouble absorbing nutrients from the diet, including fat. A low-fat diet may help to control symptoms until the cause of malabsorption can be diagnosed. Fatty Liver: For a number of reasons, fat may accumulate in the liver. Fat is not normally stored in the liver, and in some cases this can cause damage to the liver. A low fat diet and weight reduction may be helpful. Nutrition Facts In most cases, this diet provides all the nutrients required by the National Research Council's Recommended Dietary Allowances (RDA). In some cases, however, the physician may prescribe supplements. Women of childbearing age and those people with malabsorption may need to take certain vitamin and/or mineral supplements. Special Considerations 1.Be careful how foods are prepared. Trim all visible fat from meats. Bake, steam, or broil meats and fish instead of frying. Toppings for potatoes and pastas should contain no fat above the three allowed daily servings. 2.This low-fat diet should be used until the underlying medical condition is controlled or corrected. The physician will give any individual instructions, and tell you when you no longer need to use the low-fat diet. Food Groups Group Recommend Avoid Milk & milk products (2 or more cups daily) skim milk, evaporated skim milk, skim buttermilk, nonfat sour cream, yogurt made with skim milk (3 gms fat or less/oz, maximum of 3 oz/day), fat-free cheeses, low-fat cottage cheese, part skim mozzarella cheese, part skim or skim ricotta cheese whole milk, cream, sour cream, non-dairy creamer, whole milk cheese, cheese spreads Bread & grains (4 or more servings daily) whole grain and enriched breads, cold cereal, whole grain cereals (except granola), saltines, soda crackers, low-fat snack crackers, rice cakes, unbuttered popcorn, low-fat muffins, plain pasta, barley, oatmeal, home-made pancakes without fat, French toast made with egg substitute and skim milk breads containing egg, cheese, or made with fat; biscuits; sweet rolls; pancakes; French toast; doughnuts; waffles; fritters; muffins; granola-type cereals; snack crackers; potato chips; packaged stuffing; fried rice; chow mein noodles Vegetables (3 or more servings daily) all vegetables (steamed, raw, boiled, or baked without added fat) fried vegetables or those in cream, cheese, butter sauces, dips Fruits (2 or more servings daily) all other fruits avocado Meat or meat substitutes (5 to 6 oz daily) poultry (without skin); veal; lean beef trimmed of fat (USDA good or choice cuts of round, sirloin, flank, and tenderloin); fresh, canned, cured, or boiled ham; Canadian bacon; lean pork (tenderloin, chops, cutlet); fish (fresh, frozen, canned in water); eggs (boiled, scrambled without added fat); luncheon meat at least 95% fat free any fried, fatty, or heavily marbled meat, fish, or poultry; beef (USDA prime cuts, ribs, ground beef, corned beef); pork (spareribs, ham hocks); fish (canned in oil); eggs (fried in butter, oil, or margarine); luncheon meat less than 95% fat free Beverages (4 to 6 cups or more daily) decaffeinated or regular coffee or tea, cocoa made with skim milk, fruit juices, soft drinks, water beverages made with high fat dairy products Soups fat-free broths, consomm�s, bouillon; soups made with fat-free broth, skim milk, evaporated skim milk cream soups, soups with added oils or meat fats, soups made from stocks containing meat fat Fats & oils (3 servings daily, each listed is one serving) avocado 2 Tbsp or 1/8 medium, margarine 1 tsp, diet margarine 2 tsp, salad dressing 1 Tbsp, diet salad dressing 2 Tbsp, vegetable oils 1 tsp, nuts (raw or dry roasted): almonds 6, peanuts 20 small or 10 large, whole walnuts 2, whole pistachios 18, sesame seeds 1 Tbsp, sunflower seeds 1 Tbsp, saturated fats: bacon 1 strip, butter 1 tsp, dried coconut 2 Tbsp, cream cheese 1 Tbsp, sour cream 2 Tbsp, other fats: olive oil 1 tsp, peanut oil 1 tsp, large olives 10, peanut butter 2 tsp any fat in excess Sweets & desserts (servings depend on caloric needs) sherbet made with skim milk, non-fat frozen yogurt, fruit ice, gelatin, angel food cake, vanilla wafers, ginger snaps, graham crackers, meringues, puddings made with skim milk, tapioca, fat-free cakes and cookies, fruit whips made with gelatin or egg whites, hard candy, jelly beans, jelly, jams, marmalades, maple syrup ice cream, pastries, cakes, cookies, pies, doughnuts, pudding made with whole milk, cream puffs, turnovers, chocolate Sample Menu Breakfast Lunch Dinner grapefruit 1/2 dry cereal 3/4 cup banana 1/2 whole wheat toast 2 slices margarine 2 tsp jelly or jam 1 Tbsp skim milk 1 cup coffee 3/4 cup fat free vegetable soup 1 cup lean hamburger 2 oz mozzarella cheese made with skim milk 1 oz hamburger bun sliced tomato lettuce fresh fruit salad 1/2 cup angel food cake 1 slice skim milk 1 cup coffee 3/4 cup tomato juice 1/2 cup broiled chicken breast without skin 3 oz herbed rice 1/2 cup broccoli 1/2 cup with low fat cheese sauce 1/4 cup hard dinner roll margarine 1 tsp carrot/raisin salad 1/2 cup low fat frozen strawberry yogurt 1/2 cup skim milk 1 cup This Sample Diet Provides the Following Calories 2060 Fat 50 gm Protein 110 gm Sodium 4000 mg Carbohydrates 299 gm Potassium 4245 mg Related Diseases Gallstones | Crohn's Disease | Ulcerative Colitis Related Diets Clear Liquid
 
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Discussion Starter · #6 ·
Hi MNLThanks a lot for your info have you tried them yourself? did you visit their nutrition center in Boca Raton?I was trying to see the ingredients in Rafani plus I could not find it do you know if it is listed somewhere on their Web site. I will appreciate it if you will let me know.------------------AJ
 
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Discussion Starter · #7 ·
Hi everybodyThanks a lot Mike for your info have you tried them yourself? did you visit their nutrition center in Boca Raton?I was trying to see the ingredients in Rafani plus I could not find it do you know if it is listed somewhere on their Web site. I will appreciate it if you will let me know.Thanks Mannie for this input about this bookI will check it out.Hi JeanG thanks for these low fat diet tips and sample menu.Tell you the truth I was hoping to eat regular meals like normal people without any problems, is this only until my digestive system adjusts to no-gallbladder I hope so, my GI doctor at John Hopkins Hospital was telling me that removing gallbladder will not cause D, actually he assured me that it is an extremely small percentage of people that may experience D after removing the gallbladder, so it is very unlikely he said.I am hoping this is just a stage in the recovery process. Any new info I will appreciate. ------------------AJ
 
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Discussion Starter · #8 ·
Good morning I appreciate your responses that will help me a great deal.Tell you the truth I was hoping that my IBS-D symptoms will dissappear, actually my GI doctor of John Hopkins Hospital told me that having a D problem after removing the gallbladder is very unlikely because people that suffered from D because of the removal of their gallbladder really consist of an extremely small percentage. He thinks that my chronic D was related to my gallbadder problems and it should go away after I remove the gallbladder! I certainly hope so he told me that this D attack is normal at the beginning and then gradually your digestive system will adjust. I was wondering have any of you experienced a D during the recovery process and got better after that? Please let me know.------------------AJ
 
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Discussion Starter · #9 ·
Sorry about all these similar posts what happen I sent each one of them except one last night but somehow they never register until I checked this morning so I sent another one this morning thinking the others were lost, boy was I wrong.
------------------AJ
 

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AJ,Well I don't want to be the barer of bad news but having the gall bladder removed was the main cause of my attacks of diarrhea and I don't see how the doctors can say it will not in most cases cause a person to have diarrhea. In 1976 the gall baldder came out and the attacks started and did not stop until I started taking calcium to help prevent bone loss. Listen to your doctor for a while until you recover but if it continues take matters into your own hands and do not believe you are going crazy because if you have checked out a lot of the post on the board having the gall bladder removed does cause the diarrhea problem.Take Care,Linda
 

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Hi AJ.Sorry I did not see your question last night but I was working late and then been busy this am...worked my way her.No I did not visit the Center, I originally set it up with the doctors I work with. It was our beta site for LEAP. Signet Diagnostic is the company I am VP of. I forget that sometimes not everybody knows or remembers I am "that LEAP Snake Oil Guy". I also forgot I have to have someone edit that Oxford Nutritional Center is in Hollywood, Fla. now, not Boca. Brain fog again.Anyway, the physician and dietician staff found several years ago that some people were asking for a simple, safe, non-drug digestive aid for GERD and for occasional digestive difficulties with the generally junky and fatty diet of the American Way. A lot of folks did not like spending the bucks some of the commerical preparations cost, and wanted a natural alternative. As pointed out by Jean, for example, after a cholycystectomy a low fat diet is a Must. And even then some folks still have trouble, either sticking to it 100% or matching-up the fat intake with the rate of bile rpoduction absent a place to store it an send it out only when it was needed.Since we knew a lot of European Doctors since most of the work on food and chemical sensitivity is done over there, we checked around looking for something that was used by the common person OTC in Europe...you know...what is the European version of Pepto?So the doctors we asked came back to us and said "this is the stuff...sold all over Eastern and Central Europe" like we sell Rolaids here. Millions of doses a year for over 40 years. Pretty good market trial.So we talked with the Herbapol people (the manufacturer) and got the rights to bring it here from the company that has the OTC (health food store) brand here.The same stuff is in health food stores and it is in a box called DIGEST RC. It is I think about the same price as RAFANI PLUS. So you could check you local HF store to see if they have DIVGEST RC before trying it off the site if you want (I do not know how wide it is distributed yet...it has only been just a year since they and we started importing it).DIGEST RC is not on the web, or available from doctors. RAFANI PLUS is available from us on the web and from the doctors who have it in their office for patients.The ingredients are not there because a focus group test said more people just wanted to know what it does and the focus group showed that if they wanted ingredients they would ask...but some people got put off by the extracts. I do not know why but I do not think like all consumers. And its true, some people were "just what does it do" and folks like you ask. So I guess they knew what they were doing.So to me it did not matter which way...since I said let people try it if it does not work for them give them a refund. It works for the majority of people and millions of Europeans for 40 years (plus a bunch of european doctors swore by it to us) so there you have it. We do not have to refund very often as most people who use it as directed are satisfied.Here are the active ingredients:Charcoal 75 mgBlack Radish ext. 75 mgArtichoke ext. 47 mgPeppermint ext 15 mgCalcium Phosphate 45 mgCholic Acid 40 mgHere are the inactive ingredients (binding, stabilizing etc:silicon diaxide, vegetable starch, beet sugar, magnesium stearate, talcum, gum arabic,gelatin.Any other questions just let me know or call the toll free # and ask for Ethan DeMitchellHave a DFDMNLOH PS AJ:No I do not use it because I have IBS that responds very well to dietary controls (elimination diet) and don;t get GERD either. And I do not eat a fatty diet...no red meat and use like canola margarine sparingly and stuff...but I have a lot of friends who do. They were dying after their prime rib-baked potato-butter-sour cream-wine etc and popping prescription antacids etc. So they switched to this as it helped and was cheaper. I also have (2) friends whose wives had choly's and use it whenever they go out to a retaurant.We also found it is really good for constipation. My secretary was C all the time...no other problem...started using RAFANI and got regular. Will not be caught without it. So some C types might find it helpful too.MNL[This message has been edited by Mike NoLomotil (edited 09-15-2000).][This message has been edited by Mike NoLomotil (edited 09-15-2000).]
 
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Discussion Starter · #12 ·
Hey Thanks a lot Mike, really appreciate it I will definatly give it a try, I already asked GNC if they carry it (Digest RC) but unfortunatly they don't I wonder which chain of health food stores carry that herbal medication because I am not a mail type consumer I am a "drive and get it right away type person". If I try it and like it, when I got to Florida I will probably set up a schedule with the Leap co. some kind ofautomatic delivery or something will see. Thanks for your help.------------------AJ
 

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AJ:I understand if you are not a mail-type person. If you are ok with posting what city you are in I will call CX Research (distributors of DIGEST RC package) over the weekend and ask if and where you can get it there. Or you can e-me. address in profile.Have a DFDMNL
 
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Discussion Starter · #14 ·
Hi AJ, I know we are on the same boat wondering why our system is going to be like now. I can't compare my first week after surgery to anything because I did have to take a stool softener and laxative, so I for sure had very, very loose BM!It's been almost 3 weeks now, and I have had a couple of D's. But, within control, if there is such a thing. It was obvious I had to go to bathroom, then overwith. No cramps, pain or anything. I am also eating Ezekiel bread in the mornings, so wonder if that might contribute.I'm trying to stay calm and not over-react and panic (easier said than done sometimes).But so far I feel good and nothing out of the ordinary. Other than the couple of times, I have normal and almost daily BM which is great, cause before I would go DAYS with nothing.Hope you will be fine and better with it. Keep me posted. yo
 

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Hi AJ
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Hope youre feeling better today and days to follow
- sorry I dont have helpful input re: gallbladder removal as mine is still intact, but wanted to join your BB pals in wishing you no ibsing or Discomfort. Take Care. & the starchy drink, youre right Im treating it like medicine- since its flavorless
Lisa K
 
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Discussion Starter · #16 ·
Hi again.I am taking it easy right now that day I had the D attack I think I ate some fatty food so may be I over did it.Thanks for your support.Hi Lisa K are you using that starch drink recipe did it help you? I hope so let me know. Good luck.------------------AJ
 

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Hi AJ
Glad your day is improving some since the episode
I guess with my slow upper stomach its rendering the starch drink difficult to consume in the necessary volume! sniff... I will update you after repeated attempts. Im such a wimp
Take Care AJ55! and best wishes on post op!
 
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Discussion Starter · #18 ·
Hi Lisa K
you know you can may be take the starch before meals and then with the meal that way you can take small amounts but more frequent like 1/4 of a cup every 1.5 or 2 hours in other words small amount several time a day rather than one large amount at meal time. Just an idea may be it will help I hope so. Good luck and keep me posted.------------------AJ
 

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Hi AJ - unfortunately, my D started about 2 weeks after my g/b was taken out. I remember the day I was waiting for surgery, I was overhearing my roommates post surgical instructions from her MD. He told her to stay with a lo-fat diet since she didnt have the g/b anymore. I asked the clown who performed my surgery what I could and couldn't eat and he said, "eat what you like. There are no restrictions." Possibly, I fall into the small % of folks who get IBS post-surgical so my surgeon didn't feel I needed the lo-fat diet. Geez, he could have at least suggested it to me because at the time I was about 40 lbs. overweight. Thanks to IBS though, I lost those 40 lbs within the first few months after surgery. My chronic D lasted about 6 months after surgery. It started to get better on its own, but not to my satisfaction!
 
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