Abddullah Al Mamun, Dhaka.
Answer:
As many as 20 percent people who have surgery to remove their gallbladders (cholecystectomy) develop diarrhoea. The diarrhoea may last for many days. But it often improves over time - even without treatment.

The main function of the gallbladder is to store bile, a digestive fluid produced by the liver. After a meal, the gallbladder empties bile into your small intestine to help break down fats.

When the gallbladder is removed, the bile is no longer stored but goes directly into the intestines. The small intestine absorbs most of the bile as it passes through. But some bile still reaches the large intestine, which interferes with its ability to absorb water. As a result, the excess bile acts as a laxative.

There is no evidence that additional changes to your diet will improve diarrhoea due to gallbladder removal. But you may want to limit foods that typically worsen diarrhoea, including spicy foods, dairy products, fatty foods, caffeine, alcohol.

But you should consult with a doctor before making any changes to your diet or mediations.

Dear Doctor,

I am a 30-year-old male. Recently, I had a CT scan and doctor told me that I have an enlarged pancreas. What does that mean? Is this serious?

Regards

Ershadul Hoque, Sylhet
Answer:
Finding of an enlarged pancreas may mean nothing. Your pancreas may simply be larger than average but still normal. However, in some cases, an enlarged pancreas may be a sign of an underlying problem, such as pancreatitis or pancreatic cancer.

The significance of an enlarged pancreas depends on many factors, including signs and symptoms and other findings on the CT scan. It is important to consult with a physician the importance of an enlarged pancreas in your specific situation. If the doctor is concerned, further evaluation may be required to determine the cause of an enlarged pancreas.

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