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DemoTex

(25,411 posts)
Fri Jun 1, 2018, 09:12 PM Jun 2018

Old Man Gallbladder Syndrome: GANGRENOUS Cholecystitis

Last edited Sat Jun 2, 2018, 12:34 AM - Edit history (1)

Finally got into surgery at about 7 am this morning (Friday 6/1). We knew from the imaging that it would be bad. But gangrene? Bet that sucker was quite aromatic!

Now for the recovery. I'm typing through some morphine, trying to stay awake. Why?

My B/P plunged on Wednesday, to the 55/45 regions, and stayed there for about a day. Biliary sepsis.

Imaging on Thursday showed a wickedly angry, and dangerously distended gall bladder, with thick walls, fluid, and, lots-o-rocks. The surgeon got it before it popped. A gangrenous gall bladder.

What a week.



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Old Man Gallbladder Syndrome: GANGRENOUS Cholecystitis (Original Post) DemoTex Jun 2018 OP
I'm glad you are alive and I hope you have a quick recovery! LiberalLoner Jun 2018 #1
Oh my! mcar Jun 2018 #2
Take care of yourself DemoTex. Take all the time you livetohike Jun 2018 #3
Yikes... you, sir, were lucky. hlthe2b Jun 2018 #4
Wow...... a kennedy Jun 2018 #5
Just curious DemoTex - for the sake of all us old men.. KY_EnviroGuy Jun 2018 #6
Not just old men. Gall stones can just form from FailureToCommunicate Jun 2018 #19
I had the "heart attack" gall bladder attack a week ago tonight. DemoTex Jun 2018 #22
They sent you home? Now that is scary! Glad you dodged that bullet, DemoTex. n/t pnwmom Jun 2018 #25
I was sent home from emergency room TWICE... IthinkThereforeIAM Jun 2018 #50
Wow. Did they give you antibiotics when they sent you home or did they think it was something else? pnwmom Jun 2018 #52
Tagamet... IthinkThereforeIAM Jun 2018 #54
Glad you survived that experience. Two people in my extended family pnwmom Jun 2018 #55
I know that number usually around 1-2 am Historic NY Jun 2018 #56
Yes, and I need to study this further. KY_EnviroGuy Jun 2018 #28
Mine were MFM008 Jun 2018 #62
Scary Berries!! tavernier Jun 2018 #7
Whete are you tonight? Laparoscopic or open surgery? irisblue Jun 2018 #8
Feel better soon! sharedvalues Jun 2018 #9
Holy Shit DemoTex! kentuck Jun 2018 #10
Good heavens RandomAccess Jun 2018 #11
But, did you take any pics? Lochloosa Jun 2018 #12
Sounds like you're describing the gall bladder version of Mt. Kilauea! Princess Turandot Jun 2018 #13
My wife just had that. PatrickforO Jun 2018 #14
Probiotics? One of my family members had gallbladder surgery a couple years ago pnwmom Jun 2018 #26
Well, my wife looked into it, and because the gall bladder stores the bile the liver produces PatrickforO Jun 2018 #42
Thank you, PatrickforO! n/t pnwmom Jun 2018 #45
Typing through morphine, post surgery? Marie Marie Jun 2018 #15
Typing through morphine... IthinkThereforeIAM Jun 2018 #53
... Marie Marie Jun 2018 #83
Feel better soon LittleGirl Jun 2018 #16
Glad to hear you made it through ok! smirkymonkey Jun 2018 #17
Oh GOODNESS! elleng Jun 2018 #18
Sounds like you had good health care and FailureToCommunicate Jun 2018 #20
Wow! So glad you are now on the mend. Take it easy and hope that morphine is working well! skylucy Jun 2018 #21
Take care, DemoTex, and stay strong. DU needs you!! classof56 Jun 2018 #23
Drink LOTS of water to flush your system and take it easy on the pain pump. flying_wahini Jun 2018 #24
you are going to miss pizza... and other cheesy stuff lapfog_1 Jun 2018 #27
Yikes! Solly Mack Jun 2018 #29
Feel better soon!! Nt B2G Jun 2018 #30
Wow! When you go for the unusual, you really succeed. Frustratedlady Jun 2018 #31
I can't believe they sent you home without looking at the gall bladder. mnhtnbb Jun 2018 #32
Please get well soon. That has to have been a horrible week. greatlaurel Jun 2018 #33
I had no idea someone could get gangrene in the gall bladder. PoindexterOglethorpe Jun 2018 #34
Gallbladders can actually die octoberlib Jun 2018 #58
Hope you feel better ...never heard of that problem ... lunasun Jun 2018 #35
Wow tiptonic Jun 2018 #36
All the Best to You Leith Jun 2018 #37
I always knew you were tough, my dear DemoTex........but this beats all! CaliforniaPeggy Jun 2018 #38
Happy to hear you're on the road to recovery. greatauntoftriplets Jun 2018 #39
My best wishes for you to be up and around, feeling great again. oasis Jun 2018 #40
OMGOSHHHH! Texasgal Jun 2018 #41
Glad you are on the mend. Did you get to keep the gallbladder? Hassin Bin Sober Jun 2018 #43
I always ask for my stuff back MFM008 Jun 2018 #63
Yeah. Always get the parts so you know the mechanic isn't screwing you. Hassin Bin Sober Jun 2018 #92
never a dull moment. barbtries Jun 2018 #44
Growing old aint for sissies. lpbk2713 Jun 2018 #46
Wow....thank goodness they found it. spanone Jun 2018 #47
Thank God they got it in time. Swift and gentle healing to you... Hekate Jun 2018 #48
You must gather the good blood cells together to defeat the "bad" JoeOtterbein Jun 2018 #49
Happy to have you here on DU. Sophia4 Jun 2018 #51
Best wishes for a speedy recovery. n/t area51 Jun 2018 #57
jeez, i know getting old sucks, but shit. pansypoo53219 Jun 2018 #59
No wonder you were in so much pain. Yikes! It's all uphill now. Vinca Jun 2018 #60
Wow MFM008 Jun 2018 #61
Oh my. Hope you recover quickly! BumRushDaShow Jun 2018 #64
Get well soon malaise Jun 2018 #65
Get well soon. Demsrule86 Jun 2018 #66
Woah. That is scary. I'm so glad you are OK. Maraya1969 Jun 2018 #67
OMG. Poor DemoTex. I SO hope this clears up! CousinIT Jun 2018 #68
Take care of yourself. On the good side, you are getting the right treatment. nt Blue_true Jun 2018 #69
Yikes! Get better real quick-like, OK? MineralMan Jun 2018 #70
Thank goodness they got it in time eleny Jun 2018 #71
Saw DemoTex on another thread, so they didn't take Hortensis Jun 2018 #72
Wow! TryLogic Jun 2018 #73
I had one of those! ellie Jun 2018 #74
I'm sorry to hear that, Tex! Johnyawl Jun 2018 #75
Glad you're still with us. malthaussen Jun 2018 #76
I hope that you feel better soon DemoTex. CentralMass Jun 2018 #77
FYI from someone who's been there TexasBushwhacker Jun 2018 #78
Get well quickly DemoTex lunatica Jun 2018 #79
Wow, what a scary event to go through. Hoping for a quick recovery. We need you Texas Dems! Fla Dem Jun 2018 #80
How frightening! cate94 Jun 2018 #81
Holy guacamole! colorado_ufo Jun 2018 #82
That's some scary shit pal. woofless Jun 2018 #84
HEY heaven05 Jun 2018 #85
Good luck! Scurrilous Jun 2018 #86
You are not alone. rasberry Jun 2018 #87
24 yrs. old when I had my gallbladder removed. Non functioning and close to gangrenous. Tikki Jun 2018 #88
Hang in there! kooth Jun 2018 #89
OMG!! I'm glad my husband had his out 10 years ago! LeftInTX Jun 2018 #90
WOW....You had a rotten week.....Get well soon!! onecent Jun 2018 #91

LiberalLoner

(9,762 posts)
1. I'm glad you are alive and I hope you have a quick recovery!
Fri Jun 1, 2018, 09:13 PM
Jun 2018

Oh my goodness that must have been unimaginably painful, and frightening.

I sure hope you will be okay soon.

hlthe2b

(102,575 posts)
4. Yikes... you, sir, were lucky.
Fri Jun 1, 2018, 09:21 PM
Jun 2018

That had to have been excruciatingly painful. REST up and glad you are on the mend.

KY_EnviroGuy

(14,502 posts)
6. Just curious DemoTex - for the sake of all us old men..
Fri Jun 1, 2018, 09:27 PM
Jun 2018

what were your symptoms prior to this becoming an emergency? Also curious because I've had small gall stones reported from a non-related medical scan.

Congratulations for getting this done successfully and we hope you have a speedy recovery. Hopefully, your well-being will be much better in the long run.

....... .........

FailureToCommunicate

(14,034 posts)
19. Not just old men. Gall stones can just form from
Fri Jun 1, 2018, 10:27 PM
Jun 2018

lots of reasons. My doc described them as more milk dud soft than stones though they are sort of crystalline. Many people have a few rattling around in the gall bladder never causing a problem. After a particularly greasy meal where the gall bladder has tried to deal with the glop, a stone can get stuck in the tiny tube and cause bad pain similar to heart attack. I opted to not have the organ removed ( (which carriers it own problems) and avoid super greasy foods. They say pectin-like from apples- or in pill form - can help keep the "stones" from forming. "Maybe"

DemoTex

(25,411 posts)
22. I had the "heart attack" gall bladder attack a week ago tonight.
Fri Jun 1, 2018, 10:37 PM
Jun 2018

Ended up in the ER and cardiac unit for all the tests, including a gamma-camera stress-EKG. Heart attack was ruled out. Had they continued the differential diagnosis protocol, the gall bladder problem would have shown up as culprit. Instead, I was sent home with a diagnosis of "constipation."

IthinkThereforeIAM

(3,078 posts)
50. I was sent home from emergency room TWICE...
Sat Jun 2, 2018, 12:38 AM
Jun 2018

... I had a stabbing pain, from my middle back straight to the front, felt like I was pierced with a sword and intense ulcer type pain and heart burn. One of the ladies at the ASL interpreter workshop I was hosting at the facility I managed at the time, gave me a Pepto Bismol tab, it helped a bit, but not much.

They did ultra sound and seen 5 gall stones the first time, sent me home; second time, a week later, 8 gall stones, sent me home, "call your doctor on Monday (both trips to ER were on Saturdays). Got in to see my doctor and surgeon on Tuesday, he walked in and asked, "Why did you take so long to come to see me? Did you want to die first?"... "Get your butt across the street and in the emergency room, your gall bladder is the size of a flip phone"! And as I sat in the exam, he called the ER director across the street, literally, from his office, and yelled, "You should have never sent him home the first time, I will be right over for emergency surgery".

So... like the OP said... and was asked...

Just my two cents. Or was that 5 or 8 gall stones?

IthinkThereforeIAM

(3,078 posts)
54. Tagamet...
Sat Jun 2, 2018, 12:53 AM
Jun 2018

... and some antibiotic, I do not recall which one at this time. They gave me Maalox laced with lidocaine in the ER. Man, that was like a cold glass of milk after chomping on a ghost pepper. Sure felt good!

PS: Why does it take 40 minutes for the in house pharmacy to send pain killers to the emergency room? I have a high pain tolerance, but geez...

pnwmom

(109,026 posts)
55. Glad you survived that experience. Two people in my extended family
Sat Jun 2, 2018, 01:08 AM
Jun 2018

have had their gallbladders out, and one was in an emergency situation. So I understand the risks -- can't understand why some E.R.s don't.

Historic NY

(37,462 posts)
56. I know that number usually around 1-2 am
Sat Jun 2, 2018, 01:40 AM
Jun 2018

I had several major attacks until they found it was the gall bladder. It was thought it was the appendix and then both and diverticulitis.I was in my late 30's.

KY_EnviroGuy

(14,502 posts)
28. Yes, and I need to study this further.
Fri Jun 1, 2018, 10:56 PM
Jun 2018

The OP reminded me of that diagnosis and I've been complacent. I can't deal with spicy hot foods or very greasy ones these days, either. Also can't take turmeric suppliments. At 70, my GB and liver let me know when they're not happy, with an upset stomach.

Thanks for those reminders!......

MFM008

(19,837 posts)
62. Mine were
Sat Jun 2, 2018, 05:50 AM
Jun 2018

Small rough sharp green crystaline things.
My Dr saved me one for posterity from my 1988
Removal.

Princess Turandot

(4,791 posts)
13. Sounds like you're describing the gall bladder version of Mt. Kilauea!
Fri Jun 1, 2018, 09:36 PM
Jun 2018

Were they still able to do the surgery laparoscopically?

Best wishes for your recovery.

PatrickforO

(14,608 posts)
14. My wife just had that.
Fri Jun 1, 2018, 09:44 PM
Jun 2018

Tough going and please accept my hope that you will have a full recovery.

Be mindful you might have to take probiotics from now on, though. Talk to your doctor when you come down from the morphine.

pnwmom

(109,026 posts)
26. Probiotics? One of my family members had gallbladder surgery a couple years ago
Fri Jun 1, 2018, 10:53 PM
Jun 2018

but no one ever said anything about that.

PatrickforO

(14,608 posts)
42. Well, my wife looked into it, and because the gall bladder stores the bile the liver produces
Fri Jun 1, 2018, 11:34 PM
Jun 2018

until it is needed. Without a gallbladder, your liver injects bile directly into your intestines. Because of this, it is said you don't digest food quite as well, and in fact should avoid spicy foods and sweet, sweet ice cream stuff. Since I'm not a doctor, I'm including a couple of links for your family member, with the caveat to take them with a grain of salt and check with her doctor first.

That said, my wife takes vitamin D2, D6 and probiotics and maybe some kind of ox bile. Not sure. Good luck, though.

Note, she (my wife) did experience some bloating of her abdomen at first, as well.

https://www.everydayhealth.com/gallbladder/living-without-a-gallbladder.aspx
https://wellnessrepair.com/what-you-must-do-if-your-gallbladder-has-been-removed/

Marie Marie

(9,999 posts)
15. Typing through morphine, post surgery?
Fri Jun 1, 2018, 10:02 PM
Jun 2018

Now that what I call a die-hard DU-er. Get well soon and keep us posted.

LittleGirl

(8,292 posts)
16. Feel better soon
Fri Jun 1, 2018, 10:08 PM
Jun 2018

By the way, my Mother had a gangrenous ovary and tube when she was 16 (70 yrs ago) and still had 5 kids after that. She's a super breeder! ha. Forgot to add, she's still alive!
Hope you recover quickly!

elleng

(131,456 posts)
18. Oh GOODNESS!
Fri Jun 1, 2018, 10:19 PM
Jun 2018

Very glad it was gotten before it popped!

I looked yellow-ish a few years ago, day or so later saw image of lots of rocks, said remove the whole thing and they did. Now I rarely recall that I have no gall!!! bladder.

Be well!

FailureToCommunicate

(14,034 posts)
20. Sounds like you had good health care and
Fri Jun 1, 2018, 10:30 PM
Jun 2018

a good surgery team. Good luck as you recover! I had a bout with those nasty "stones" and did not like it one bit!

skylucy

(3,749 posts)
21. Wow! So glad you are now on the mend. Take it easy and hope that morphine is working well!
Fri Jun 1, 2018, 10:32 PM
Jun 2018

Get well soon! You know what? I think it was all TRUMPS FAULT!

classof56

(5,376 posts)
23. Take care, DemoTex, and stay strong. DU needs you!!
Fri Jun 1, 2018, 10:50 PM
Jun 2018

BTW, we still miss ya out here in Deschutes County.

Blessings.

Frustratedlady

(16,254 posts)
31. Wow! When you go for the unusual, you really succeed.
Fri Jun 1, 2018, 11:06 PM
Jun 2018

I've never heard of such a situation. You are one lucky dude to have had that diagnosed when it was. I would think that when you have totally recovered, you are going to feel SO good!

"What a week" is an understatement.

Good luck with your recovery.

mnhtnbb

(31,420 posts)
32. I can't believe they sent you home without looking at the gall bladder.
Fri Jun 1, 2018, 11:06 PM
Jun 2018

You should be feeling much better very soon with it gone.

Rest up and don't be afraid to take your pain meds on schedule to stay ahead of the pain.

greatlaurel

(2,004 posts)
33. Please get well soon. That has to have been a horrible week.
Fri Jun 1, 2018, 11:08 PM
Jun 2018

Sending good vibes your way. Hope you have a quick recovery.

Since you are on morphine, be sure to drink lots of water and stool softeners, if allowed.

Glad you caught it in time.

PoindexterOglethorpe

(25,931 posts)
34. I had no idea someone could get gangrene in the gall bladder.
Fri Jun 1, 2018, 11:10 PM
Jun 2018

Oh, my. Hope you recover completely.

Are you not doing the fire watch thing any more?

octoberlib

(14,971 posts)
58. Gallbladders can actually die
Sat Jun 2, 2018, 05:04 AM
Jun 2018

and become gangrenous if not removed. My gallbladder became diseased, I had no stones and the doctor told me that it had to come out or it would die and turn gangrenous. They have a test that measures how well your galbladder’s functioning. This was all news to me at the time, too.

Leith

(7,818 posts)
37. All the Best to You
Fri Jun 1, 2018, 11:13 PM
Jun 2018

Everybody I'm related to (by blood and marriage) has had their gall bladder removed. I'm just waiting for my turn.

Every one of them has had no post-op problems. Once in a while, there is some reaction to high fat foods, but that goes away in a few hours.

Take care.

CaliforniaPeggy

(149,840 posts)
38. I always knew you were tough, my dear DemoTex........but this beats all!
Fri Jun 1, 2018, 11:16 PM
Jun 2018

Wow, gangrenous gall bladder! Scary, painful stuff.

Glad you made it through everything OK and are now recovering.

GET WELL SOON, OK?

greatauntoftriplets

(175,776 posts)
39. Happy to hear you're on the road to recovery.
Fri Jun 1, 2018, 11:23 PM
Jun 2018

Enjoy the drugs while you're on them, they take away the pain.

MFM008

(19,837 posts)
63. I always ask for my stuff back
Sat Jun 2, 2018, 06:00 AM
Jun 2018

Gallbladder and stones, appendix, knees, everything from my hysterectomy, my teeth, half a stomach... kidney stones... I would have enough to create a twin... Dr's refuse of course....

Hekate

(91,055 posts)
48. Thank God they got it in time. Swift and gentle healing to you...
Sat Jun 2, 2018, 12:03 AM
Jun 2018

My appendix was full of stones when it went kablooie and almost killed me. But the thing about the stones cleared up one mystery in my mind: the intermittent and irregular episodes of excruciating pain that had plagued me a couple of times a year for over 30 years.

Take care of yourself, Demo Tex. People love you.

JoeOtterbein

(7,703 posts)
49. You must gather the good blood cells together to defeat the "bad"
Sat Jun 2, 2018, 12:09 AM
Jun 2018

blood cells. This is what I learned when I tried to sleep after a dangerous operation. Imagine the good cells gathering to overwhelm the enemy!

BumRushDaShow

(130,122 posts)
64. Oh my. Hope you recover quickly!
Sat Jun 2, 2018, 06:41 AM
Jun 2018

And that is some amazing spirit to post on DU after that (although I expect it can be a good distraction).

eleny

(46,166 posts)
71. Thank goodness they got it in time
Sat Jun 2, 2018, 10:02 AM
Jun 2018

Several years ago this happened to a dear friend of mine. Out of the blue, out of town visiting their daughter she was gripped by *the* pain. As you put it gall bladders can get quite angry.

She's fine now and so will you be. Thanks so much for letting us all know what's been happening. Take care and know that we'll be thinking all good thoughts for you every day as you recover.

Hortensis

(58,785 posts)
72. Saw DemoTex on another thread, so they didn't take
Sat Jun 2, 2018, 11:14 AM
Jun 2018

his phone away and he's hopefully feeling most of a day better.



TryLogic

(1,723 posts)
73. Wow!
Sat Jun 2, 2018, 11:16 AM
Jun 2018

I thought my recent severe pancreatitis caused by gall stone blockage was a little rough. Nothing like what you had/have. Good luck.

Johnyawl

(3,205 posts)
75. I'm sorry to hear that, Tex!
Sat Jun 2, 2018, 11:29 AM
Jun 2018

That's some scary shit! As they say, getting old is a bitch, but it's better than the alternative

Very best wishes and hopes for a speedy recovery from Geni and I

malthaussen

(17,241 posts)
76. Glad you're still with us.
Sat Jun 2, 2018, 11:48 AM
Jun 2018

Now that you have been purged of your gall, you should be a much sweeter man.

-- Mal

TexasBushwhacker

(20,257 posts)
78. FYI from someone who's been there
Sat Jun 2, 2018, 12:47 PM
Jun 2018

My discharge instructions did not prepare me for what recovery would be like.

When you have a gall bladder and eat fat, your gall bladder releases an appropriate amount of bile. But now you don't have a gall bladder, so there is no regulation of the amount of bile your liver puts out. Normally your liver produces about a quart of bile a day, so it will be dumping bile instead of your gall bladder releasing as much or as little as needed.

What happens? DIARRHEA!!! URGENT liquid diarrhea. Know where the nearest bathroom is at all times. Carry a change of underwear. No, I'm not kidding. The urge will hit you FAST.

You should eat frequent small meals instead of 3 large meals. You still want to eat healthy fats and oils, just a little at a time.

When you eat too big a meal with too much fat, it will go straight through you. Then nutrition becomes a problem. The nutrients in your food don't have enough time to be absorbed, so consider taking vitamins. For better absorbtion I use a liquid multivitamin. A liver support supplement is good too.

Probiotics are your friend. You can take them in pill form, but it's even better to add fermented foods like kefir, sauerkraut, kimchi, etc.



colorado_ufo

(5,746 posts)
82. Holy guacamole!
Sat Jun 2, 2018, 01:24 PM
Jun 2018

God bless you (if you don't mind my saying that!). What an ordeal. I spent 30+ years in the medical community, in various roles (surgical assistant, back office, medical transcription, etc.) and never saw a gangrenous gallbladder.

A speedy recovery to you: Just focus on how FABULOUS you will feel when you are healed! I am sure that thing festered under the radar for a long time.

rasberry

(49 posts)
87. You are not alone.
Sat Jun 2, 2018, 05:20 PM
Jun 2018

I also had a gangrenous gall bladder which was removed laparoscopically. Unfortunately some gall stones escaped and blocked my liver bile duct and more procedures were required several weeks later.

Good luck to you.

Tikki

(14,565 posts)
88. 24 yrs. old when I had my gallbladder removed. Non functioning and close to gangrenous.
Sat Jun 2, 2018, 06:04 PM
Jun 2018

and I am a girl. 44 years later...Never a problem.
I certainly have empathy for what you have been through.

You will start feeling better soon.
This kind of surgery and after care and excellent results are
pretty routine now.


Tikki

LeftInTX

(25,824 posts)
90. OMG!! I'm glad my husband had his out 10 years ago!
Sat Jun 2, 2018, 06:47 PM
Jun 2018

But mine is still in!!

Best of luck to you and hope you get well real fast!!
Hope your blood pressure rises quickly!!


My grandmother had gangrene of the brain. (She had a death wish for 3 years after breaking her hip. Gangrene of the brain was about the only thing that could kill her)

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