Hernia formation is multifactorial. Genetics; collagen deficiency; heavy and repetitive lifting; previous hernia repair (same side or another location); straining ( coughing - smokers cough); constipation; and urinary obstruction.
It's best to have the hernia assessed by a surgeon. There are a multitude of factors in deciding to repair a hernia surgically. Generally if you are medically “fit” a hernia repair can be considered.
Yes. Usually an ultrasound may help with the diagnosis but this still needs to be evaluated carefully with specialist review.
There are a number of ways to treat this but the most common method is an ERCP (endoscopic retrograde cholangio - pancreatogrpqahy) - see link under procedures for further information.
This is called the post cholecystectomy syndrome. The issue is what was the original cause of your pain; as removing the gallbladder has not helped. There are a number of other diagnoses to consider but its important to exclude CBD stones as this is easily treatable.
Small stones - these are more likely to migrate into the common bile duct
Short answer - no ; long answer - yes. Some patients later in life can develop poor biliary drainage and develop primary bile duct stones (muddy stones/sludge). We also see patients with CBD stones (bile duct stones) that may have been present since the gallbladder surgery but did not get detected/treated.
Yes - see answer to previous question regarding eating normally. The diarrhoea can be “bad “ enough that medication maybe required to reduce the diarrhoea for some time (e.g. cholestyramine)
Yes. There are patients who will realise certain foods do not “agree” with them e.g.. dairy/fatty foods etc. Some patients with irritable bowel syndrome may develop further gastrointestinal symptoms including bloating/diarrhoea and abdominal discomfort.
There is a strong genetic disposition towards gallstone disease. If a first degree relative has had symptomatic gallstones and required surgery; then chances are you will too.
