Q. I have biloma, stomach pain and hard stools post gallbladder removal. Is this due to bile leakage?

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 16, 2020 and last reviewed on: Sep 12, 2020

Hello doctor,

Before two months, I had my gallbladder removed. Two months after, I had a 9 mm stone lodged. However, this did not resolve the issue. One week ago, they found a biloma however, my surgeon does not think it is a issue though I am experiencing stomach pain and lake stools. His conclusion is post op complications. I do not believe this and he refuses to do a Hida test to check for a bile leak. Please help.



Welcome to

Well, your surgeon seems to be doing the right things. There are several other reasons to think the alternative diagnosis like peptic ulcer disease, biliary reflux, post cholecystectomy pain, or functional abdominal pain. The factors which predispose you to develop above things and not the biliary leak are your weight, anxiety, recent admission into hospital due to surgery, and follow up admission after MRCP (magnetic resonance cholangiopancreatography), use of painkillers and antibiotics (maybe on your last admission), and all over the background of normal follow up MRCP which you have recently.

It is common to have pain after cholecystectomy, and there are various reasons behind it namely, the bile pool in the small duodenum with excessive gas and bloating after meals and some bile reflux in the stomach causing biliary gastritis. The surgical clips in fact can cause some pain and some spasm of the remaining bile ducts.

If you could further elaborate to me the following findings, I may be able to tell the exact reason of your pain out of above possibilities. Like exact location of the pain? Does it go to back, over the right lower chest? When does this pain come? After meals? If so, how long after meals? Whether it comes within seconds, or minutes or half an hour after? Is this a spasm? Or piercing needle type of pain? Have you noticed acidity or reflux nowadays?And any change in bowel habits? Have you used Tylenol and opioid analgesics? How frequently? And did they improve your pain? Let me know the above, and I can provide you guidance regarding its management.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I had two gummy vitamins a day before gallbladder surgery. Please help.

Hello doctor,I have gallbladder surgery tomorrow morning and I told the nurse that pre-op I took a multivitamin with my girl ... Thank you doctor,Roughly, what are the statistics for gallbladder ...   Read full

Why am I having hard stools with ulcer inside my anus?

.. pain when you use the toilet, and always hard. You need to take enough water, fruits and vegetables in your diet to soften your stool. You need a lot of fibres in your diet. For the ulcer like symptom as if there is a wound in your anus, that ma...   Read full

Dr.Jashan Kan

MRCPsych UK   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»
Osteoporosis: an Important Public Health Problem
Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.