July 29, 2011

Cholecystectomy

Since am gonna undergo this surgery... am copy pasting this here so I can refer to it from eery now and then. I find the reading very very informative regarding what am going thru....

Gallbladder Attack


SHOULD I HAVE MY GALLBLADDER REMOVED?WHAT ARE THE SIDE EFFECTS OF GALLBLADDER SURGERY?


Over 1/2 million people in America have their gallbladders removed every year. This is called cholecystectomy. Is it necessary? Will your digestion be perfect afterwards? That's what everybody's hoping for, to be pain free, gas free, bloat-free and to be able to eat whatever they like. You have a 60% chance of that happening. Out of every 10 cholecystectomies, 4 people will still have symtpoms.

So read the research and find out what your chances are of that happening before you give your body parts up. And scroll over to the right of this page to read what my readers are saying about their experiences. And if you've had a good experience and are symptom-free 2 and 3 years after surgery, please write and tell us about it. We want to hear from you too.


The most frequently asked question I receive on this website is this: "I have had my gallbladder removed. Why do I still have pain?"


If you think of your problem as a biliary (bile) problem as opposed to a "gallbladder" problem you are more on the right track to understanding how to take care of it. Removing the gallbladder does not always address the problem in the body that is causing these symptoms. In order to break down and digest fats, your body must produce bile, which is done in the liver. Your gallbladder is merely a sac for holding some of the bile that the liver produces. Whether or not you have had your gallbladder removed, your liver is still producing bile in order to digest fats. Without the gallbladder, however, the bile is not as readily secreted in the body, and the liver can become overwhelmed when faced with large amounts of any fats, especially saturated fats and hydrogenated fats. And for some people even small amounts of fats can cause discomfort.

One of the side effects of gallbladder removal can be the dumping of bile which is now not as easily regulated and can send someone running to the bathroom immediately after eating. A more common side effect is a decrease in the secretion of bile. If the bile produced by the liver becomes thick and sluggish, painful symptoms and bile stones can occur. Bile stones can form in the liver as well as the gallbladder. One woman had her gallbladder removed only to end up back in surgery again two or three days later where they found stones in the bile ducts of the liver causing her alot of pain.

However, removing the gallbladder may be an absolute medical necessity. But, unless it is diseased, ruptured or otherwise sick, know that just having cholelithiasis or gallbladder stones does not mean you have to take it out. If you have gallbladder attacks, pain or discomfort or digestive problems but not a diseased gallbladder, this does not mean you necessarily have to have gallbladder surgery. Get a second opinion. You do have an option of cleaning up your diet, doing some work on your gallbladder and liver and keeping the body part that God gave you. If you happen to think that nature made a mistake and that you don't need it anyway, you probably wouldn't be reading this page in the first place.

What's the worst thing that can happen? You try to fix the root of the problem which is based on cleaning up your diet and eating real food and real fats and not the "pretend food" that can sit on a shelf for 6 months to 2 years. What kind of a food takes two years to go bad? Nothing that will give health to your body, that's for sure. And if the gallbladder still needs to come out later, you've only gained by eating better anyway.

The gallbladder does facilitate and regulate the flow of bile in your body. When that facilitator is taken away it is quite possible that the flow will be not as efficient, ie. too much at one time, or more commonly, not enough.

Whether you opt for gallbladder surgery or not, consider taking products and changing your diet as well as doing a series of gallbladder and liver flushes (it does both at the same time) to take care of the root of your gallbladder problem.

The most common problems, apart from actual pain are impaired digestion: bloating, gas, heartburn, constipation or diarrhea. You are/were already having trouble digesting fats. So why would removing the organ that regulates the metabolizer of fats improve your digestion? It 
may help with the pain, but know that 34% of people who have their gallbladder removed still experience some abdominal pain. (4)

The easiest way to avoid this is to take an external supplement of bile salts to help your body with the digestion of fats. And do a series of mini gallbladder flushes. Supplemental bile salts, (unless you are experriencing bile dumping) available separately or in the 
After Gallbladder Removal Kit, should be taken frequently along with the digestive stimulant (also in the kit) to help stimulate your own digestive juices. Alternating the dosage of bile salts will help to mimic the body's way of secreting bile. For example, take one with breakfast, two at lunch, three at dinner, two with breakfast the next day, and so on in rotation.

If you have the less common, but not unusual side effect after gallbladder removal of needing to run to the bathroom immediately after eating, you are probably getting too much bile instead of too little. This, unfortunately is much harder to control. Try the 
Dumping Syndrome Kit. Read more about postcholecystectomy diarrhea towards the bottom of this page.



IS GALLBLADDER SURGERY EFFECTIVE
What is meant by effective? Will you never have another gallbladder attack? I mean, how could you if you have no gallbladder, right? Will you never suffer from indigestion again? Will your gas and bloating disappear? Will the constipation go away? Will diarrhea resolve?

The answer to all of the above is "sometimes". Let's look at gallbladder attacks. Gallstones can also be found in the liver and the bile ducts leading to the gallbladder. The attack is often (but not always) caused by a stone blocking a duct. And yes, this can still happen. As seen by research above, stones are formed partly due to what we eat. If we take the gallbladder out and continue to eat the same lithogenic forming diet that we did before, why should stones not form? They will. You may never know it. You may be asymptomatic for the rest of your life. Or, you may get a stone stuck in a bile duct. This is one of the reasons for the most frequently asked question on this site: "I had my gallbladder removed months (or years) ago. Why do I still have pain?" (See testimonials to the right for examples.) Removing the gallbladder does not always address the problem in the body that is causing these or other symptoms listed above. It has probably taken years for your body to form these stones. Your fat digestion has been impaired for a long time. In order to break down and digest fats, your body must produce bile, which is done in the liver. To address the root of the problem you must look to the liver and to your whole digestive system as a whole. These issues will be addressed in length in my future book. In there you will learn more than you ever wanted to know about your gallbladder.

Another thing to keep in mind is that you could have another gallbladder disease that has not yet been diagnosed. For example, if an ultrasound is done and gallstones found, a cholecystectomy or gallbladder removal will be recommended without doing any further exploration. This is because the most obvious and easily diagnosed cause of gallbladder attacks is gallstones or cholelithiasis. And ultrasound is quick and non-invasive. However, if your gallbladder ejecting bile below 33%-40% which is considered normal range, you would be diagnosed with a low-functioning gallbladder or biliary dyskinesia. This can only be determined with a 
HIDA scan which is an invasive procedure using radioactive dye. Symptoms of biliary dyskinesia are not always resolved with cholecystectomy either for various known and unknown reasons. One reason is that the problem could be with the Sphincter of Oddi rather than the gallbladder itself.



DIET AFTER GALLBLADDER REMOVAL
If you understand the underlying root of your gallbladder disease usually being one of cholestasis or some imbalance in the bile composition itself, you will realize that most people are not out of the woods after surgery and able to eat anything they like. Treat your lack of a gallbladder as you would any gallbladder disease and eat the same way. There is a whole page on gallbladder diet with foods that are good for the gallbladder (think "bile") and liver and foods that are hard on the biliary system. You still have a biliary system. Treat it gently and feed it nourishing foods. Of particular importance is the understanding of good fats and harmful fats. Follow the links on gallbladder diet for more information on both of these.


When should the gallbladder be removed?

Many doctors recommend gallbladder removal if you have had only one attack. Others will do so if you have repeated attacks. Some will do so if you have stones; others will say unless you are having attacks with the stones you can leave it. This is a place to get a second opinion and above all, to educate yourself; read all you can.

If your doctor finds that you have an 
infected gallbladder it will almost certainly have to come out. If it bursts you are in similar danger as with a burst appendix. Infection is then lose in the peritoneal cavity. This is like an explosion of infection from a place of contaiment to the body at large and is difficult to clean up.

If you have a 
motility problem or a problem with gallbladder contraction (see biliary dyskinesia under gallbladder diseases) gallbladder surgery is also recommended. Some doctors do not recommend gallbladder removal for biliary dyskinesia.



Complications of surgery
Apart from complications of surgery such as damage to the common bile duct with laparoscopic surgery (due to lack of visibility) or infection from an incision, one may develop postcholecystectomy syndrome. (See below.)
"During laparoscopic cholecystectomy, gallbladder perforation with leakage of bile and/or gallstones into the abdominal cavity occurs frequently." or 33% according to this study. However, there were no complications of infection or blockages in any of the subjects.(3)


LIST OF POSSIBLE SIDE EFFECTS or LIFE AFTER GALLBLADDER SURGERY


Abdominal pain, nausea, gas, bloating, and diarrhea are common following surgery. Postcholecystectomy syndrome (after gallbladder removal syndrome) may include all of the above symptoms plus indigestion, nausea, vomiting and constant pain in the upper right abdomen. Sound familiar? You're right -- gallbladder attack symptoms. Up to 40% of people who undergo gallbladder surgery will experience these symptoms for months or years after surgery. How is this possible? You no longer have a gallbladder and that was the problem, right? Look to the whole biliary tract. Now that the gallbladder is no longer present to act as a reservoir for bile, the common bile duct may expand as the bile backs up in the bile duct between the sphincter or muscular opening at the small intestine and the liver from which it flows. If it drips constantly into the small intestine this can cause problems of a different kind. However, this syndrome with accompanying pain appears to have the flow of bile obstructed by either a narrowing of the sphincter or a malfunction of the sphincter.(1)"Functional biliary pain in the absence of gallstone disease is a definite entity and a challenge for clinicians." which is to say that at this point in time, they don't really know what to do with gallbladder problems that aren't related to gallstones (2) and "Often, following cholecystectomy, biliary pain does not resolve..." (2) which means after gallbladder surgery you may just be stuck with the pain.So in conclusion, your best bet may be to try and fix what is wrong if that is possible, before taking it out. Sometimes, that is just not possible.

Postcholecystectomy Diarrhea or Bile Dumping Syndrome

The uncomfortable and inconvenient side effect that some people experience following the removal of their gallbladder is that of running to the bathroom immediately or soon after eating. For some it is rather explosive. Whatever its presentation, it is an increased transit time which means that absorption of nutrients is impaired. Not a good situation for your overall health. You may find help from the Dumping Syndrome Kit on this site. It helps to bind the bile salts that accumulate in the intestine along with extra fluid. However, this quote from a British medical journal suggests that perhaps IBS is part of the problem and may have been there, if somewhat less porblematic, before the surgery. If that is the case, try our Dumping Syndrome Kit, by all means. It can be helpful for all sorts of etiologies. But you may also want to read up on IBS and try some products specifically for an irritable bowel condition. I like the products at 
www.diverticulitisinfo.com.

"13-40% of patients have persisting abdominal pain after cholecystectomy although the vast majority regard their operation as a success. Up to 12% of post-cholecystectomy patients when questioned feel that they have diarrhoea as a consequence of their operation, and at least 4-5% of patients have a definite deterioration in their perceived diarrhoea or perceive that they have developed diarrhoea for the first time. Objective assessments postoperatively, however, rarely demonstrate new onset diarrhoea. Some of these patients may have the irritable bowel syndrome."
6


IS THERE SOMETHING I COULD DO FOLLOWING GALLBLADDER REMOVAL THAT WOULD BE HELPFUL
Of course! Always keep following a clean, sensible gallbladder diet that includes good fats, lots of organic fruits and vegetables and lean meats and fish. And for at least 2 or 3 months immediately afterwards, follow the diet religiously and if you haven't done agallbladder starter it, do so now to give your digestion and your fat metabolism a kit start. I also suggest a series of coffee enemasabout a month after surgery (even years after if it's been that long) to flush all the bile ducts including those of the liver. Your biliary tree can benefit from this at any time as can your liver. I suggest one per day, if possible, for 21 days.
Then order the After Gallbladder Removal Kit and stay on it from now on. You will need the assistance in digestion that it offers, especially for digesting fats. That is the ideal. If it is beyond your means to do this, at least use bile salts with every meal.
(1)Torsoli A, Corazziari E, Habib FI, Cicala M. Scand J Gastroenterol Suppl. 1990;175:52-7 Pressure relationships within the human bile tract. Normal and abnormal physiology.

(2) Shaffer E., Dig Liver Dis. 2003 Jul;35 Suppl 3:S20-5

(3) Surgical Endoscopy Publisher: Springer New York ISSN: 0930-2794 (Paper) 1432-2218 (Online) DOI: 10.1007/BF00188454Issue: Volume 9, Number 9 Date: September 1995 Pages: 977 - 980

(4)Bates T; Ebbs SR; Harrison M; A'Hern RP.Influence of cholecystectomy on symptoms.
Br J Surg. 78(8):964-7, 1991 Aug.

(5)E Ros, D Zambon
Postcholecystectomy symptoms. A prospective study of gall stone patients before and two years after surgery. 1987 BMJ Publishing Group Ltd & British Society of Gastroenterolog
y
(6)S Hearing, L Thomas, K Heaton, L Hunt
Post-cholecystectomy diarrhoea: a running commentary Copyright © 1999 BMJ Publishing Group Ltd & British Society of Gastroenterology.

July 27, 2011

La Tahzan....

Kau calarkan maruah dan jiwa ini.
Kau carik-carik nama yg aku bina selama ini.
Kau rampas pintu rezeki alihkan kepada yang lain.

Aku boleh terima itu semua. Aku redha... aku cuba redha seikhlas mungkin.

Kerana KAU BUKAN TUHAN, Bukan Allah, Tuhanku yg SATU. Bukan penentu rezeki ku, bukan penentu Qadha' dan Qadhar ku.



Aku bertanya.... Kenapa aku diuji? 

  Allah berfirman ~ "Apakah manusia itu mengira bahawa mereka dibiarkan saja berkata, "Kami telah beriman, sedangkan mereka tidak diuji,"? Dan sesungguhnya Kami telah menguji orang-orang yang sebelum mereka, maka sesungguhnya Allah mengetahui orang-orang yang benar dan sesungguhnya Dia mengetahui orang-orang yang dusta." ~ Surah Al-Ankabut, ayat 2-3 

July 15, 2011

La Tahzan, ya Iza Zuhana hj Zulkifle.


Jangan Bersedih
Cinta Rasulullah Menjamin Kebahagiaan
Jangan Bersedih
Redha Dengan Anugerah Allah Membuat
Anda Terkaya di Dunia
Jangan Bersedih
Allah Maha Pengampun lagi Maha Penerima
Taubat serta Rahmatnya Maha Luas
Jangan Bersedih
Semata-mata Kerana Anda Berbeza dengan orang lain
Jangan Bersedih
Bila Disakiti, Dicela, Direndahkan @ Dizalimi
Jangan Bersedih
Sesungguhnya Setelah Kesusahan Akan Ada Kemudahan
Jangan Bersedih
Kerana Kesedihan Anda akan Membuat Musuh Anda Gembira
Jangan Bersedih
Atas Perilaku Manusia Terhadapmu Tetapi Perhatikanlah Perilaku Mereka Terhadap Allah
Jangan Bersedih
Allah Tidak kan Mensiakan Pengorbananmu
Jangan Bersedih
Dunia ini Terlalu Hina Untuk Ditangisi


sahabat2 kesayangan,

Allah memujuk dan menjawab setiap persoalan kita dengan ayat2 Kalamullah yang indah...

 Kita bertanya : Kenapa aku diuji?

 Al-Quran menjawab :
"Apakah manusia itu mengira bahawa mereka dibiarkan saja berkata, "Kami telah beriman, sedangkan mereka tidak diuji,"? Dan sesungguhnya Kami telah menguji orang-orang yang sebelum mereka, maka sesungguhnya Allah mengetahui orang-orang yang benar dan sesungguhnya Dia mengetahui orang-orang yang dusta."
Surah Al-Ankabut, ayat 2-3

✿ Kita bertanya : Kenapa aku tak dapat apa yang aku idam-idamkan?

♥ Al-Quran menjawab : 

"Boleh jadi kamu membenci sesuatu, padahal ia amat baik bagimu, dan boleh jadi pula kamu menyukai sesuatu, padahal ia amat buruk bagimu, Allah mengetahui sedang kamu tidak mengetahui,"
Surah Al-Baqarah, ayat 216


✿ Kita bertanya : Kenapa ujian seberat ini?

♥ Al-Quran menjawab :

"Allah tidak membebani seseorang itu melainkan sesuai dengan kesanggupannya."
Surah Al-Baqarah, ayat 286


 Kita bertanya : Kenapa rasa kecewa?

 Al-Quran menjawab :

"Janganlah kamu bersifat lemah, dan janganlah pula kamu bersedih hati, padahal kamulah orang-orang yang paling tinggi darjatnya, jika kamu orang-orang yang beriman."
Surah Al-Imran, ayat 139


✿ Kita bertanya : Apa yang harus aku lakukan?

 Al-Quran menjawab :

"Wahai orang-orang yang beriman! Bersabarlah kamu (menghadapi segala kesukaran dalam mengerjakan perkara-perkara kebaikan), dan kuatkanlah kesabaran kamu lebih daripada kesabaran musuh (di medan perjuangan), dan bersedialah (dengan kekuatan pertahanan di daerah-daerah sempadan) serta bertaqwalah kamu kepada Allah, supaya kamu berjaya (mencapai kemenangan)."
Surah Ali-Imran, ayat 200

✿ Kita bertanya : Bagaimanakah harus aku menghadapinya?

♥ Al-Quran menjawab :
"Dan mintalah pertolongan (kepada Allah) dengan jalan sabar dan mengerjakan sembahyang; dan sesungguhnya sembahyang itu amatlah berat, kecuali kepada orang-orang yang khusyuk."
Surah Al-Baqarah, ayat 45

✿ Kita bertanya : Kepada siapa aku berharap?

♥ Al-Quran menjawab :

"Cukuplah Allah bagiku, tidak ada Tuhan selain daripadaNya. Hanya kepadaNya aku bertawakal."
Surah At-Taubah, ayat 129

✿ Kita bertanya : Kenapa aku tidak dapat bertahan?

 Al-Quran menjawab :
"...Dan janganlah kamu berputus asa dari rahmat Allah. Sesungguhnya tidak berputus asa dari rahmat Allah melainkan kaum yang kafir."
Surah Yusuf, ayat 12

✿ Kita bertanya : Apa yang aku dapat daripada semua ini?

 Al-Quran menjawab :

"Sesungguhnya Allah telah membeli dari orang-orang mukmin, diri, harta mereka dengan memberikan syurga kepada mereka.."
Surah At-Taubah, ayat 111


~Esok Akan Merekah Bunga Yang HArum Baunya Mengusir Segala Kesedihan Dan Menjadi Penghibur Hati..~

January 22, 2011

Bila Dugaan Datang Bertimpa-timpa

I've just been discharged [yes, again] from HPJ. The admission night began with 2 nebs and 100mg Hydrocort failed to clear my lungs. They wanted to admit me there, but since I have a Psychiatry case follow up in HPJ, Hubby decided I should go to HPJ.

Eventhough we have a refer letter from Az Zahrah, the ED people in HPJ still wanted to try to clear my lungs before admission. Nebs after nebs were given even topped up another 100mg of Hydrocort, still the wheezing and bronchial noise is there. A total of 4 nebs in HPJ, making it 6 nebs altogether, made my hand tremoring like crazy, nak sms pun susah. Phone kept on slipping away from my trembling hands. Xray conducted, ABG taken [I HATE ABGs!!!!] to count my artery oxygen level, and that's it, they had to admit me into the same ward I was in 2 months ago...

First night ~ 3 hourly on neb and Hydrocort. Cemana nak tido gaknya? Ha... u guessed. I didn't. Kejap lagi datang nak buat ABG lagi. Kejap lagi ketip ketip ujung jari nak amik sugar level. Kejap lagi datang nak tgk BP. Tu jelah, sampai malam esoknya lungs tak clear clear. Tapi they reduced it to 8 hourly by tengahari tu... Masalahnya Hydrocort + food made my blood sugar level went so high it reached 20.3! Malam tu... they had to inject me with insulin. Be it remembered in history of my life, I've been injected by insulin 21st January 2011. I'm still young God... why... God why.... :o((

I was discharged yesterday after spending to sleepless and restless nights in ward 4x HPJ. ABGs were taken so frequently that my hands are full of painful bruises that I look like budak kena dera. My body is still feeling very tired and I'm still urinating quite frequently.

I really dont know how to react. If u see my face now, U cant tell how I actually feel. I am very very very devastated, but I forget how to show it anymore... With all that has been going on, with the rehab that teaches me to ignore things and letting things be, with my psychiatry docs telling me everything will be alright as long as I stay positive... I dont know how to react to all this!!

January 12, 2011

Happy Birthday Darling!

I can't sleep last night.

As how I can't sleep 4 years ago, restless thinking of my newborn baby, who had been taken to NICU. I only had a chance to take a glance at her before they took her away, emergency-ly [is that even a word?]

I've been telling this story over and over again. That's how important the event was in my life. It's my darling Khayra's birthday... today she is 4, strong and healthy, witty and cheeky. Alhamdulillah! God's power has made her that way, eventhough 4 years ago she was struggling for dear life, with no blanket and clothing covering her under that flouresccent UV lamp, so tiny, so weak...

I've bought her a small cake for her to celebrate with her friends in Tadika Alif Ceria, but I've also bought her 25 pcs of cupcakes for her to celebrate with us family tonight. I dont mind spending for her. Abah kept saying I'm spoiling her. How can't I? She's my precious!

Selamat Hari Lahir Khayra Qaszryna Azamzairi.... Omie loves you so much!

December 25, 2010

Sunset at the beach became reality today...

Its happy christmas for some...

But I just had one of the most blissful day.. Hubby made sure I caught that sunset @ PD with our Lumix GF1 today. Kyra had her first mandi laut and Jazzy learnt how to fly a kite! It was almost a perfect day without anyone went berserk or anything like that

Alhamdulillah. Thank U Allah, Thank U Babah & Thank U Mama for d tips of what to expect. Itsa very merry day after all! wait up for pix!