I have two friends I was speaking with recently that have both had their gallbladder removed. Neither friend was informed by their healthcare professional that their body might not be able to digest fats as well as it used to and that their diet may need to be modified to compensate for this change.
Put simply, the liver produces about a liter of bile each day (yes, the gross, smelly yellowish stuff you throw up when you have food poisoning after your stomach feels completely empty). Through ducts, it’s secreted downward from the liver into the gallbladder which can store up to roughly a half a cup of bile at a time. This bile just sits there ready for a message from the small intestine (via a fancy hormone called CKK or cholecystokinin) saying that it has food in it that contains fat. The small intestine (specifically the upper part called the duodenum) is looking for a little help in dissolving that fat. Your rockstar gallbladder goes into a kind of muscle spasm and squeezes the bile through ducts and into the small intestine where it helps to emulsify the fat. Because the liver can still get bile to the duodenum without the presence of a gallbladder; the gallbladder is not considered (by some) to be a critical organ…hence the common practice of gallbladder removal. This is a simplified description which I derived from an article by Dr. Dixie Mills on womentowomen.com.
On Medicinenet.com, Dr. Marks says, “When the gallbladder is removed, bile made by the liver can no longer be stored between meals. Instead, the bile flows directly into the intestine anytime the liver produces it. Thus, there still is bile in the intestine to mix with food and fat. It is true that there is not as much bile, but there is enough to allow the digestion and transfer of fat.”
Even so, if I can avoid gallbladder complications, I think I’ll keep mine because in researching this topic, I’ve discovered that many people that have had their gallbladders removed experienced weight gain. It seems possible (and to me, very likely) that bypassing the gallbladder in the process mentioned above could be one likely culprit. So the question is, how can we help our bodies digest fat more efficiently? Things I do to help my body digest fat as efficiently as possible are including prebiotics, probiotics, and plenty of fiber in my diet. I also drink a ton of water which I also think aids in good digestion. Here’s a quickie explanation of those terms…
Prebiotics: According to Realage.com, “prebiotics prompt the growth of healthy, keep-you-regular probiotic bacteria.” They list these “Gut-friendly Foods” as Bananas, berries, asparagus, garlic, wheat, oatmeal, barley, flaxseed, tomatoes, Jerusalem artichokes, onions, chicory, greens, and legumes,” which, “all contain prebiotic carbohydrates — nondigestible fiber that sets the stage for beneficial probiotic bacteria.”
Probiotics: Realage.com says probiotics are, “something you definitely want, because probiotics do everything from protecting your bowels from toxins and infections to helping things move on through.” Think organic nonfat or lowfat plain yogurt with live cultures, or fermented milk, tempeh, miso, and even some juices. I’m a yogurt gal myself, preferably with blueberries and a few nuts sprinkled on top.
High Fiber Foods: Realage.com recommends aiming for 25 grams per day. To put that in perspective – one cup of cooked black beans has approximately 16 grams while a cup of raspberries has a little over 8 grams…Check out this handy chart to see how the numbers on fiber break down…get it “break down?” I love food puns!
Not surprisingly, a balanced diet consisting of those items as well as healthy fats (like nuts, seeds, olives), plant-based foods including whole grains and fruits and vegetables, and limiting packaged and processed foods is a terrific way to prevent gallbladder disease.
If you have the patience and want a more detailed and far more academic explanation of life after gallbladder removal, I encourage you to read a post on Studyhealth.net titled, “What your doctor forgot to tell you about gallbladder removal.” Here’s an excerpt, “Once the gallbladder is gone, there’s nowhere for that bile to collect. Instead of that, fat from pommes frites (not to mention bigger sins) cannot be modulated as it was before when person still had a gallbladder. And without bile (its function was to break down the fat), the small intestine can become flooded with water. This happens because the fat draws water from surrounding regions of the body. This can be combined with activities of intestinal bacteria, which can cause bloating, bad restroom experiences, and stomachaches.” Yikes.
Just something to think about…obviously your healthcare provider is the best place to get accurate information about what will make you optimally healthy. I believe good digestion is a critical component to weight loss and maintaining your ideal healthy body weight so I hope you get the help you need if you’re experiencing weight gain after gallbladder removal surgery or even if your gallbladder is intact like mine!