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Morning diarrhoea
I have morning diarrhoea from last 2 yrs .after my cholecystectomy..my first stool in the morning is semisolid and after dat 2 - 3 loose stools ...my endoscopy and blood investigation are normal .stool culture and RE/ ME is normal .. what to do
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Your symptoms of morning loose stools after cholecystectomy are a well-recognized condition known as Post-cholecystectomy Diarrhoea.
Why does this happen?
• After gallbladder removal, bile flows continuously into the intestine rather than being stored and released in a controlled manner.
• This excess bile in the colon can irritate the lining, leading to bile acid–induced diarrhoea, especially in the morning.
• Your normal endoscopy, blood tests, and stool reports are reassuring and rule out infection or other major diseases.
Next Steps
What can be done?
1. Dietary modification:
• Avoid very fatty, oily, or spicy food.
• Take small, frequent meals.
• Add soluble fibre (psyllium husk/Isabgol, oats) which binds bile acids.
2. Medications (as needed):
• Bile acid binders like Cholestyramine help neutralize bile acids and reduce diarrhoea.
• Loperamide can be used occasionally if urgency is severe.
• Probiotics may help improve gut balance.
3. Lifestyle:
• Maintain hydration.
• Regular exercise and stress reduction (since IBS-like features can overlap).
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.