How long after cholecystectomy can i drink alcohol

Written by Nadia Haris. If you are experiencing serious medical symptoms, seek emergency treatment immediately. Updated January 24, Published November 1, Treatment for Gallstones.

Gallstones: MedlinePlus Medical Encyclopedia. Updated September 11, Ahmed M, Diggory R. Acalculous gallbladder disease: the outcomes of treatment by laparoscopic cholecystectomy.

Ann R Coll Surg Engl. Dig Surg. To examine the individual effects of wine, beer, and liquor, we identified a predominantly consumed alcoholic beverage for each subject, ie, the beverage type of which most portions of alcohol were consumed.

Women who reported an equal consumption of individual alcoholic beverage types were considered separately. The validity and reproducibility of the food-frequency questionnaire were assessed in a random sample of participants who completed 2 questionnaires and four 1-wk diet records and provided a fasting blood sample Starting in , we inquired about the occurrence and the date of cholecystectomy on each biennial questionnaire.

A validation study of the self-reports was conducted in a random sample of 50 nurses who reported a cholecystectomy in Forty-three of the 50 participants responded, and all of them reiterated their earlier report; surgery was confirmed in all of the 36 participants for whom medical records could be obtained 3. We chose cholecystectomy as our primary endpoint mainly because women are more likely to accurately report the occurrence and timing of a surgical procedure than to accurately report the occurrence and timing of untreated gallstones.

In an alternative analysis to address the association between alcohol intake and less severe forms of gallstone disease, we limited our analysis to women who had symptomatic but unremoved gallstones during the —, —, and — follow-up intervals but who did not have a cholecystectomy in the same 2-y time interval. We calculated person-years of follow-up for each participant from the date of return of the questionnaire to the date of cholecystectomy, cancer, last questionnaire return, death, or the end of the study period in , whichever came first.

The women were divided into 6 categories according to the amount of alcohol consumed: 0, 0. We computed incidence rates of cholecystectomy by dividing the number of events by person-years of follow-up in each category.

The relative risk RR was calculated as the incidence rate among subjects in a specific category of alcohol intake divided by the incidence rate among alcohol abstainers, with adjustment for age in 5-y categories. Multivariate RRs were computed by using the Cox proportional hazards regression model The covariates that were selected were those that were previously observed to be associated with gallstone disease in this cohort or that have been consistently found to be associated with risk in the literature.

Tests of linear trend across increasing categories of alcohol intake were conducted by treating the median value in each alcohol-intake category as a single continuous variable. To account for changes in alcohol intake over time, we used the most recent alcohol intake in our primary analyses. In alternative analyses, we analyzed the incidence of cholecystectomy in relation to alcohol intake at baseline and in relation to cumulative average, updated alcohol intake. The cumulative average intake is the mean of the reported intakes from all preceding food-frequency questionnaires We conducted various analyses to address the possibility that underlying symptoms related to cholecystectomy caused a reduction in alcohol consumption, thereby biasing our results by creating spurious associations.

Tests for interaction were performed with the use of Wald tests. All statistical analyses were conducted by using SAS release 8. Compared with the alcohol abstainers, the women who drank alcohol were more likely to receive hormone replacement therapy and to smoke and were less likely to exercise and to consume polyunsaturated fat, all of which would tend to increase gallstone disease risk.

However, the alcohol drinkers had a slightly lower body mass index and a considerably lower intake of carbohydrates and drank more coffee, all of which would tend to decrease risk Table 1. The women maintained fairly constant alcohol intakes throughout follow-up. The correlation coefficients for alcohol intake from one questionnaire to the next ranged from 0.

Baseline characteristics in according to category of alcohol intake in US women who participated in the Nurses' Health Study 1. Age adjusted by direct standardization to the age distribution of the study population. HRT, hormone replacement therapy postmenopausal women only. During 1 person-years of follow-up, we documented cases of cholecystectomy. Established risk factors showed expected relations with gallstone disease, and these results were consistent with those of previous reports from this cohort 3.

The risk of cholecystectomy decreased in a linear fashion with increasing consumption of alcohol Table 2. Because the nondrinker category may have included past heavy drinkers or women who did not drink because of illness, we conducted an additional analysis that excluded women who were current nondrinkers in and who also indicated having substantially decreased their drinking in the past 10 y past heavy drinkers. Relative risks RRs of cholecystectomy — and newly symptomatic unremoved gallstones — according to category of alcohol intake in US women who participated in the Nurses' Health Study.

RR calculated as the Mantel-Haenszel summary rate ratio, with adjustment for age in 5-y categories. The analysis of women with newly symptomatic unremoved gallstones was based on the — follow-up period, so the number of person-years is smaller. The top 2 categories of alcohol intake were combined because of the small number of cases. To further examine the possibility that latent symptoms of gallstone disease may have caused a decrease in alcohol consumption, thereby biasing our results, we excluded all cases of gallstone disease that occurred during the first 8-y follow-up period and related the alcohol intake to the incidence of cholecystectomy from to To evaluate the effect of alcohol on gallstone disease that did not require surgery, we excluded all cases with cholecystectomy and limited the analysis to cases of symptomatic but unremoved gallstones that occurred during the — follow-up period Table 2.

We addressed the effect of alcohol intake in the more distant past by evaluating the association between baseline alcohol intake and the risk of cholecystectomy. The inverse association was evident among the women who had a consistent alcohol intake over time. The average number of days per week in which alcohol was consumed was also inversely related to the risk of cholecystectomy Table 3. We regressed grams of daily alcohol intake on frequency of alcohol intake by using linear regression, thereby creating for each woman a variable representing grams of alcohol intake uncorrelated with frequency of alcohol intake.

Relative risk RR of cholecystectomy according to frequency of alcohol intake in US women who participated in the Nurses' Health Study — 1. The analysis was based on the — follow-up period, so the number of women studied is smaller than that studied during the entire study ie, from to We investigated the effect of drinking patterns on the risk of cholecystectomy by combining the reports for quantity of alcohol consumed with those for frequency of alcohol intake Table 4.

Relative risk RR of cholecystectomy according to alcohol consumption patterns in US women who participated in the Nurses' Health Study — 1. We also examined drinking patterns for specific beverages. Among the women who predominantly drank wine, beer, or liquor, the P values for the main effects of quantity of alcohol consumed were 0. The P values for the main effects of frequency of alcohol intake among the women who predominantly drank wine, beer, or liquor were 0. Relative risk RR of cholecystectomy according to average daily alcohol intake among US women who participated in the Nurses' Health Study — and for whom wine, beer, or liquor was the predominant type of alcoholic beverage consumed 1.

Indicator variables for wine, beer, and liquor consumption were simultaneously entered in the model. The interaction between beverage type and quantity of alcohol consumed was not significant. Defined as the beverage type of which most portions of alcohol were consumed. Three hundred eleven cases who reported equal consumption of individual alcoholic beverage types were included in the model but are not shown.

Relative risk RR of cholecystectomy according to frequency of alcohol intake in US women who participated in the Nurses' Health Study — and for whom wine, beer, or liquor was the predominant type of alcoholic beverage consumed 1.

The interaction between beverage type and frequency of alcohol intake was not significant. In this large prospective cohort study among women, we found that an increase in the amount of alcohol consumed or in the frequency of alcohol consumption was associated with a monotonic decrease in the risk of cholecystectomy. All types of alcoholic beverage were inversely associated with the risk of cholecystectomy, even after patterns of consumption were accounted for.

These associations persisted after control for established or suspected independent risk factors for gallstone disease, such as body mass index, weight change, parity, and other variables. The apparent protective effect of alcohol was particularly striking when we considered symptomatic but unremoved gallstones as an endpoint. This suggests that alcohol consumption is inversely related to the early stages of gallstone formation but is less strongly associated with prevention of cholecystitis once gallstones have developed.

We have no information on whether alcohol protects against clinically asymptomatic gallstones, because the outcomes in our data set were limited to women with cholecystectomy or confirmed gallstones with accompanying symptoms.

Our findings regarding total alcohol intake confirm those of most other reports on this topic, which indicate that alcohol consumption is inversely related to the risk of gallstone disease 3 — Our results regarding the relation of individual types of alcoholic beverage to the risk of cholecystectomy extend the results of our first report from the Nurses' Health Study with cases of symptomatic gallstone disease 3.

In that report, we found RRs of 0. Some investigators 35 have argued that the inverse association between alcohol intake and gallstone disease observed in most studies is an artifact caused by a reduction in alcohol intake among persons with early symptoms related to gallstone disease. We were concerned about the possibility that the observed relation between alcohol intake and the risk of cholecystectomy was caused by alcohol avoidance among the women with preclinical gallstone disease.

In agreement with this possibility, the association between alcohol intake and the risk of cholecystectomy was slightly weakened when we excluded the first 8 y of follow-up. However, this attenuation may have been due to misclassification of alcohol intake because the women may have changed their alcohol intake after our baseline dietary assessment.

Moreover, reverse causation is unlikely to have influenced our results substantially because the inverse associations persisted after we excluded past heavy drinkers, used light alcohol drinkers as the reference group, or excluded women who did not have regular checkups.

These 3 steps allowed us to identify the women who, because of early symptoms of gallstone disease, may have consulted their physician more frequently than did the other women. Measurement error in our assessment of alcohol intake was a potential concern.

However, our method of assessing alcohol intake was shown to have a high degree of validity and to be reproducible in a subset from this cohort Counseling Center Many people find that counseling helps them.

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Anyone who experiences PCS symptoms should also talk to a doctor. PCS requires an interprofessional approach , which may involve investigation by different specialists and consultants to discover the cause and determine the best treatment.

No single diet will work best for everyone who undergoes gallbladder removal. However, doctors generally advise that people avoid fatty foods and foods that can irritate the gut.

Switching to low fat products and lean proteins while slowly introducing high fiber foods can help. Some people may be able to go back to their original diet by gradually reintroducing foods one at a time and monitoring the effects. For others, though, some dietary changes may be permanent. A doctor may recommend gallbladder removal if other treatments do not provide relief from the symptoms of gallstones.

Learn about the procedure and…. A person can survive without their gallbladder if removal is necessary. However, this can cause weight changes in the body. Read more on weight…. Unhealthful dietary choices are one factor that can increase the risk of gallbladder disease. Find out more about foods that can protect the…. The gallbladder is a digestive system organ that stores and releases bile to digest fat. Gallstones can block its connection to the liver, causing…. The gallbladder is a small organ tucked under the liver on the right side of the abdomen.

Though small, it can cause serious problems when cholesterol…. What is the best diet after gallbladder removal?