Which we are happy to be, since you've been trusting us with such personal matters.
Honestly, once the gall bladder is gone and you recover (won't lie; it's painful), it'll take a bit of adjusting your diet (again), but that pain-so-bad-i-want-to-die-NOW will be gone.
It's been unending since September, and that's even with reducing my daily fat intake to below 20 g per day (this made me realize just how much fat is in normal things; a single slice of cheese is often over 10 g of fat by itself). Digestive enzymes help with the gastrointestinal issues, but not with the pain. The threshold for a low-fat diet is 40 g, so I'm at half that. If I really go nuclear on it, I can maaaaaybe get that down to 10 g per day, but I'd find that really difficult to maintain and so I haven't bothered trying. Somewhat paradoxically, my hepatologist wants me to reduce carbs to reverse the minor fatty liver I got from my issues two years ago, but there is essentially no way I can do that while also maintaining the low fat. I've thus far opted for just the low fat, carbs be damned.
I am admittedly kind of worried that the gallbladder removal won't fix the problem. According to the ultrasound, I have only minor stones and minor amounts of sludge, neither of which significant enough to cause real problems. There was also no pinching of the duct. The bloodwork shows that no bile is damaging the pancreas nor is it backing up to the liver and damaging that. Logic really dictates that something needs to be getting obstructed and damaged, but somehow there isn't. It's just the pain and the inability to eat fat. There is no/insufficient bile getting from the liver to the intestine, yet there's no blockage in the gallbladder, and the liver is not having deficient bile production. Where is the bile going? It is kind of maddening.
I suspect that is why the case was referred to the head of... hepatobiliary surgery? That sounds right. They told me he will probably want to redo the bloodwork, then do a CT scan and HIDA scan. That sounds all well and good, but with the delays, I would prefer to have those procedures referred now... The waits for both are probably months long. The ultrasound last year took over a month to get. Neither doctor wanted to do that, though, because "the surgeon will probably just redo those tests anyway."
I've been looking up patient stories of gallbladder removal post-op. It seems evenly split between "I can't have any fat whatsoever or I immediately end up in the washroom" and "I went back to eating like a pig and I'm fine." I have had, shall we say, issues in that general department for my entire life, so I'm certainly used to the first testimony, but that would mean it'd become
even worse, and I'm not sure I'd like dealing with that. I already rely on Pepto-Bismol far too much to make daily life tolerable. That being said, this pain is infuriating, and I think I'm just not able to recognize how bad it really is. It's equally possible that I'll finally get the surgery and suddenly feel immense relief from an intensity of pain I wasn't capable of noticing accurately.
I have been told by women that gallbladder issues hurt worse than pregnancy* (that is, giving birth), but I kind of doubt it. I mean, maybe it's true. I wouldn't know. But my perception of this hasn't ranked as "worst pain" for me. The biggest trigger is just that I can't escape it and it's this eternal throbbing, but that also makes me consider the chance I've dissociated from it somewhat. September is over six months ago, so that's a while. It's difficult to judge.