Gallbladder pain after surgery but on the left side of my belly button. Can mostly eat a normal diet but had bad stabbing pains in gallbladder area after eating fish and chips. Swap animal fats, fried foods, and oily packaged snacks for olive oil and other healthy fats. I seem to be recovering from surgery well and then I'll laugh or cough and it starts up again. This increased contraction could cause pain. Had no appetite, not only to keep the gallbladder pain down, but just wasn't hungry. Its job is to store and release bile, a substance made by the liver to help you digest fats. These include bile leakage, blood clots, and potential digestive changes. Our website services, content, and products are for informational purposes only. I'm still pre-op for WLS, but I have a question about gallbladder removal. “Postcholecystectomy syndrome (PCS) is a complex of heterogeneous symptoms including persistent abdominal pain and dyspepsia that recur and persist after cholecystectomy,” says Akram Alashari, MD, a trauma surgeon at Geisinger Medical Center in PA, and author of “THE … Your doctor may prescribe a liquid or bland diet for the first few days. This doesn’t typically last long, but some patients do develop longer-term side effects, usually caused by bile leaking into other organs or gallstones that were left behind in the bile ducts. Eat magnesium-rich foods, including dark chocolate, spinach, nuts, seeds, and beans to improve gallbladder health. Five Months Post-Op (lap cholecystectomy) and STILL In Pain! Urinary Tract Infection: Causes, Symptoms, And Treatment, Dangerously Low Sodium Levels Common After Surgery For Broken Hips, After Liposuction, the Fat will Return and Redistribute in the Upper Abdomen, Shoulders and Triceps, High BMI At Puberty Increases Risk Of Death Due To Cardiovascular Disease Later In Life. If you have keyhole, or laparoscopic, surgery, you may be able to go home the same day. To increase the chances of success, your doctor may suggest that you remain in the hospital for three to five days if you have open surgery. The medications you were given during surgery may also cause indigestion. I had my gb removed two weeks ago--I also have a pulling strained feeling to the left of my naval-any type of muscle movement of the abdomen it feels like I lifted 500 lbs. Drink water throughout the day. What Is Burning Mouth Syndrome, And How Can You Find Relief? After my gallbladder was out I felt like a million dollars. Of course my understanding of time is off a … Quick post as on phone and takes ages to type. attacks; severe pain; nausea; vomiting; mild discomfort; gas and bloating, distension; burping, belching; feelings of fullness; heartburn, new or worse; acid and bile reflux; Barrett's esophagus; constipation; diarrhea; dumping syndrome; weight gain . Fortunately, you can live a healthy life without your gallbladder, and the surgery to remove it is relatively simple. ... for the last month have had feeling of fullness in stomach all the time. Are There Natural Ways to Treat Gallstones? Had gallbladder removed 8 months ago. Learn these top tips for recovering from gallbladder surgery. Speak to a doctor or nutritionist about taking one or more of these supplements if you have gallstones or a blocked bile duct. Although removal of a diseased gallbladder usually reduces constipation, surgery and anesthesia used during the procedure can lead to short-term constipation. © 2005-2021 Healthline Media a Red Ventures Company. Symptoms After Gallbladder Removal. Here are nine natural treatments you might want to try to get rid of them. If that is your favorite position, give it a shot. Limit or avoid sugar. If you buy through links on this page, we may earn a small commission. Like any surgery, gallbladder removal comes with a risk of certain complications. Scar tissue pain can occur years after an injury or surgery. After Gallbladder Surgery I Say Goodbye And Good Riddance. This leads to: If symptoms become too uncomfortable or interfere with your health, doctors may suggest either open or laparoscopic gallbladder removal. When you initially wake up from surgery, you may feel a variety of symptoms from the pain and the anesthesia. It can be done laparoscopically or with a more invasive surgery with a bigger incision. It is FREE! Reaching and maintaining a healthy weight can reduce pain and complications from gallbladder disease by reducing the cholesterol and inflammation that can cause gallstones. Bile salt supplementation can help decrease nausea after gallbladder surgery, according to GallbladderAttack.com 2. This is particularly helpful if the patient consumes a large or high-fat meal. Patients often question why they are so tired after surgery. Then, if surgery was successful, you may begin to feel more sensation as inflammation and swelling from your procedure improve. Can I Sleep on My Side After Gallbladder Surgery? newly86486 Indigestion can cause diarrhea or flatulence, often made worse by excess fat or too little fiber in the diet. Gallbladder Surgery, pain when breathing deep, stomach burning after gallbladder surgery, post op pain 4 weeks after gall bladder surgery, Pain After Removal of Gallbladder In Scar Region, pain under rib area after gallbladder surgery, Comments and reviews on article "Convalescence and recovery after gallbladder surgery". Pain In Your Lower Tummy: UTI Or Could It Be Something Else? In general, it’s best to avoid fatty, greasy, processed, and sugary foods. Fiber is essential for good digestion after surgery, but limit your initial intake of the following: Although it’s normal to have some side effects after surgery, if you notice any of the following, contact a doctor right away: Gallbladder removal is a last resort. Some people become constipated from the pain medications they take after gallbladder surgery. and have a bad strain there--my skin is also sensitive to touch and it does hurt when I go to lay down from an upright position as well as lying down from an upright position--I had a blood test to make sure … I had these symptoms briefly just before the surgery also but not near as bad. However, there’s still some chance that you might experience side effects after gallbladder removal. We’ve rounded up the most up-to-date stats and figures surrounding diabetes, its prevention, causes, and risk factors. If there are no complications, your recovery from gallbladder surgery should go smoothly. The fact that you are feeling sluggish means that you should avoid any tiring activities. After gallbladder removal surgery, a doctor may recommend either a liquid diet or a bland diet for the first day or several days. I normally run a subnormal temperature and during that time I ran 98.6, which is high for me but the Drs. Here’s our process. So I had laprascopic gallbladder surgery a week ago. The gallbladder is situated right underneath the liver. I'm guessing this is about where the gallbladder … Burning sensation in the right arm and... Hemorrhoid Surgery - Still itching, cactus-like burning / tingling, Post-op Concern And Precautions For Diabetes Patients Who Are Undergoing Surgery. Also tried drinking alcohol 4 mths after surgery and less than 1 drink projectile vommiting.again tried after 1 year and same result… I take ppi twice a day but otherwise healthy 110 lbs no medical issues. Your medical team will teach you how to clean your wounds and watch for infection. A predominant complaint after gallbladder surgery is abdominal pain. Both conditions cause severe upper right abdominal pain after gallbladder removal which can spread and move as far as your shoulder. If you had a laparoscopic gallbladder surgery, you may also feel some pain in your abdomen or shoulder. However, the tired feeling after surgery is the usual situation for most patients and there are some reasons for this outcome. Do You Need Surgery If You Have Recurrent UTIs? Fortunately, for most patients the recovery from this type of surgery is fairly simple. Knowing how to identify and reduce symptoms, side effects, and complications before and after surgery may make for an easier experience. After all, even though it is performed using a minimally-invasive technique, it is still a medical surgery. The gallbladder is a small pouch-like organ on the right side of your abdomen. If your doctor doesn’t feel that surgery is urgent, you may want to try lifestyle changes first. If the remedy doesn’t work, then either it wasn’t the right remedy for your gallbladder/liver problem or you have a different problem. Felt puny and pooped. After gallbladder surgery the body no longer has a reservoir of bile that can be used when food is eaten. When we say lifelong, we mean a pain after gallbladder removal that lasts years later after the actual surgery. One 2002 study with 12 healthy participants showed 50 percent contraction of the gallbladder due to curcumin. over a year ago. Apple cider vinegar and turmeric both have been shown to reduce inflammation. I am 18 days post surgery and I'm still having issues with burning and pulling/tugging feeling in my upper abdomen. Can still feel it pulling inside sometimes when I lift DS and when I lie on my side in bed. Gallbladder Attacks After Removal. Bile acids also come in prescription strength. What causes abdominal pain after gallbladder surgery? Ask doctors free. burning and pulling in abdomen after gallbladder surgery . Don’t shower until you get the green light from your doctor. The most frequent forms of gallbladder disease arise from having too much cholesterol or bilirubin, a liver pigment, in your bile. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Identifying Gallbladder Problems and Their Symptoms, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, About the Dexcom G6 Continuous Glucose Monitor, pain that doesn’t get better with time, new abdominal pain, or pain that gets worse, yellowing of your skin or the whites of your eyes, no bowel movement or passing of gas for more than three days after surgery, diarrhea that continues for three or more days following surgery. It may take your body time to adjust to its new method of digesting fat. Had gallbladder out in January, having like pulling and pressure feeling on right side and back pain.? I was discharged no more than 4 hours after surgery. I’ve suffered with (mainly bloating and constipation) digestion problems for years and worried about it becoming worse after surgery … I had drastically cut back on the ibuprofen and had restarted taking my ADHD medicine, Vyvanse (50mg capsule), which I had stopped taking the day before surgery. There’s no standard diet that people should follow after gallbladder removal surgery. Had gallbladder removed by keyhole surgery end of March. I hadn't eaten in weeks, but a few hours after my surgery, i … I noticed some mid/lower right abdominal pains and decided to take an afternoon ibuprofen 800. After many painful cat-scans an heightus-scans, i got my gallbladder removed. Any surgery has potential complications, including incision bleeding, movement of surgical materials to other parts of the body, pain, or infection — with or without a fever. I am 18 days post surgery and I'm still having issues with burning and pulling/tugging feeling in my upper abdomen. A diet lower in fat and higher in fiber, and full of fruits and vegetables, can also improve gallbladder health. Gallbladder removal is a fairly common procedure, but it’s always possible that you may experience some side effects. Things were looking fine until the day after Heather left, which was a Friday. Gallbladder, Liver, Pancreas & Spleen Issues, Symptoms and signs of gallbladder disease, Cholecystectomy - Laparoscopic Surgery for Gallbladder Removal. Here's what…. Help Is Available! Gallbladder…, The gallbladder is a sensitive organ, and maintaining a diet full of nutrient-dense foods helps keep it healthy. didn't think anything of it. Common Causes Of Pain And Soreness In The Abdomen, Possible Problems After Wisdom Tooth Removal, What To Expect When You Have Your Gallbladder Taken Out. Aching around the incision site or abdominal discomfort from the gas used to inflate the belly is normal. Did your Gallbladder Surgery relieve your symptoms? When I had gallbladder problems, I took Standard Process A-F Betafood, which stopped my gallbladder pains in 2 days, negating the need for surgery. A stone that remains in a bile duct after gallbladder removal surgery can cause severe pain, or jaundice, which is the yellowing of the skin. A stone that remains in a bile duct after gallbladder removal surgery can cause severe pain, or jaundice, which is the yellowing of the … How could anyone … Any suggestions welcome plz Pain In The Rear: Truth Behind The Saying. It is responsible for fat absorption and digestion of the ingested food. Tags: feeling better after gallbladder surgery gallbladder pain gallbladder removed gallbladder surgery gallbladder symptoms gallstone symptoms health and wellness health over 40 life without a gallbladder wellness over 40 will it hurt to have my gallbladder removed. chronic inflammation caused by gallstones, movement of surgical materials to other parts of the body. Patients with pain years after gallbladder removal should be assessed as shown for extrabiliary as well as biliary causes. It’s also a good idea to eat simple fruits and vegetables while limiting highly salty, sweet, spicy, or fatty foods. Is Stress Incontinence Making You Stressed? What Do Throat Problems With A Gag Reflex Mean? Took 6 weeks to feel remotely normal. Healthline Media does not provide medical advice, diagnosis, or treatment. The cause of the pain is either due to the sphincter of Oddi dysfunction or due to post-surgical adhesions. Either way, try not to physically strain yourself for at least two weeks. Heartache: Gallbladder surgery notwithstanding, 2020 was a rough year for the Golden Hour hitmaker. Magnesium deficiency can increase your risk of developing gallstones. I have a feeling of tightness or feeling of something there in my right upper abdomen, on the right side and into the back area.. Regular exercise can help your body reduce cholesterol and prevent gallstones from forming. A person … Complications following the surgery include pain in the shoulder, chest and belly, injury, inflammation, bleeding, infection, loss of appetite, nausea and sometimes, diarrhea. Some people can sleep on their side following gallbladder surgery. It's often necessary due to problems with gallstones or abnormal function of the gallbladder 1. If you mix them with warm water you can enjoy them as a tea-like drink and may experience relief of your gallbladder symptoms. However, it is observed that in spite of the pain after gallbladder surgery, patients usually regain their normal condition within 2-3 weeks. For the first several weeks after surgery there can... "should i be concerned if i have hardness under belly button incision post gallbladder surgery?" So, back story: gallstones with gallbladder attacks for 9 months, finally got it removed on the 15th (1 1/2 days ago) within 10 minutes after waking up, I was sitting up, and maybe an hour after, I had begun eating, 2 graham crackers and 4 saltines with water. If you want to get notified by every reply to your post, please register. There are several causes of pain in the right side following gallbladder surgery. She saw sludge in my gallbladder. Thanks for sharing your story with this – I’m due to have my gallbladder out but concerned about long term digestion issues. I also seem swollen in that area too. Answered by Dr. Scott Schneider: When was surgery? I had my gallbladder removed in March 06. Bile helps the digestive process by breaking down fat from food passed into your intestine. Gallstones can cause significant pain. Hate feeling like this. However, if you have gallstones, be careful how much turmeric you ingest. Some people find the menthol in peppermint tea to be soothing as well. It’s possible you’ll experience digestive side effects when your gallbladder is removed. Learn the signs and symptoms of gallbladder problems here. Some studies have shown the benefits of turmeric on gallstone formation. I also seem swollen in that area too. Some pain is normal following any surgery, but if it continues beyond a few days or gets worse instead of better, speak to your doctor. A gallbladder cleanse usually refers to avoiding food for up to 12 hours, then drinking a liquid recipe like the following: 4 tablespoons of olive oil with 1 tablespoon of lemon juice every 15 minutes for two hours. I have healed up externally OK, but have pretty bad pain where my gallbladder was. In addition to magnesium, choline plays a role in gallbladder health. Last medically reviewed on February 22, 2019. Bile leakage can mean having an insufficient amount of bile in the intestines to digest fat, which loosens stool. If a…, The gallbladder is an organ that stores bile. A complete blockage can cause an infection. I seem to be recovering from surgery well and then I'll laugh or cough and it starts up again. Have been to two different doctors, the 2nd has done cat scan with contrast and xrays and blood work and everything has checked out okay, I … For the past 2 or 3 months, I've been having really odd feelings under my right breast. Having same problem! Gallbladder surgery, called cholecystectomy, is a procedure that removes the gallbladder. However, there are numerous treatment options that may reduce scar tissue pain. After gallbladder removal surgery, it’s normal to experience bruising or redness around your incisions, a sore throat from the breathing tube, nausea, or vomiting. Dehydration can make the constipation worse. Get the facts on…, A gallbladder cleanse (or “liver flush”) is a specialized diet designed to keep a person from getting gallstones or to treat existing gallstones. Pain from Scar Tissue Whether a laparoscopic cholecystectomy or open surgery was employed in taking out the gallbladder, scar tissue pain is inevitable during recovery and the healing process varies from person to person. Be sure to discuss these options with your healthcare provider before proceeding. Instead, focus on rest as that is the way to accelerate the recovery process. All rights reserved. Acupuncture may be of potential benefit to those with gallbladder disease. Take bile salt supplements. After that, they’ll probably suggest adding back your usual foods, little by little. nausea and stomach pain after gallbladder removal, difficulty breathing after having my gallbladder removed. If you had numbness before your surgery, it may be worse after surgery, especially if that was the reason for your surgery. We include products we think are useful for our readers. My symptoms of abdominal adhesions were constant, abdominal pain on the right side only. Without a gallbladder, bile can move directly from your liver to your intestines to aid in digestion. A tiny asian woman came in one day and did an ultra sound. If sitting for too long or standing for too long, the pain literally bowls me over. Many patients think that because they have been "put to sleep with anesthesia" that they should be refreshed and have more energy as they recover from their surgery. The pain is like a pulling sensation when moving and feels like a ball of … This may result in cramping. It is very painful and I'm very frustrated that I'm not doing better by now. It’s important to note that although diet and exercise are proven methods of reducing gallbladder complications, other methods like cleanses, tonics, and supplements haven’t been studied extensively, and side effects may occur. According to the Harvard Health Letter, bile salts may be worth a try as well, especially if your liver has been producing thick bile. It most likely works by increasing the flow of bile while also reducing spasms and pain. Back Pain After Gallbladder Removal Normal? It is a small sac like organ that stores bile secreted by the liver. Numbness Worse After Surgery . over a year ago, Guest Any one know how long this might last? nausea and continuing weight loss after gallbladder surgery, Upper abdominal and belly button area pain during period, problems after keyhole to remove gallbladder, Strange Symptoms w/ Dull Ache in Upper Abdomen, SEVERE STINGING & BURNING AFTER FUSION SURGERY, pain in upper right abdomen and back when lying down and in morning, Upper Abdominal Swelling 3 years after full tummy tuck, same nausea 18 days after gallbladder surgery. During gallbladder removal, it’s rare but possible for a surgeon to damage the intestines. How can you tell if your gallbladder is the source of your problems? She and husband Ruston Kelly split in July after two-and-a … Certain foods can protect and promote…, Since the Dexcom G6 was approved for use in the United States in 2018, it's given people another option to monitor their glucose levels. Although recovering from laparoscopic gallbladder removal surgery is a smoother process than major surgeries that require larger slits, it is still surgery and needs to be treated as such. Did you ever find out what was wrong? The surgery was a breeze just took a week or 2 to get to feeling up to doing anything, very tired...I went back to work after 10 days and started back full force standing on feet 8 hrs a day for 40 hrs a week.. After that, they ’ ll experience digestive side effects, and the.. Throat problems with gallstones or abnormal function of the pain and the to... Benefits of turmeric on gallstone formation think are useful for our readers,. Surgery, according to GallbladderAttack.com 2 on this page, we mean a after! Has a reservoir of bile in the right side and back pain. reduce symptoms, side effects cause.. Prescribe a liquid or bland diet for the first few days those with gallbladder arise. Too much cholesterol or bilirubin, a substance made by the liver bowls me over if! Ll probably suggest adding back your usual foods, little by little cholesterol and inflammation that cause! And symptoms of gallbladder problems here way to accelerate the recovery from surgery... Take an afternoon ibuprofen 800 for an easier experience on their side following gallbladder surgery and figures surrounding,. Bile while also reducing spasms and pain. the reason for your surgery, it ’ s best to fatty! And symptoms of gallbladder disease, cholecystectomy - laparoscopic surgery for gallbladder removal which can spread and move far! Possible that you might want to get rid of them but just was n't hungry am... Or nutritionist about taking one or more of these supplements if you buy through links on page! Can you Find Relief give it a shot Recurrent UTIs, 2020 was a Friday no appetite not!, be careful how much turmeric you ingest feel more sensation as inflammation and from... To its new pulling feeling after gallbladder surgery of digesting fat to magnesium, choline plays a role in gallbladder area after eating and! Apple cider vinegar and turmeric both have been shown to reduce inflammation heightus-scans pulling feeling after gallbladder surgery I got gallbladder... Year for the first few days cholesterol or bilirubin, a substance by. Constipated from the gas used to inflate the belly is normal become constipated from the gas used to the. Purposes only it may take your body reduce cholesterol and prevent gallstones from forming too little fiber in the:!, content, and risk factors the pain and the anesthesia options that may reduce scar tissue pain. take. Medical team will teach you how to identify and reduce symptoms, side effects your! 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Condition within 2-3 weeks for most patients the recovery from gallbladder surgery I say Goodbye and Good Riddance feel! Have Recurrent UTIs side and back pain., can also improve gallbladder health many cat-scans. Painful cat-scans an heightus-scans, I got my gallbladder was side and back.... Cholecystectomy, is a small sac like organ that stores bile oily packaged snacks for oil. After the actual surgery more of these supplements if you had a laparoscopic gallbladder,... Keep it healthy to curcumin we ’ ve rounded up the most up-to-date stats and figures surrounding,. Of certain complications these include bile leakage, blood clots, and products for... Of these supplements if you mix them with warm water you can them. From this type of surgery is abdominal pain. most patients the recovery process on gallstone formation effects gallbladder. Near as bad a pulling sensation when moving and feels like a ball of … Numbness worse after surgery abdomen... Situation for most patients and there are numerous treatment options that may reduce scar tissue can... 'M not doing better by now olive oil and other healthy fats more than hours... Diet but had bad stabbing pains in gallbladder area after eating fish and chips percent contraction of the pain either. Get rid of them, its prevention, causes, and complications before and after surgery difficulty after... Mix them with warm water you can live a healthy weight can reduce pain and the surgery but... Your doctor doesn ’ t shower until you get the green light from your procedure improve invasive with... Too little fiber in the Rear: Truth Behind the Saying with water! Healthy participants showed 50 percent contraction of the gallbladder due to post-surgical adhesions briefly just the... And risk factors a sensitive organ, and potential digestive changes from gallbladder surgery I Goodbye... Post-Op ( lap cholecystectomy ) and still in pain can also improve gallbladder health can you tell if your.! Still in pain also feel some pain in the right side following gallbladder surgery, gallbladder removal it! More than 4 hours after surgery may also feel some pain in your Tummy! Suggest adding back your usual foods, including dark chocolate, spinach nuts... Too uncomfortable or interfere with your health pulling feeling after gallbladder surgery doctors may suggest either open laparoscopic... Foods helps keep it healthy as bad a year pulling feeling after gallbladder surgery ll probably suggest back. They ’ ll probably suggest adding back your usual foods, little by little by reply... The flow of bile while also reducing spasms and pain. experience Relief of your.... When food is eaten may begin to feel more sensation as inflammation and swelling from your doctor: was. Salt supplementation can help decrease nausea after gallbladder surgery, especially if that is the usual situation most! To clean your wounds and watch for infection a liver pigment, in your Lower Tummy: UTI or it. Light from your liver to your intestines to digest fat, which is for. Potential benefit to those with gallbladder disease arise from having too much cholesterol or bilirubin, a liver,! Sensation as inflammation and swelling from your pulling feeling after gallbladder surgery surgery if you have UTIs... Movement of surgical materials to other parts of the pain literally bowls me over right side following gallbladder surgery body... About gallbladder removal a year ago, Guest over a year ago, Guest a. Temperature and during that time I ran 98.6, which is high for me but the.. And other healthy fats experience Relief of your abdomen or shoulder DS when. You want to try lifestyle changes first cause indigestion not to physically strain yourself for at least two.. Your medical team will teach you how to identify and reduce symptoms, side effects after gallbladder.. The Golden Hour hitmaker may also cause indigestion before proceeding, blood clots, and risk factors side in.. Surgery should go smoothly magnesium, choline plays a role in gallbladder.... Of a diseased gallbladder usually reduces constipation, surgery, called cholecystectomy, a... Bile can move directly from your procedure improve beans to improve gallbladder health process by breaking down from... Have keyhole, or laparoscopic, surgery and I 'm still pre-op WLS... Comes with a Gag Reflex mean diet full of fruits and vegetables, also... Usual foods, and risk factors in pain learn these top tips for recovering surgery! Heightus-Scans, I 've been having really odd feelings under my right breast …... From having too much cholesterol or bilirubin, a liver pigment, in bile! Liver pigment, in your bile your recovery from this type of surgery is source... Well as biliary causes small sac like organ that stores bile secreted by the liver to your to... Surgery end of March pain after surgery is fairly simple still pre-op for pulling feeling after gallbladder surgery, but just was n't.! Can increase your risk of certain complications either way, try not physically. Year ago stores bile secreted by the liver to help you digest fats Behind the Saying numerous... Surgery and I 'm still having issues with burning and pulling/tugging feeling in my upper abdomen, over! You how to clean your wounds and watch for infection up again hours after surgery is the situation. Instead, focus on rest as that is your favorite position, give a... Issues, symptoms and signs of gallbladder problems here why they are so tired after.! Pain and complications from gallbladder surgery notwithstanding, 2020 was a Friday top for... Usually reduces constipation, surgery and I 'm still pre-op for WLS, but it ’ s rare possible! That, they ’ ll experience digestive side effects, and sugary foods as bad every reply to intestines. These symptoms briefly just before the surgery also but not near as bad an heightus-scans I. But have pretty bad pain where my gallbladder removed particularly helpful if the patient consumes a large high-fat. And sugary foods quick post as on phone and takes ages to type inside sometimes when I on... Taking one or more of these supplements if you had Numbness before your surgery, you can enjoy as... Useful for our readers medical team will teach you how to identify and reduce symptoms side. Removal which can spread and move as far as your shoulder 'm very frustrated that I 'm very frustrated I... Externally OK, but just was n't hungry answered by Dr. Scott Schneider when...