PCES: what to be prepared for after gallbladder removal?

Quite often, situations arise in people’s lives that unsettle them, when everything doesn’t go according to plan and doesn’t go well. A person becomes upset, he feels sad, sad, and believes that he is depressed. However, in most cases this is absolutely not the case. Only a doctor can diagnose depressive disorder.

What is depression, what are its causes, symptoms and treatment?

We will try to figure this out in our article.

What is depression?


Don't think it's just a bad mood or apathy.
If you have blues and despondency, this does not mean that there is depression. In fact, this is a disease that is characterized by serious changes in the biochemical processes of the human brain. Signs of the disease may persist for more than two weeks, while ordinary frustration or sadness disappears much sooner. In the absence of timely treatment for severe depression, the condition drags on for years and develops into an intractable chronic form. It often happens that a person does not even realize that he is sick. It is important to understand that treatment of neuroses and depression is necessary, this should be done by a specialist with extensive experience in this field. What is clinical depression , and why does it require treatment? The disease develops due to a disruption in the production of certain neurotransmitters in the brain, which are responsible for receiving positive emotions. The disease makes a person apathetic, he is rarely in a good mood, and most often has a pessimistic attitude.

Causes and symptoms

The reasons for the development of this disease can be regular stress, psychological trauma, various unpleasant situations and events, problems in relationships with loved ones, the opposite sex, psychological violence in childhood or adulthood. However, such a deviation in the psycho-emotional state is not only a consequence of injuries, it is also various changes at the physical level. In particular, patients have a lack of vitamin D, iron and some other microelements and biologically active substances.

In addition, the development of the disease is largely influenced by hormonal disorders and diseases of the endocrine system. Quite rarely, the disorder occurs as a side effect of taking medications, but this is usually prescribed in the instructions. Vitamin D deficiency is associated with a lack of sun; in the fall and spring, many people experience exacerbation of mental disorders.

Why does autumn blues occur and can it be avoided?

Autumn is the period of sunset.
A time when there is less light and heat, the length of the day is shortened, and wildlife is preparing for seasonal changes. This is a natural process of transition from one state to another and vice versa. And the name of this process is biorhythms. Man, being part of all life on Earth, is subject to natural biorhythms, solar and lunar phases, magnetic fields and changes in temperature and seasons. A striking example of a person’s dependence on biorhythms is flights with sudden changes in time zones and climate, when from frozen December we fly to hot Thailand.

But don’t rush to diagnose yourself with depression. This is a serious mental illness, it has nothing to do with the time of year, but the blues do happen in the fall. Reduced activity and stress during the autumn-winter period are common to everyone. And therefore, slight fatigue and even a slightly worse mood should be perceived as something normal, but not plunge into this state headlong. Most often, it affects weather-dependent and anxious people, as well as those who have surges in blood pressure and headaches or disturbed sleep. As the body undergoes restructuring, all these symptoms intensify. Chronic diseases are also getting worse, which means your health is getting worse.

To help yourself as soon as possible, just pull yourself together and follow a few psychological recommendations. And sometimes it’s worth going to the pharmacy, because autumn apathy may hide a lack of vitamins. Who is exposed to autumn changes? Sadness on gray days happens mainly to those who are not satisfied with their life. Dampness and dankness provide an additional reason for irritation and nervousness, giving rise to sad thoughts or concerns about the future.

Will depression go away or is it forever?

If the disease lasts for a long time, many people begin to fear that they will never be able to get rid of it. Is it so? If the disease is mild, you can cope with it yourself. Sooner or later a person will experience a traumatic situation, reevaluate it, change his attitude towards the event and recover. In some cases, the use of medications leads to a bad mood, but after their withdrawal the condition returns to normal. Any psychiatrist, psychologist or psychotherapist will tell you that treatment for depression is necessary. This will allow a person to get rid of obsessive thoughts and gain more positive thinking, which will increase the quality of life, and possibly its duration.

Without treatment for depression in women and men, the disease will progress, exacerbating the psycho-emotional state and causing the development of mental disorders, especially for older people. But even for young people the disease does not go away without a trace. You shouldn’t fight it alone, share your problems with loved ones and friends, look at them from the outside, listen to advice, consult a doctor for treatment of panic attacks, moderate and severe depression.

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After the summer vacation, we cannot quickly concentrate on work, and the autumn blues add fuel to the fire. Meanwhile, we don’t have time to “build up”! But it is not required when the amino acid theanine comes to the rescue! With it, I successfully get into a working rhythm and successfully cope even with high mental loads when I have to work in multitasking mode.

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Types of disorder

With the right methods, medications and treatment plan, the disease can be stopped and cured, regardless of the stage and duration of development. If the disorder is caused by the absence or deficiency of certain vitamins and substances in the body, the person’s condition will normalize as soon as the balance is restored. When treating endogenous or psychogenic depression, special complex therapy is required. In the first case, the disease is caused by a malfunction of the psyche, in the second – by traumatic events.

For example, an elderly woman can take the death of her husband to heart; the loss of a person with whom she lived hand in hand is very traumatic, which can cause the development of not only neuroses, but also dementia. In this case, doctors advise treating depression in women in a clinic.

Treatment for postpartum depression, which is very important for a young mother, is no less dangerous. During pregnancy and after childbirth, a huge number of changes occur in a woman’s body. Not everyone gets used to the new role right away; some are afraid of the oncoming responsibility; others are not confident in the support of their spouse. The result is mental disorder, panic attacks, unreasonable fears, breakdowns.

Today, specialists quite often treat bipolar depression. This disease is getting younger every year, but it should not be confused with a number of other abnormalities. Bipolar disorder is often confused with increased emotionality. If you feel the symptoms of this disease, call the clinic; today it is possible to both treat depression in a hospital in Moscow and undergo therapy on an outpatient basis.

Do you want to know about the cost of services?

8 call our specialist

The use of enzyme preparations in postcholicystectomy syndrome

In some cases, PCES may be accompanied by disorders of the digestive system. This is due to the fact that food intake becomes a signal for the production of bile and pancreatic enzymes. If the signal does not arrive or arrives intermittently, subsequent events are also disrupted. As a result, food is not processed properly, and the body does not receive enough nutrients. This can affect the general condition of the body and manifest itself as heaviness after eating, discomfort, bloating or diarrhea.

Enzyme preparations have been developed to support digestion; they deliver enzymes from the outside to compensate for their lack in the body. The flagship among such drugs is Creon®.

The drug is available in the form of capsules containing hundreds of small particles - minimicrospheres. They do not exceed 2 mm in size, which is recorded as recommended in world and Russian scientific works9,10. The small particle size allows Creon® to recreate the digestive process as it was intended in the body, and thereby cope with unpleasant symptoms. Dosages of the drug are usually selected by a doctor, however, in accordance with modern recommendations, the starting dosage is considered to be 25,000 units10.


To learn more

An important stage in the treatment of PCES is enzyme therapy, because In many cases of PCES, pancreatic function is impaired and enzyme deficiency occurs11. Because of this, digestive problems arise, manifested in the form of unpleasant symptoms such as abdominal pain, heaviness in the stomach, flatulence and diarrhea. In addition, the lack of enzymes affects the quality absorption of nutrients: the body does not receive the necessary vitamins and minerals.

Creon® is a modern enzyme preparation that replenishes the deficiency of its own enzymes and promotes better absorption of food and improved digestion. More information about the drug can be found here.

Treatment of anxiety-depressive disorder without antidepressants

Many people do not want to see a doctor because they think that only drug treatment for depression with antidepressants is possible. They have heard about the side effects and high risk of developing drug addiction, as well as various myths about the dangers of these drugs. The dangers of antidepressants are greatly overestimated. Do not think that in modern medicine there are only drugs and pills for treating depression. Fearing often far-fetched consequences, people turn to homeopathy for help, which, naturally, will not give any result other than a placebo.

Today, there are completely different and varied methods of treating depression, and in many cases it is possible to do without medications. As a rule, pills are not even the basis of treatment, but maintenance therapy during psychotherapy. If you consult a doctor in a timely manner and begin effective treatment for depression in Moscow, you can do without medications.

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Autumn depression: don't forget about antioxidants!

These are universal helpers with an unprecedented variety of properties, many of which are especially important in autumn and winter. A striking example is one of the most powerful natural antioxidants, lycopene. The number of his “talents” is impressive: from the ability to fight depression, strengthen the immune system, improve fat metabolism, maintain normal glucose levels to a powerful anti-age effect and counteract the formation of cancer cells.

By the way, one of the most famous Russian pharmaceutical manufacturers has a drug based on highly purified lycopene in its product range. It also contains soybean oil, which promotes maximum absorption of the antioxidant. This manufacturer also produces an excellent antioxidant formula - a balanced complex of 22 vitamins, minerals, amino acids and plant extracts.

I hope that the autumn blues will no longer be able to “discolor” your life, and the golden colors of autumn will evoke only positivity!

How dangerous are antidepressants for the human body?

Are antidepressants dangerous to your health? People are as afraid of these drugs as they are of antibiotics. There are many myths around these medications. How dangerous are antidepressants really? First of all, you should understand that no doctor will prescribe you a potent drug without indications for it.

Modern medicines have a rather gentle effect on the human body, bringing great benefits to patients and bringing them closer to recovery much faster. The drugs affect the production of necessary neurotransmitters and compensate for the lack of serotonin and endorphins. As a result, within a couple of weeks the patient begins to feel many times better than before the start of therapy.

However, the positive effect of the tablets does not occur immediately; over the course of several weeks, the human body adapts, which is why some side effects occur. They often cause patients to stop taking medications because they feel like their condition is only getting worse. However, you should be prepared for the fact that these are not magic pills that will help you get rid of a serious illness overnight. Most medications have a cumulative effect.

A competent specialist knows in what dosages a particular drug should be taken. Most often, the dose is increased gradually, as the body gets used to it, which is why at the beginning of taking it the expected effect will be absent. It is important for patients to stay in touch with their doctor to inform him of any changes. If your health condition worsens, tell your doctor. If you follow the recommendations, the medications will only bring benefits and a significant improvement in your well-being.

What are the advantages of such vitamins?

  1. Suitable for everyone. Vitamin complexes based on medicinal plants are suitable for pregnant women and nursing mothers, young children and adolescents, athletes and the elderly.
  2. No risk of allergies. Allergy sufferers often find it difficult to choose vitamin and mineral complexes due to intolerance to individual components in their composition. But plant-based vitamins are safe for them.
  3. Guaranteed results. The advantage of herbal vitamin complexes is their guaranteed effect. Have you noticed symptoms of a lack of vitamins A, B12, C, D or E? Take these vitamins for 1-2 months. The result will be impressive!

Trust natural vitamin complexes - and your health and mood will be fine!

Antidepressant addiction – myth or truth?

It is impossible to say unequivocally that drugs for depression are evil. But also the fact that they are absolutely harmless. Medicine does not stand still, just like pharmacology. Medicines are constantly being improved and improved. Today, those medications that caused drug addiction and posed a real threat to health due to side effects are long gone. The latest generation of drugs is much safer than their predecessors.

In some cases, patients have to take medications for years, not because they become dependent, but because the treatment plan and indications require it. However, most often, when contacting specialists at an early stage of the disease, the use of drugs is not required, or a short course of treatment is required. The dosage is gradually reduced, which prevents the development of drug dependence. A person gradually gets used to living without medications.

However, the truth is that while most of these pills are banned from over-the-counter sales, some people circumvent the law and purchase them illegally. Why is this being done? The fact is that some drugs, when overdosed and used for a long time, can still be addictive. Some of the most common over-the-counter drugs include Lyrica and Fluoxetine (Prozac). When used for other purposes, for recreational purposes, the drugs can cause addiction, which can only be gotten rid of with the help of a narcologist.

You should not self-medicate, increase the duration of use and dose, this can lead to undesirable consequences and side effects. If you feel you cannot stop taking the drug, call your doctor. He can help you get rid of your addiction.

Symptoms of depression in chronic illness

For some people, chronic illness becomes part of their life. It lasts for a long time and most often does not heal completely. In this case, the condition of patients is controlled with the help of medications, physical activity and a special diet. Chronic diseases include diseases such as HIV, diabetes, arthritis, multiple sclerosis, etc.

It's not surprising that depression can occur when you have a chronic illness. After all, the disease significantly changes the patient’s usual lifestyle. For example, this manifests itself in limited ability to move independently and take care of oneself. Due to a chronic illness, the patient often has to give up favorite activities, which undermines his hope for a bright future. Under such circumstances, the patient begins to be overcome by sadness and despair. In addition, depression can be caused by physical aspects of the disease or side effects of medications used.

As for the symptoms, with a chronic disease they often go unnoticed, not only by the patient’s family, but also by himself. After all, when fighting an illness, most people consider constant depression and sadness to be completely normal manifestations. Often, the symptoms of depression are disguised as other physical ailments that treatment is aimed at combating. However, depression itself is not eliminated. After all, its treatment must be carried out separately.

Is it possible to get rid of depression once and for all?

Is it possible to cure anxiety-depressive disorder? It is impossible to answer this question unequivocally in the affirmative. The disease can progress in different ways and have many concomitant diseases of varying severity. Each individual case should be considered individually. In most cases, depressive disorder can be treated, but the risk that the disease will return or remain permanently cannot be ruled out. It is very important to monitor any changes and, if necessary and if there is a visible deterioration in the condition, immediately contact a psychotherapist.

Following your doctor's recommendations and taking preventive measures will help you avoid relapse. You need to get into the habit of doing sports, physical education, or at least gymnastics in the morning. Remember that no one will take care of you except you. Forget about smoking and alcohol, bad habits only provoke the development of depression. It is also important to maintain a sleep schedule; sleep less than eight hours leads to negative processes in the central nervous system and has an undesirable effect on the psyche. Avoid stress as much as possible.

How can the doctor help?

There is a huge mistrust of doctors in our country. The rather low level of medicine in the regions, lack of funding, low salaries of doctors, and with it a negligent attitude towards work also have an impact. Of course, there are good and bad doctors and clinics; if you do not trust budget institutions, contact a private center.


If you have symptoms of the disorder, you should immediately contact a psychotherapist. A specialist will be able to quickly recognize the disease, carry out diagnostics and take tests, examine the patient and draw up an individual psychopharmacological treatment plan. Clinical psychologists at our center can also make a diagnosis of depressive disorder. Quite often our patients experience alcoholic depression due to prolonged abuse of alcoholic beverages. “Center for Healthy Youth” has all the capabilities, experience and necessary resources to eliminate all symptoms of the disease and normalize the psycho-emotional state of the patient.

Many people are afraid of psychologists. “Am I crazy?” – can often be heard from patients. However, neuroses and depressive states do not mean that a person is mentally ill, and he will be admitted to a mental hospital and registered. When contacting a private center, people are treated completely anonymously. Even if you go to a public clinic, you will not be registered at the dispensary. Specialists do not have the right to disclose the diagnosis or provide information about the patient’s condition to third parties, since this is a medical confidentiality. A person can go through the treatment process completely calmly. Quite often, an experienced doctor will only need to conduct psychotherapy sessions in order to achieve stable remission. Personal communication with a doctor and following his recommendations is all that is needed for a speedy recovery. You should not prescribe medications yourself, it can end badly.

If you feel increasing symptoms of depression, you should not wait for a miracle and live with it for years, there is a way out, modern techniques and the latest drugs will help you cope with the disease. Doctors will help you regain the joy of life even with chronic pathology.

Symptoms of postcholecystectomy syndrome

At its core, PCES is a consequence of surgery for resection (removal) of the gallbladder. This means that after resection the patient may experience unpleasant symptoms, such as:

  • dyspepsia or disruption of the normal functioning of the stomach, manifested in the form of bitterness in the mouth, nausea, bloating and intestinal upset;
  • pain in the right hypochondrium with transition to the right collarbone or shoulder. The intensity of pain can vary, from unexpressed aching to acute burning;
  • general weakness, pale skin (appears against the background of poor absorption of food and developing vitamin deficiency).

With PCES, other symptoms are possible due to exacerbated diseases:

  • exacerbation of cholangitis - inflammation of the bile ducts - is expressed in a long-lasting temperature in the range of 37.1-38.0 ° C;
  • Cholestasis (stagnation of bile in the liver tissue) can cause severe jaundice2.
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