3. Qinzi

3. Qinzi

I went to the hospital and was diagnosed with subacute thyroiditis. I’m prescribed pantoprazole sodium enteric-coated tablets and prednisone acetate tablets. I also underwent a neck ultrasound, with thyroid FT3 at 5.51, FT4 at 13.73, TSH at 0.86, TCAb at 0.30, and TPOAb at 0.20. All results are within reference ranges, and my ESR is 77. Is this subacute thyroiditis?

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Answer: This is post-cholecystectomy syndrome. After cholecystectomy, a series of sequelae may occur, collectively referred to as post-cholecystectomy syndrome. The most prominent among these are inflammation of the gallbladder stump and bile reflux gastritis. Bile reflux gastritis has two main characteristics: first, increased gastric acid production, leading to a burning sensation in the epigastric region; second, enhanced retrograde peristalsis of the gastrointestinal tract, causing hiccups and vomiting. Many people mistakenly believe that cholecystectomy completely resolves all issues, but this view is incorrect.

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