3. Changes in intestinal bacterial balance
Bile helps control bacteria. When its flow changes, the risk of intestinal imbalance and inflammation increases.

4. Bile reflux
In some people, bile can flow backward into the stomach, irritating its lining and causing heartburn, nausea, and pain.

5. Dietary changes
Many people need to cut back on very fatty, fried, or spicy foods. Eating smaller portions, increasing fiber intake, and avoiding excess alcohol is also recommended.

6. Sleep disturbances
While not universal, some people report anxiety, insomnia, or disrupted sleep after surgery. These symptoms usually improve over time.

Three conditions that may appear after surgery

Gallbladder removal is safe and very common, but there are some long-term risks to keep in mind.

1. Reflux gastritis
Less concentrated bile and its constant flow can cause stomach inflammation, diarrhea, and bloating when eating heavy or high-fat foods.

2. Increased risk of colon cancer
After surgery, secondary bile acids increase and can irritate the colon. Studies show a slightly higher risk of colon cancer in people without a gallbladder, which is why the surgery should only be performed when necessary.