Hey everyone,

I am feeling completely defeated and need some real-world advice from people who have been through this.

Two years ago, doctors told me my severe upper belly pain was my gallbladder, so they surgically removed it. The pain never stopped. I have been suffering from this same old pain for two solid years. Both of the endoscopy reports below were taken after my surgery, showing what the bile is doing to my stomach.

My pain has a very specific pattern: whenever my stomach gets completely empty, it just hurts. If I don't eat something right away, the pain gets harder and harder and spreads up into my chest. The moment I eat something (like a banana), the pain goes off completely.

Because of this, it wakes me up in the middle of the night, every single night. I have to wake up, drink water, eat 1-2 bananas to coat my stomach, and only then can I fall back asleep.

I just got my endoscopy reports. Here is the exact text from both of them (both post-surgery):

REPORT 1 (Post-Gallbladder Surgery)

• Date: 11/11/2023
• Esophagus: Normal mucosa of upper and middle 3rd of esophagus. Lax LES. No varices seen.
• Stomach: Moderate erosive gastritis seen in whole body and antrum. No fundal pathology noted. Biopsies taken for H Pylori.
• Duodenum: Normal
• Recommendation: PPI and Prokinetic

REPORT 2 (More Recent - Also Post-Surgery)

• Date: 23/05/2025
• Age: 27 Years
• Esophagus: Normal
• Stomach: Mild diffuse erythema with bile stained gastric juice.
• Duodenum: D1 and D2 Normal
• Biopsy: Nil
• IMPRESSION: Mild biliary gastritis

I tried making homemade high-potency L. reuteri probiotic yogurt to fix my gut, but it's so sour and acidic that it feels like it's irritating my raw stomach lining even more after 6 days.

For those who lost their gallbladder and ended up with bile reflux gastritis where the empty pain builds up and radiates to the chest: How do I fix this? Do I need bile binders (like Cholestyramine) or prokinetics to keep this fluid moving down? How do I stop waking up at night?

Please look at my data and guide me. I really appreciate any support or advice you can give. Thank you.