### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had my gallbladder out about a year and a half, I still get nauseous with really bad bloating by the end of the day. My doctor is trying a gluten free diet right now, but I do not see a change. Please Help Kelly

### output:

Hello, kellymccreary, Your symptoms of nausea and bloating is probably not related to your gallbladder surgery. Most often, we see HERD (GastroesophagealReflux Disease) associated with gallbladder disease. If you have hiatus hernia you could have similar symptoms. Also, the other condition that is more common with these type of symptoms is IBS (Irritable Bowels Chat Doctor. As for gluten-free diet, that is helpful only if you have gluten sensitivity. True Celiac disease is autoimmune mediated and affects the lining of the small intestine and causes malabsorption and subsequent problems. These might include weight loss, diarrhea (Fatty stools), vitamin and mineral deficiencies, brittle bones, skin problems etc. etc. Gluten is present in Wheat, Oats and Barley products. There are a small percentage of people who are allergic to or sensitive to gluten without having Celiac Disease. I would recommend trying a PPI (Proton Pump Inhibitor) such as Omeprazole, Lansoprazole, Omeprazole or Esomeprazole-All are available without prescription, take 20 mg. once or twice a day for 1-2 weeks, about an hour before meal sand see if that helps. Try to avoid excess caffeine, alcohol, very spicy foods, citrus and tomato products and see if that makes a difference. If no improvement you may need to have an endoscopic evaluation. I hope you were tested for Celiac through special blood tests. I wish you well.