Thanks, I did the search you mentioned and someone did take the stomach enzymes with bile salts and it seemed to help. I will do more searches later. I also found that standing up helped with the digestion and I know my mom is not feeling well, so has been laying or sitting a lot. We did not get a second opinion. I asked about it, but my mom was referred to this specialist by her family doctor (from a small town) and as it is she had to travel 5 hours to the surgeon in Winnipeg, Manitoba. I must run but will be back to do further research.