Ok...I have been constipated this whole time (I go occasionally). Now I'm hungry, but sometimes I feel full and nauseated. Right when I eat I feel like I have to go to the bathroom (cramping sometimes like diarrhea) but I can barely go. I see a specialist on the 17th and maybe they can help some. I'm sure my sphincter of oddi is back but these other problems make me concerned about my pancreas. It's all stressing me out and giving me anxiety.
Is there a way of controlling the pain of this disorder after the ERCP?
This discussion is related to <a href='http://www.medhelp.org/posts/show/400273'>Sphincter of Oddi Disorder-- What do I do now?</a>.
have any of you gained weight with this
This discussion is related to <a href="/posts/Digestive-Disorders---Gastroenterology/SPHINCTER-OF-ODDI-DYSKINESIA/show/228319">SPHINCTER OF ODDI DYSKINESIA</a>.
PLEASE, CAN SOMEONE HELP ME FIND A GASTROENTEROLIGIST THAT CAN HELP ME MANAGE THE PAIN OF SPHINCTER OF ODDI DYSFUNCTION. There are no specialists in this area who can do manometry of my liver. In 2002, Dr. Bailey at Duke Univ. made three attempts in a period of nine months to access the bile duct and measure the pressure inside my liver. He was unable to do the manometry and I developed a severe case of pancreatitis.
With SOD, the thing that normally happens is that the common bile duct or the sphincter of Oddi spasm shut and this results in a backup of bile and pancreatic fluids in the common bile duct. When that happens, there's a 'spill-over' of enzymes and other components in the liver and pancreas into the blood stream.
After seeing several different doctors, I met with a GI doctor who told me that I had Type III Sphincter of Oddi dysfunction and scheduled me for a endoscopic sphincterotomy. The surgery went fine-he said when he measured the pressure that I had a pressure of 120 and that he "filleted" the muscle. When I left the hospital, I continued to have pressure in my epigastric region for a few weeks, then it finally eased up. Now it is back. My questions are: What is the next step?
Do you have SOD and LUQ pain?
What does your doctor think about sphincterotomy of the pancreatic sphincter?
Have you ever had pancreatitis?
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You may want to look into the disease sphincter of oddi dysfunction. I have similar symptoms and my Gastroenterologist thinks this is what I have. It may not be what you have, but you can maybe ask your doctor about it.
I can tell you I have similar symptoms as far as upper right and middle upper abdominal pain where it feels like the only thing that kind of relieves it is laying down, when I get the pressure off.
I was in and out of the hospital since then with clueless doctors, finally leading to one doctor who thought I had sphincter of oddi and perforned an ERCP. I got acute pancreatitis from the procedure and ended up with a week long hospital stay. I wish I could say this procedure worked for me however it has not. I am now in the process of trying medications, but I am onto my 5th one and nothing has worked so far.
t move and have been to ER three times. Doctor thinks it is Sphincter of Oddi and I am scheduled to go to a specialist in Seattle in March. I feel like it is one surgery after another without a clear answer on anything. I am living on pain meds at night just to get any kind of sleep. My kids think mom is always sickm which has never been a problem in my life. I want to get back to being a healthy active mother. I am so tired of being sick. Any ideas?
the sphincterectomy that the gastroentorologist perform is just a basic cut of the sphincter of oddi this does not correct the problem. Now my sphincter is going to be sawn open. The name of the surgery is long. I will be in the hospital for a minimum of 3 days but it could be up to 5 days. I will let you know how I feel afterwards.
When attacks of pain cause considerable disturbance with life activities, a decision has to be made whether to cut the sphincter (sphincterotomy), during ERCP. When sphincter of Oddi manometry has confirmed that the pressures are high, sphincterotomy gives good relief in most patients (but not all). The performance of sphincterotomy carries a risk of complications, such as bleeding and perforation, in addition to pancreatitis.
I had several tests and it was discovered several months later that I suffered with spasm of the sphincter of oddi. The specialist at the time told me there was nothing he could do for me and I would just have to manage the pain but assured me that it would reduce over time. 10 years down the track I still have episodes about 3 times a year they come in clusters I will have 2to 3 episodes over a week at a time I need pethideine at these times.
If it is right below your lower rib, vertically down from the right nipple, it may be from the gallbladder, bile ducts, or sphincter of Oddi on the end of the main bile duct.
Gallstones in the gallbladder can be seen by CT (ultrasound misses small ones). Biliary sludge - a dense crystaline bile from whicg stones eventually develop may be also seen on CT, but not sure if always.
Comparison between Invasive and Non-Invasive Techniques – http://www.joplink.net/prev/200111/06.html
Idiopathic Recurrent Acute Pancreatitis – http://www.medscape.com/viewarticle/487185_2
GI Consult: Sphincter of Oddi Dysfunction by John Baillie, MB, ChB, FRCP – http://www.mdchoice.com/emed/main.asp?template=0&page=detail&type=3&id=1126
Clinical Manifestations and Diagnosis of Sphincter of Oddi Dysfunction – http://www.uptodate.com/patients/content/abstract.
m learning now.. could be sphincter of oddi dysfunction..especially without your gallbladder. (or stuck stone..
He said it would last 6 months and after that he could do a sphincterotomy since it would be proven that it was the sphincter of oddi causing the problem. Sure enough, 6 months later the pain came back so I went back to MUSC and he did the sphincterotomy. Problem solved. Or so I thought. Four years after the procedure, the pain started coming back. More CT etc (all were normal as they were the first time around) I had another sphinterotomy.
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