Doctor insights on:
Can A Sphincter Of Oddi Dysfunction Worsen With Exercise
SOD: ...Is a potential cause of chronic abdominal pain and pancreatitis. It can be tricky to diagnose and difficult to treat. If you have been told you have SOD and are having chronic symptoms, consider a second opinion at a regional center that specializes in this field. Indiana university in Indianapolis or the mayo clinic may be reasonable choices in your area. Good luck. ...Read more
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
Colic: The most common symptoms for sphincter of oddi dysfunction is biliary colic - usually episodes of right upper belly pain which come and go. This condition is almost always diagnosed after the gallbladder has been removed. You will need to see a gastroenterologist who specializes in this area for a true diagnosis. ...Read more
Biliary dyskinesia: Sphincter of Oddi dysfunction, or biliary dyskinesia, is defined by bile duct manometry showing sphincter spasm, increased phasic contraction frequency (tachyoddia), paradoxical contraction response to cck, & abnormal propagation of phasic waves. Response to sphincterotomy is predicted by associated abnormalities in serum liver functions as well as manometry findings. Pain alone may not so respond. ...Read more
Possibly: Sphincter of oddi dysfunction is a difficult to diagnose condition usually made by a gastroenterologist. Generally it is caused by spasms or stenosis of your gallbladder sphincter and may be treated with antispasomodic medications. Sometimes a diet low in fat/cholesterol helps. Minimally invasive surgery sometimes cures this condition. Speak with your doctor. ...Read more
Not directly. . .: Check out http://my. Clevelandclinic. Org/disorders/gastrointestinal_tract_disorders/hic-sphincter-of-oddi-dysfunction. Aspx. You're more likely to complain of "abdominal pain is the most common symptom; less common symptoms include nausea, vomiting, fever, chills, and diarrhea". I suppose you could be fatigued if you're not absorbing nutrition or eating right. Best to go see your doctor about fatigu. ...Read more
I have sphincter of oddi dysfunction but have developed left sided pain under my ribs causing discomfort. Could you give an opinion.
Sphincter of Oddi: Dysfunction is a controversial entity and physicians debate whether it's actually a cause of abdominal pain, as after treatment, less than 50% of patients improve. Left sided pain may be due to stomach ulcers, or may be related to your generalized pain as part of functional dyspepsia. ...Read more
Pancreatitis recurs every few months with 1 day of extreme pain. What's the cause? I've been diagnosed with sphincter of oddi dysfunction in the past.
See answer: If you're truly having pancreatitis (with elevated lipase levels and/or imaging showing objective evidence of pancreatitis), you should see a GI doctor to evaluate for potential autoimmune or hereditary pancreatitis. If you were told of SOD, it sounds like you probably already had your gallbladder out. Alcohol is another common cause of pancreatitis. Rarely medicines or high triglycerides. . ...Read more
Chances of having sphincter of oddi dysfunction if I had my gb out 3d ago&have moderate to severe attacks under right rib, blood&scans normal?
Too Early to Tell: It is normal and expected to have pain 3 days after gallbladder surgery. If the pain is out of the ordinary, it is critical to follow-up with your surgeon since our first concern is to look for a post-op complication. Assuming all studies are normal, if the pain persists for weeks after gallbladder surgery, your gastroenterologist will help decide if an ERCP is indicated to look for this rare dx. ...Read more
I have been diagnosed with Sphincter of oddi dysfunction which is painful in the abdomen area, what alternatives do I have to treat my back pain besides chiropractic which hurts it?
SOD: The answer really depends on details--mostly your labs and the size of your bile duct. Especially if you have Type I or II SOD, a gastroenterologist with special training in this area will likely be able to help. There is no proven role for chiropractic care for treatment of SOD. You should talk to your GI doc in more detail, and consider a 2nd opinion at a center specializing in SOD. Good luck. ...Read more
I phase 2 sphincter of Oddi Dysfunction, never had elevated liver enzymes. To have or not to have the ercp to cut sphincter.?
Need MoreInformation: As the individual which our creator & your parents has put in charge of your body, I would strongly suggest studying the issues yourself, including studying & working to accurately understand all test data & images taken our your body anatony. Suggest study: http://www. Hopkinsmedicine. Org/gastroenterology_hepatology/_pdfs/pancreas_biliary_tract/sphincter_of_oddi_dysfunction. Pdf, etc. For starters. ...Read more
Unlikely: They are not directly related. U can have one without the other. No obvious relationship between the two. ...Read more
Gold standard is: ERCP (endoscopic retrograde cholangio-pancreatography) with manometry (pressure measures) of the sphincter itself is ideal but a very technically difficult study to do that not every gastroenterologist can/will do. ...Read more
My GI thinks may have sphincter of oddi. So he is sending me to a specialist. I'm so scared but hoping this will be the answer! What should I expect?
Possible to list surgical options for sphincter of oddi type1? Sphincterotomies failed. Trying to get info on alternatives from diff sources. Thanks.
ERCP?: When symptoms are severe, the main treatment is to perform an ERCP (endoscopic retrograde cholangiopancreatography). ERCP is a procedure for the examination or treatment of the bile duct and pancreatic duct. The procedure carries a risk of serious complications and is done under sedation by experts trained in the technique. It combines the use of x-rays and an endoscope. Manometry can help also ...Read more
Yes: Short answer is - your gallbladder is not working properly. See you doctor/surgeon. ...Read more
25 yr old F (not overweight) with chronic URQ pain for 2+ yrs. No stones but HIDA showed 23 % function. Unsure if removal is worth the risks, SOD? Greatly appreciate prof. Opinions and likelihood of Sphincter of Oddi problems & seriousness of it.
Not very serious: The main problem with sphincter of oddi dysfunction is that it is an annoying pain that is intermittent and gets worse after eating. The treatment includes lifestyle changes (low fat diet), vasodilators like nifedipine, non opioid analgesics. Gastroenterologists can inject botox or make a cut at the sphincter of oddi and that works in more than 70% of the cases. ...Read more
I have a UTI that seems to be making my sphincter of oddi spasm and is very painful. I'm taking an antibiotic. Should I just wait or go get checked?
Wrong Sphincter: The sphincter of oddi is a muscular valve that controls the flow of digestive juices from the pancreas and gall bladder into duodenum. It is not part of the urinary tract. That said, it is not uncommon for a UTI to cause spasm of the bladder neck and urethral sphincter interfering with normal urination: hesitancy, intermittency, weak stream. This will improve with antibiotic treatment of your uti. ...Read more
I have sharp, stabbing pains on my right side below my rib cage with nausea, what could this be? I have been diagnosed with sphincter of oddi dysf.
? Gallbladder issue: Need to see a gastroenterologist for help. ...Read more
Hida Scan - delayed transit -10 mins (Pain, walked after 1 hr, then resumed scan);MRCP-Mild prominence of PD;US-Distal CBD 7.7mm. Sphincter of oddi???
ACALCULOUS CHOLECYST: ACALCULOUS CHOLECYSTITIS or gallbladder inflammation without stones can be tough to treat. I recommends gluten free low fat diet. Gutbliss. Com. Whole approach. Com. If symptoms flare more than 2x a year surgery can be done laparoscopically. Follow up with GI and surgeon. ...Read more
If my pancreas is giving out due to complications of sphincter of oddi/pancreas divisum, besides chronic pancreatitis, will I eventually be diabetic?
Pancreas giving out: Potentials for this to happen are very much there. ...Read more
After mrcp, my doctor said we should not do an ercp, because my ducts are extremely small & it's to risky. If I have sphincter of oddi, what now?
Problem: If you have sod, ERCP very risky. Most will not do it on you. ...Read more
I have biliary dyskinesia and I saw you can get your gallbladder removed or they can somehow fix the sphincter of oddi im confused what do they do?
Proceed w lap gb: As I've said many times, the gb is not a vital organ. If you're having symptoms from a poorly emptying gb, the best treatment is removal via outpatient laparoscopic surgery. In the meantime, eat a low fat diet. After gb removed, you have no further dietary restrictions. I know of no "fix" for the sphincter of oddi, which is the endpoint of the common bile duct. Good luck. ...Read more
Is this pancreatitis? Had Sphincter of oddi#1, improved w ERCP. Symptomatic lately so took tylenol#3 2x this wk but got WORSE epig+back pain 4 HRS.
Mrcp confirmed bile duct obstruction and sphincter of oddi contraction. Severe sharp stabbing pain, nausea, and visible swelling. Er?
Can't sleep due to sharp stabbing pain and nausea from bile duct obstruction and sphincter of oddi contraction. Should I go to the er?
Sphincter of oddi: There a couple of options for pain management and to prevent recurrent pancreatitis including: calcium channel blockers, nitrates, ursodeoxycholic acid, endoscopic or surgical sphincterotomy, and even botulism or electroacupuncture (but these aren't standard treatments, and still needs more data). ...Read more
Antispasmodics or: Surgical interventions may help. Your dr can adjust the dose of your meds or add a stronger meds/ narcotics. Take care! Http://my. Clevelandclinic. Org/disorders/gastrointestinal_tract_disorders/hic-sphincter-of-oddi-dysfunction. Aspx. ...Read more
Unlikely: Though everyone's body is unique, simply lying down is unlikely to cause a sphincter of oddi spasm. I in fact just searched the medical literature and cannot locate a report of this happening. Spasm may be related to shifting stomach contents, so spasm may occur if you are lying down with a full stomach. Sphincter of oddi spasm is potentially serious, so please consult a physician. ...Read more
I'm having RUQ pain after gallbladder removal. I'm scheduled for exploratory surgery next week. Will this show a sphincter of oddi dysfunction?
Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion. Need specialty care.
Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...Read more
Mrcp showed bile duct blockage and sphincter of oddi dysfunction. Severe sharp intense abdominal pain, severe nausea, temp of 99.8. Should I go to er?
Bad biliary disease: Viewed very simplistically, there are 2 types of liver diseases--hepatitis (involves liver cells) ; cholestasis (bile backs up). Bile ducts can become inflamed due to variety of disorders; obstructed due to stones, parasites, tumors, stenosis, or ampullary ;/or pancreatic diseases. If you're duct is truly obstructed ; you have fever you are at risk ; may have cholangitis. Yes, go to the er! ...Read more
I got my gallbladder removed 8 weeks ago. Now, I suffer from intermittent nausea daily and moderate pain on the right side of abdomen. My liver/pancreas labs are normal. What should I ask my gastrointestinal doctor about? Could I have sphincter of Oddi?
Check with surgeon: This may be related to the operation. Your surgeon knows the details of your procedure. Best to check with him/her first. An ultrasound examination may become useful. ...Read more
Yes: Talk to your doctor about further testing. Good luck ...Read more
How do you differentiate between pelvic floor dysfunction and weak anal sphincter? Can one cause the other? What is the distinguishing symptom?
There are numerous disorders that fall within a wide spectrum. They can be independent or closely related.
There are numerous tests as well as your history that would be used to differentiate the two. ...Read more
Can pinched nerves of S1, S2, and S3 cause anal sphincter dysfunction that prevents me from completely eliminating stools? Anus seems cant relax.
Gallbladder gone. Sphinter of off oddi dysfunction. Nausea and constipation bad nausea haven't moved my bowels in a month or two and nausea is bad?
See GI: It sounds like you need to have your sphincter of oddi fixed by a GI physician who specializes in ERCP. Overall you need to be seen by the GI doctor for evaluation and treatment. That you have not moved your bowels in a month is not a good sign either- please have this evaluated soon ...Read more
Would you get a 2nd opinion for possible spincter of oddi dysfunction? Have acute pancreatitis, no gb or stones, don't drink, cholesterol not high
You could.: It seems you have already seen a sub specialist and the major causes of pancreatitis have been ruled out. Sod dysfunction makes sense. If you were seen at a major medical center I think you probably did get the benefit of several specialists although you may not have seen this. ...Read more
Was in hospital 7 days diagnosed with spincter of odii dysfunction. My liver enzymes went up to 1000 to1400. Cant eat, horrid pain, help me please!
Possible stone,,: The pain might be due to a stone left behind in the cystic duct after gallbladder removal, but more likely the sphincter of oddi is the main reason as this stops flow of your bile, etc. Out into your digestive tract. This appears serious enough to require prompt treatment and surgery may be needed to stop it. Please see your doctor ASAP for tests and treatment to prevent complications. Good luck ...Read more
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