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Pancreatic divisum: Patients with pancreatic division are often worked up with mrcp and/or ercp. Patients may undergo endoscopic or surgical therapy, in the form of sphincterotomy or sphincteroplasty. In a systematic review, liao found that the pooled response rate to surgical intervention for acute recurrent pancreatitis, chronic pancreatitis, and chronic abdominal pain was 83.2%, 66.7%, and 51.6%, respectively; the overall response rate to surgery was 74.9%. ...Read more
I have a rectal stricture and can't pass stool. Lost 55 pounds. I have heard of a balloon procedure but no doctor in this area will do it.?
Proper: Management of a stricture depends a great deal on the underlying cause of the stricture. Balloon dilation may help temporarily, but will probable need repeated procedures. See a colorectal surgeon for a proper evaluation and determination when dilation or a sphincteroplasty is the appropriate form of management. ...Read more
1 year back pain uppr spine, nausea, lower rt side ab pain after eating. test show born w/o gallbladder, hyda scn ruled out sphi. of oddi, normal ct?
Born without GB????: what do you mean when you say born without gallbladder the ultrasound could not see it or CT scan did not showed it or it did not get visualized by HIDA scan absence of gallbladder is very rare you might be having inter hepatic GB that mean it is covered completely by the liver you need an endoscopy p/o ERCP if you did not have one and consult with GI or surgeon . ...Read moreSee 1 more doctor answer
Why do I have fecal body odor? I am very hygienic i shower everyday and wipe my butt until the paper is white after a bowel movement but now I have started to notice a strong fecal body odor coming from me. A couple of times I have entered my finger into
From : From the chain of correspondence you have had with dr. Fowler, you may be suffering from fecal incontinence, which is the inability to control your bowel movements, causing stool (feces) to leak unexpectedly from your rectum, ranging from an occasional leakage of stool while passing gas to a complete loss of bowel control. Common causes of fecal incontinence include constipation, diarrhea, and muscle or nerve damage. Fecal incontinence may be due to a weakened anal sphincter associated with aging or to damage to the nerves and muscles of the rectum and anus from giving birth. Treatment will depend on the cause of fecal incontinence, but usually will start with dietary management and then medications, including laxatives and stool softeners. If the determination is made that the sphincter is lax or there is nerve damage, then sphincteroplasty may be beneficial. In some cases, sacral nerve stimulation may be considered. You may wish to see your gastroenterologist or a colorectal surgeon to assist in the management of your fecal incontinence. ...Read moreSee 1 more doctor answer