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I first thought the medication might be causing problems with either my liver or kidneys, but a liver and kidney function test show my blood results to all be within normal levels.
GP sending me for a ultrasound scan of my stomach but have to wait several weeks for appointment. Meanwhile, condition is getting much worse, friends say I look awful and I am worried whether I should go to A&E as I feel terrible.
Could this be pancreas problem caused by overusage of analgesia - If so does it need urgent attention or can I wait for the ultrasound scan? Any help would be appreciated.
I'm so sorry you are suffering. Only you will know when it's time to go to A&E. There are so many things that could be causing your pain including pancreas. Although I'm not a doctor and don't know anything about medicine, your symptoms sound as though the pain is interfering with your life. This could be pancreas, sphincter of oddi dysfunction, small bowel bacterial overgrowth or a hundred other problems. Waiting several weeks does not sound like a viable option when you're in that much pain. The spasm does sound like sphincter of oddi dysfunction.
I've been going through this saga for two years now and I'm still undiagnosed and waiting for an endoscopic ultrasound to get to the bottom of it.
I'm going to add some links at the end of this post. I sincerely hope you feel better soon and that you get to the bottom of this quickly.
All the best,
Sam
First Principles of Gastroenterology – http://gastroresource.com/GITextbook/en/Default.htm [This is my favorite of all the reference materials because it is searchable]
Clinical manifestations and diagnosis of sphincter of Oddi dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=pancdis/8160
Digestive Disease Library – Sphincter of Oddi Dysfunction – http://hopkins-gi.nts.jhu.edu/pages/latin/templates/index.cfm?pg=disease1&disease=12&organ=3&lang_id=1
Diseases of the Pancreas NIDDK – http://www2.niddk.nih.gov/AboutNIDDK/CommitteesAndWorkingGroups/NCDD/NCDDDiseasesofthePancreasNovember192007.htm
GI Consult – Sphincter of Oddi Dysfunction – http://www.emedmag.com/html/pre/gic/consults/031505.asp
Evaluating Predictors & Interventions in Sphincter of Oddi Dysfunction – http://clinicaltrials.gov/ct2/show/NCT00688662
Sphincter of Oddi Dysfunction: Diagnosis and Treatment – http://www.joplink.net/prev/200111/04.html
Acute Recurrent Pancreatitis and Dysfunction of the Sphincter of Oddi: Comparison between Invasive and Non-Invasive Techniques – http://www.joplink.net/prev/200111/06.html
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.do;jsessionid=7690FF8E3E31A4C664267BD8276C2B86.0503?topicKey=~Sm4Jhk.9M03Fy&refNum=30
Disorders of the Biliary Tract by Guzman [Pathology Lecture] – http://www.uic.edu/depts/mcpt/curriculum/liver51_gg_lecture.html
Sphincter of Oddi Dysfunction – http://www.top5plus5.com/Sphincter%20of%20Oddi.html
International Foundation for Functional Gastrointestinal Disorders – http://www.iffgd.org/site/gi-disorders/other/sod
Sphincter of Oddi Dysfunction Pancreas and Biliary Tree Diseases MUSC Digestive Disease Center – http://www.ddc.musc.edu/public/problems/diseases/pancreas/sphincterOddi.cfm
Sphincter of Oddi Dysfunction is Associated with Chronic Pancreatitis – http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=9219783&dopt=Abstract
Systematic Review: Sphincter of Oddi Dysfunction--Non-Invasive Diagnostic Methods and Long-Term Outcome after Endoscopic Sphincterotomy – http://www.ncbi.nlm.nih.gov/pubmed/16842450
Treatment of Sphincter of Oddi Dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=~UrVVscJQz1HYr
I've been going through this saga for two years now and I'm still undiagnosed and waiting for an endoscopic ultrasound to get to the bottom of it.
I'm going to add some links at the end of this post. I sincerely hope you feel better soon and that you get to the bottom of this quickly.
All the best,
Sam
First Principles of Gastroenterology – http://gastroresource.com/GITextbook/en/Default.htm [This is my favorite of all the reference materials because it is searchable]
Clinical manifestations and diagnosis of sphincter of Oddi dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=pancdis/8160
Digestive Disease Library – Sphincter of Oddi Dysfunction – http://hopkins-gi.nts.jhu.edu/pages/latin/templates/index.cfm?pg=disease1&disease=12&organ=3&lang_id=1
Diseases of the Pancreas NIDDK – http://www2.niddk.nih.gov/AboutNIDDK/CommitteesAndWorkingGroups/NCDD/NCDDDiseasesofthePancreasNovember192007.htm
GI Consult – Sphincter of Oddi Dysfunction – http://www.emedmag.com/html/pre/gic/consults/031505.asp
Evaluating Predictors & Interventions in Sphincter of Oddi Dysfunction – http://clinicaltrials.gov/ct2/show/NCT00688662
Gastroenterology – http://intmed.muhealth.org/gast/patient_resource/commondisorders/sphincteroddi.html
Sphincter of Oddi Dysfunction: Diagnosis and Treatment – http://www.joplink.net/prev/200111/04.html
Acute Recurrent Pancreatitis and Dysfunction of the Sphincter of Oddi: 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.do;jsessionid=7690FF8E3E31A4C664267BD8276C2B86.0503?topicKey=~Sm4Jhk.9M03Fy&refNum=30
Disorders of the Biliary Tract by Guzman [Pathology Lecture] – http://www.uic.edu/depts/mcpt/curriculum/liver51_gg_lecture.html
Sphincter of Oddi Dysfunction – http://www.top5plus5.com/Sphincter%20of%20Oddi.html
International Foundation for Functional Gastrointestinal Disorders – http://www.iffgd.org/site/gi-disorders/other/sod
Sphincter of Oddi Dysfunction Pancreas and Biliary Tree Diseases MUSC Digestive Disease Center – http://www.ddc.musc.edu/public/problems/diseases/pancreas/sphincterOddi.cfm
Sphincter of Oddi Dysfunction is Associated with Chronic Pancreatitis – http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=9219783&dopt=Abstract
Systematic Review: Sphincter of Oddi Dysfunction--Non-Invasive Diagnostic Methods and Long-Term Outcome after Endoscopic Sphincterotomy – http://www.ncbi.nlm.nih.gov/pubmed/16842450
Treatment of Sphincter of Oddi Dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=~UrVVscJQz1HYr