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Sphinctor of Oddi

Sphinctor of Oddi

I've been bounced back and forth between specialists.  They have finally narrowed my condition down to Sphinctor of Oddi dysfunction.  I have an appointment again in a couple of weeks to discuss medications like calcium channel blockers.  But what is the best treatment for severe pain attacks?  I'm taking a chronic pain medication now that works most times.  But every few weeks or so I have a major attack, where I can't breathe or move.  Morphine only makes it worse it seems, and the doctors think I'm a druggie if I ask for anything else.
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If you were working with docs who truly understood SOD, they would be telling you that you shouldn't be on any form of narcotic-based pain meds. Those meds can increase the pressures within the duct and increase your pain. The meds that are typically used are high doses of antispasm meds, calcium channel blockers or nitroglycerin. So be careful of what you use.

Have you had an ERCP with manometry done? That is the diagnostic procedure that is used and if the pressures in the duct are elevated then the typical thing that is done is a sphincterotomy. But the manometry portion HAS to be done to find out what the pressure levels are. If you haven't been looking for someone who is working specifically in the area of SOD, please do so. It's a condition that not many GI people really understand and it's nothing to 'practice' on. Seek out a specialist in SOD.

You may also want to consider following a very, very low fat diet.
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