Three days after surgery is relatively soon to make any conclusions whether the procedure was successful. The doctor is correct in saying that the discomfort could wax and wane for weeks.
An MRCP or repeat ERCP can be considered to take another look at the biliary tree and sphincter of Oddi.
You can consider other causes of nausea - including the various causes of dyspepsia or gastroparesis. An upper GI series/upper endoscopy or a gastric emptying scan can all be considered as part of the comprehensive workup for nausea.
These options can be discussed with your GI physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
I had very much the same experience. The day after my ERCP for SOD I was so happy the nausea was finally gone, then it began to slowly come back, but not anywhere near as bad. I occaisionally still do get some RUQ pain, espescially the DAY after fatty food, like ice cream. Still, not like before however. I did have a gastric emptying study which was moderately long (185 minutes) I am on reglan and protonix now and MUCH better.I do not know how that relates to the SOD, and neither does my GI doc, but its something to think about. HAng in there.
You do need to be on a hi lipase digestive enzyme since you don't have a gallbladder. Once your gallbladder is out your digestion becomes out of whack. The food enzymes should help. Peppermint is very good for nausea. You can buy some peppermint oil and put a few drops under your tongue when nausea hits. Most fibromyalgics have a systemic yeast problem. A good probiotic may help you feel better as well.
Thank you for your comments. I do watch my diet and my yeast is not an issue because I am careful. It used to be, though. I had a day with less nausea yesterday and was elated. Today, it was back this a.m. and I am confused. I started having some burping and diarrhea yesterday and normally I am a bit constipated. I called the doc again and he said that the burping and diarrhea was normal and would settle down. What I worry about is that whether I did any permanent damage when I did so much the first day. I take hope in the fact that the doctors say this will wax and wane. I do not look forward to another ercp but would want to do it to know if I scarred anything. I asked the doctor about the drainage of the bile, now, and he said that it was now constant and I guess more at meals...I don't know. I just know that after my GB surgery I felt great in three weeks...and of course, this has been six days. ugh. Anymore help is always appreciated. susan
Thank you for replying. Did you go through the ups and downs after the sphincterectomy? My surgeon said it could take weeks. Yesterday I woke up without the nausea...yeah! Today, after a "discussion" with a friend I could not sleep and had nausea again. Also, did you feel feverish after the surgery? It is hot over the area, which of course is inside and cannot be seen. I also started having the burping and burning yesterday which my doc said was normal and would "settle" as the cut would settle. He said that I could not have done any damage to the surgery and I am scared. Do you, with your experience , think I could have done damage? Also, what do you think of the nausea going away again? It is much better now than this a.m....in fact, it is not there,. just the burping and gastritis...I hope it is a positive thing that the nausea is getting better. Mine is usually worse in the morning and has nothing now to do with eating...no matter how greasy....Do you think you can rip what they cauterized???/ I had one of the best in the US. He says not possible. I hope he is as smart as I think he is. Thanks for your input, susan
I think that you probably do need to hang in there a little longer. Something you might ask for is Questran (a bile acid sequestrant). Once the sphincter is open, its sort of like a faucet that drips bile all the time. The questran is a medicine that sops up the bile. It helped me in the first few months to feel better when I got burning pain and nausea. Again, reglan at night really helped my nausea also. i am finally feeling good now and I had my chole in late december and the sphincterotomy in MARCH! I too was intermitantly nauseated after the sphincterotomy, in fact I lost another 10 pounds, (plus the thirty i lost from dec to march!!) hang in there, soy milk and cereal kept me going!