What is Pancreatitis

Chronic pancreatitis can present as episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain or malabsorption....

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Sphincter of Oddi dysfunction
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I am not new to DS, but I am to this group. It is the closest I can find in relation to what is going on with my health right now.

I began having pain in my upper right quadrant that radiated to my back and up to shoulder in June 07. It isn't that I have never had this pain before, its just that it became constant and much worse and I also was very nauseated. I had episodes of similar pain, in fact, a year prior, 6/06, I was referred for thoracic pain, and was referred to a musculoskeletal specialist (d.o.) who when first examined me said I had digestive issues. He also diagnosed me with fibromyalgia. I still think he knew this wasn't from my fibro. I think now this has been going on since I had my gallbladder attack. After the surgery to remove my gallbladder, I still had episodes intermittently and the GI diagnosed this as IBS.

Anyway, this was so similar to my Choleycystitis that the docs weren't sure what was going on. They ran every test on me, cat scans with and without contrast, xrays, HIDA Scan, labs, ultrasounds, kidneys were scoped. Gastroscopy, everything came back negative. That is when my GI suggest I get testing for SOD (sphincter of Oddi dysfunction).

I finally had an ERCP w/manometry and sphincterotomy and stenting in January 08. She measured my pressures at 150 and 200 in the sphincter of oddi and pancreatic ducts. The stent fell out before 2 weeks and when I contacted her, she said there was nothing else that she could do and I would have to live with this pain.

I didn't agree, so I found another doctor who is well known in this field (had to travel to Minnesota). I had another ERCP w/manometry and sphincterotomy/stenting 4/17 as my pressures were still high in the pancreatic duct. I have been home now a week, and now I am having horrible pain in my left side/radiating upward into shoulder along with right sided pain. I may go to the ER if this continues to get worse or just continues tomorrow.

I am just feeling so hopeless right now. I have suffered many other debilitatingly painful disorders (one being endometriosis), and this is far more painful than anything I have experienced. I hate taking narcotics, and thus far, I have only used Ultram and Vicodin. The ultram sometimes makes my heart race, so I am relying more on the vicodin and this makes me extremely uncomfortable.

I am just wondering if anyone out there has experienced this disease and how have you dealt with it, what pain meds have you used or procedures have you had done.

Thanks,
San
Posted on 04/26/08, 08:04 pm
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Reminder: This is a support group for Pancreatitis. We trust you will do your best to remain positive and helpful. For more information, see our rules of the road.

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Reply #1 - 04/26/08  9:57pm
" I feel for you. I have had pancreatitis for three years comming to a head last march when it almost killed me. I had a double stricture and my pancreas was completely ruined from the damage that was done due to lack of treatment from my other doctors. I went to Beth Isreal hospital where they finally set me up. Beth Isreal hospital in boston is one of the leading establishments for pancreatic disorders. In fact they specialize in it. Its the leading facsility in the US and has some of the top surgens and doctors in the field there. If nothing else look them up on the Interet. If you are willing to travel I guarantee they can help. My surgen said my pancreas was the worse case he had ever seen and he fixed me up after a 9 and 1/2 hour surgery. They had to take over half my pancreas and rework all my digestive system over. I was on my death bead when I went to them and they saved my life. the hospital is in Boston, MA and my surgen was Doctor Vulmer. Good luck to you and I hope you get the help you need. BTW stints didn't work for me either. "
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Reply #2 - 05/02/08  12:00am
" I feel for you as I have had to go through 2 ERCP's, one in 12/05 and the second in 7/06. Each time, the pressure in my pancreas was high and I had a stent put in once in the biliary duct and once in the sphincter. I am now going through some of the same pain, but I have had hepatitis and pancreatitis since January, and will probably be having a liver biopsy in the near future. I just had an MRCP done as the last one showed cysts on my pancreas, and if they are still there, the doctor will have to go in to remove them.

My case is complex because I have a huge list of other conditions, so I take ultram and percocet for the pain, but it only dulls the pain, it doesn't take it away. I'm not sure what treatment I will get next, so I can't advise you on anything.

I just wanted to give you my support in what you're going through. You sre right in that this is a horrible condition that is misunderstood by a lot of people, especially because all of the tests come back okay. This year was the first time that my tests showed anything wrong, although I've had pancreatitis all my life.

If you need to talk, send me a message and I will respond to you as quickly as I can. "
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