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Had Gall Bladder Removed. Having Abdominal Pain. Is There Any Treatment Besides ERCP With Manometry?
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Thanks for posting your query.
After reading your symptoms, i feel that you may have developed either sphinctor of Oddi dysfunction as mentioned by your physician or there could be presence of a stone in the common bile duct as your ultrasound shows 7mm Common bile duct which is dilated and not normal.
The treatment for SOD or the stone in the duct is the same ie: ERCP (Endoscopic retrograde cholangiopancreaticography) with manometry. This is the best and the only viable treatment for the aforementioned problems.
Antispasmodic drugs give minor relief in some patients but may not be of use where surgery is required. ERCP is a safe procedure with excellent results.
I would recommend you to visit a gastroenterologist immediately and also get a CECT (contrast enhanced CT scan) done for precise diagnosis.
Meanwhile avoiding fats in diet may help in reducing the pain.
Hope you feel better soon. If there are any more queries, I'll be happy to help.
Regards
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/62728.jpg)
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First, I would want to reassure you that ERCP is a very safe procedure with excellent results. Avoiding the procedure will only worsen your condition. You should not wait for another bad episode of pain and must act on it immediately.
As I had mentioned, CECT will give you a definite diagnosis so that you dont have to guess about what you have. All the vague guessing about you having Sphinter of Oddi dysfunction or stone in CBD needs to be confirmed and acted upon accordingly. With Contrast Enhanced CT, it will be diagnosed immediately. Please do not post pone your lab tests as well.
Yes, even if liver enzymes are not elevated in some cases, stone may be present in Common bile duct which needs to be treated.
7mm dilation is more than normal and may be Type II sphincter of Oddi dysfunction but it needs to be verified.
I would strongly recommend you to visit a gastroenterologist for examination along with your lab reports and get treated immediately as the pain can be very severe. Medication does not give sufficient relief and ERCP is the only ideal solution to your problem.
Have faith in your doctor and go ahead with the required treatment. You will feel better soon.
Regards
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/62728.jpg)
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