Question Title: severe pain and nausea after gall bladder surgery, sphincterotomy and bypasss

Thirteen years ago, I had my gall bladder removed. Four years ago very suddenly I developed what seemed like gall bladder attacks. The pain was unbearable during the attacks and often included vomitting. The attacks were always in the middle of the night. They would last at least an hour and often two to three hours. I never vomit food, only bile. Three years ago I had the sphincterotomy after several ERCPS and anti spasmodic drugs. I was told that my bile duct was almost totally closed off at the duodenum, and was very tiny. My surgeon said it was about the size of the end of a ball point pin. I was fine for about a year and then my symptons appeared again, also very suddenly. The testing began again and this time the bile duct had narrowed at the other end. I then had the hepaticojejunostomy. I did great for a few months and am now having symptoms once again. I am on several antispasmodic medications. I would like to know if there are other treatments available and what options I might look into. It is very difficult to endure the pain. It is truly unbearable during the time of the attacks. Pain medication allows me to get through them however, it does not alleviate the pain. The pain begins in my right side and radiates straight through to my back. I would appreciate any information or suggestions that you may offer. I am a 50 year old woman. Thank you

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Dear Gayle,
recurrent strictures of the bile duct may represent the consequence of bile duct stomes. A second explanation is a condition called sclerosing cholangitis, a condition in which there is recurrent right upper quadrant pain, fever, jaundice and strictures of the common bile duct. Sclerosing cholangitis is associated with inflammatory bowel disease.

This information is presented for educational purposes. Always discuss specific questions with your personal physician. If you wish a second opinion, we would be happy to see you in the Division of Gastroenterology of Henry Ford Health system in Detroit. You can arrange an appoinment by calling our Physician Referral Line at (800)653-6568 and requesting an appoinment with dr. Fogel, one of our experts in gastrointestinal disease.

HFHSM.D.-rf
*keywords; bile duct stricture, sclerosing cholangitis
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