Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 Joze, I am currently being treated by meds for SOD. I am type III and my doc at Mayo thinks the surgery is too risky for me and being that my labs (liver enzymes etc) have never been elevated, I am not exactly an eligible candidate for the sphincter surgery. I started on Procardia 30 mg daily and now I am up to 60 mg daily. I have only been on the meds for a couple of months so I wouldn't be able to tell you how it works in the long run. I understand that it takes several months to see results. But I can tell you that my pain has definately decreased in intensity. I do still have pain daily as I always have but the intensity and duration have decreased. I hope this helps! Zoie > Dear groupmates! > Has anyone of you information about S.O.D.treatment > without surgery? Just with meds? Or maybe could list > the website(s), where I could find this topic on? > If my memory serves there has already been something > written about the mentioned issue in this group > discussions. > TIA for help > Joze > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 It helps, dear Zoie, thank you very much indeed. It is very important that you told me the name and dose of the drug! That's it! The fact that you have got the med prescribed from a Mayo doctor is important as well. The Mayo Clinic is still a symbol of the best medicine in the world... I rushed to the websites referring to Procardia. May I ask you: how about your blood pressure? It seems that Procardia (nifedipine) lowers the BP?! I have a normal BP by now. Thanks again Joze --- zoieee3 wrote: > > Joze, > > I am currently being treated by meds for SOD. I am > type III and my > doc at Mayo thinks the surgery is too risky for me > and being that my > labs (liver enzymes etc) have never been elevated, I > am not exactly > an eligible candidate for the sphincter surgery. I > started on > Procardia 30 mg daily and now I am up to 60 mg > daily. I have only > been on the meds for a couple of months so I > wouldn't be able to > tell you how it works in the long run. I understand > that it takes > several months to see results. But I can tell you > that my pain has > definately decreased in intensity. I do still have > pain daily as I > always have but the intensity and duration have > decreased. > I hope this helps! > Zoie > > > > Dear groupmates! > > Has anyone of you information about > S.O.D.treatment > > without surgery? Just with meds? Or maybe could > list > > the website(s), where I could find this topic on? > > If my memory serves there has already been > something > > written about the mentioned issue in this group > > discussions. > > TIA for help > > Joze > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 Treatment of Sphincter of Oddi Dysfunction Antispasm medicines are available, but are not very effective. A decision has to be made whether to cut the sphincter (sphincterotomy), during ERCP, or at surgery. When sphincter of Oddi manometry has confirmed that the pressures are high, sphincterotomy gives complete relief in 70-80% of patients; unfortunately, sphincterotomy also carries a significant risk of complications in this context, particularly the provocation of pancreatitis , and the possibility of perforation. Thus, this condition should be approached and managed with considerable care. Patients may warrant referral to specialist centers. Sphincterotomy procedures can sometimes scar after months or years, causing papillary stenosis. Further cutting (repeat sphincterotomy) is sometimes possible, but there are limits; surgical bypass may be necessary. Attempts have been made to treat sphincter of Oddi dysfunction without sphincterotomy-- by placing a temporary plastic splinting tube (stent), or by an injection of botulinum toxin, which paralyzes the sphincter. These treatments are experimental. I hope this finds you and yours well Mark E. Armstrong casca@... www.top5plus5.com PAI NW Rep ICQ #59196115 S.O.D. > > Dear groupmates! > Has anyone of you information about S.O.D.treatment > without surgery? Just with meds? Or maybe could list > the website(s), where I could find this topic on? > If my memory serves there has already been something > written about the mentioned issue in this group > discussions. > TIA for help > Joze > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 I am not having a problem with the blood pressure as I already had hypertension. I just stopped my regular blood pressure med when I started the Procardia. Procardia is hard to tolerate....I have had many headaches but the longer I take it the better it gets as far as tolerating it. Zoie > > > Dear groupmates! > > > Has anyone of you information about > > S.O.D.treatment > > > without surgery? Just with meds? Or maybe could > > list > > > the website(s), where I could find this topic on? > > > If my memory serves there has already been > > something > > > written about the mentioned issue in this group > > > discussions. > > > TIA for help > > > Joze > > > > > > > > > __________________________________________________ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 Dear Mark! Thank you very much for your input. I have now quite clear picture about S.O.D. I suppose that basically it is worth to start with antispasmodics. I am namely terrible afraid of all what is going on in an acute pancreatitis. I've had the first (hope the last)one in August this year. Because I've read here that various abdominal surgeries, esp. biliar, may provoke an AP I've refused the ERCP/surgery thus far. Best regards Joze --- " Mark E. Armstrong " wrote: > Treatment of Sphincter of Oddi Dysfunction > > Antispasm medicines are available, but are not very > effective. A decision > has to be made whether to cut the sphincter > (sphincterotomy), during ERCP, > or at surgery. When sphincter of Oddi manometry has > confirmed that the > pressures are high, sphincterotomy gives complete > relief in 70-80% of > patients; unfortunately, sphincterotomy also carries > a significant risk of > complications in this context, particularly the > provocation of pancreatitis > , and the possibility of perforation. Thus, this > condition should be > approached and managed with considerable care. > Patients may warrant referral > to specialist centers. > > Sphincterotomy procedures can sometimes scar after > months or years, causing > papillary stenosis. Further cutting (repeat > sphincterotomy) is sometimes > possible, but there are limits; surgical bypass may > be necessary. > > Attempts have been made to treat sphincter of Oddi > dysfunction without > sphincterotomy-- by placing a temporary plastic > splinting tube (stent), or > by an injection of botulinum toxin, which paralyzes > the sphincter. These > treatments are experimental. > > I hope this finds you and yours well > > Mark E. Armstrong > casca@... > www.top5plus5.com > PAI NW Rep > ICQ #59196115 > S.O.D. > > > > > > Dear groupmates! > > Has anyone of you information about > S.O.D.treatment > > without surgery? Just with meds? Or maybe could > list > > the website(s), where I could find this topic on? > > If my memory serves there has already been > something > > written about the mentioned issue in this group > > discussions. > > TIA for help > > Joze > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 Zoie - it's luck in unluck regarding your hypertension and therapy. please allow me another question: besides headache what are the other side effects of procardia which you have noticed. flush maybe? ankle edema? now on procardia - can you better tolerate the solid food? tia for your answers, regards joze --- zoieee3 wrote: > > I am not having a problem with the blood pressure as > I already had > hypertension. I just stopped my regular blood > pressure med when I > started the Procardia. Procardia is hard to > tolerate....I have had > many headaches but the longer I take it the better > it gets as far as > tolerating it. > > Zoie > > > > > > Dear groupmates! > > > > Has anyone of you information about > > > S.O.D.treatment > > > > without surgery? Just with meds? Or maybe > could > > > list > > > > the website(s), where I could find this topic > on? > > > > If my memory serves there has already been > > > something > > > > written about the mentioned issue in this > group > > > > discussions. > > > > TIA for help > > > > Joze > > > > > > > > > > > > > __________________________________________________ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 I could not tolerate the Procardia as I had the bad headaches as well. I had to take Vicoden to get rid of the headaches !! Tried it for two weeks then I stopped. My head hurt so bad that I had to hold it just to walk. Let alone turn a TV on. It was awful. I don't know how people with Migraine headaches do it. Color me a whimpy girl... I sure admire that you are toughing it out! Lily from Ohio Re: S.O.D. I am not having a problem with the blood pressure as I already had hypertension. I just stopped my regular blood pressure med when I started the Procardia. Procardia is hard to tolerate....I have had many headaches but the longer I take it the better it gets as far as tolerating it. Zoie > > > Dear groupmates! > > > Has anyone of you information about > > S.O.D.treatment > > > without surgery? Just with meds? Or maybe could > > list > > > the website(s), where I could find this topic on? > > > If my memory serves there has already been > > something > > > written about the mentioned issue in this group > > > discussions. > > > TIA for help > > > Joze > > > > > > > > > __________________________________________________ > > > Quote Link to comment Share on other sites More sharing options...
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