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	<title>Comments on: That dang sphincter of Oddi again</title>
	<atom:link href="http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/</link>
	<description>It&#039;s a reason, not an excuse</description>
	<lastBuildDate>Sat, 06 Feb 2010 02:20:09 -0800</lastBuildDate>
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		<title>By: Marce</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21958</link>
		<dc:creator>Marce</dc:creator>
		<pubDate>Sat, 06 Feb 2010 02:20:09 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21958</guid>
		<description>This blog is fantastic....Seems that I may be suffering from SOD with pain just increasing.  ALT is slightly elevated and pain in upper rt quad but no nausea nor vomitting.  Researching profusely for answers and Dr.&#039;s in NYC who are versed in SOD.  You mention Dr. Freeman...in what  state does he practice?  Anyone have pain after taking narcotics?
Thanks,
marce</description>
		<content:encoded><![CDATA[<p>This blog is fantastic&#8230;.Seems that I may be suffering from SOD with pain just increasing.  ALT is slightly elevated and pain in upper rt quad but no nausea nor vomitting.  Researching profusely for answers and Dr.&#8217;s in NYC who are versed in SOD.  You mention Dr. Freeman&#8230;in what  state does he practice?  Anyone have pain after taking narcotics?<br />
Thanks,<br />
marce</p>
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		<title>By: De</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21957</link>
		<dc:creator>De</dc:creator>
		<pubDate>Fri, 05 Feb 2010 16:53:48 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21957</guid>
		<description>Margie:
I can only answer for me, but YES!!! totally</description>
		<content:encoded><![CDATA[<p>Margie:<br />
I can only answer for me, but YES!!! totally</p>
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		<title>By: De</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21956</link>
		<dc:creator>De</dc:creator>
		<pubDate>Fri, 05 Feb 2010 16:52:12 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21956</guid>
		<description>Hi Robin:
I am on Amitriptalyne and feel like it made me gain weight too...I was hoping there was something out there that would not effec me that way ( so, you see no weight loss on Nortiptyline)?? I think they were talking about switching me, but do you think you gained weight on that? ugh, so frustrating!!

I too feel like i am having a heart attack when the pain comes, and for some reason it come son super fast and super strong.

What is Tramadol ( I guess I could google it, but I am trying to figure out all the meds people take and how doctors decide what is right for ech of us)..
Thanks
Dede</description>
		<content:encoded><![CDATA[<p>Hi Robin:<br />
I am on Amitriptalyne and feel like it made me gain weight too&#8230;I was hoping there was something out there that would not effec me that way ( so, you see no weight loss on Nortiptyline)?? I think they were talking about switching me, but do you think you gained weight on that? ugh, so frustrating!!</p>
<p>I too feel like i am having a heart attack when the pain comes, and for some reason it come son super fast and super strong.</p>
<p>What is Tramadol ( I guess I could google it, but I am trying to figure out all the meds people take and how doctors decide what is right for ech of us)..<br />
Thanks<br />
Dede</p>
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		<title>By: Brett</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21955</link>
		<dc:creator>Brett</dc:creator>
		<pubDate>Thu, 04 Feb 2010 01:31:23 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21955</guid>
		<description>Here&#039;s the web site showing how sphincteroplasty is performed. It looks like the entire papilla is removed and new openings fashioned.

http://sod-stinks.blogspot.com/2007/04/transduodenal-sphincteroplasty.html</description>
		<content:encoded><![CDATA[<p>Here&#8217;s the web site showing how sphincteroplasty is performed. It looks like the entire papilla is removed and new openings fashioned.</p>
<p><a href="http://sod-stinks.blogspot.com/2007/04/transduodenal-sphincteroplasty.html" rel="nofollow">http://sod-stinks.blogspot.com/2007/04/transduodenal-sphincteroplasty.html</a></p>
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		<title>By: Margie</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21954</link>
		<dc:creator>Margie</dc:creator>
		<pubDate>Thu, 04 Feb 2010 01:20:48 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21954</guid>
		<description>I never heard of it either, so I wondered if anyone knew anything about it. The philosophy is that if you have a spasm problem in one area, it is not out of the realm to consider you would have spasms in other areas. I thought it was interesting but never have seen anything about it.</description>
		<content:encoded><![CDATA[<p>I never heard of it either, so I wondered if anyone knew anything about it. The philosophy is that if you have a spasm problem in one area, it is not out of the realm to consider you would have spasms in other areas. I thought it was interesting but never have seen anything about it.</p>
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		<title>By: Robin</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21953</link>
		<dc:creator>Robin</dc:creator>
		<pubDate>Wed, 03 Feb 2010 22:08:14 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21953</guid>
		<description>Wow, I never heard of those things being related.  After I had 2 of the attacks, I did go see a cardiologist  and had a stress test, which was fine.  The first one I had, I just knew I was gone.  My pain management Dr thought it was angina, heart Dr said no.</description>
		<content:encoded><![CDATA[<p>Wow, I never heard of those things being related.  After I had 2 of the attacks, I did go see a cardiologist  and had a stress test, which was fine.  The first one I had, I just knew I was gone.  My pain management Dr thought it was angina, heart Dr said no.</p>
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		<title>By: Margie</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21952</link>
		<dc:creator>Margie</dc:creator>
		<pubDate>Wed, 03 Feb 2010 17:22:53 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21952</guid>
		<description>That is interesting. My cardiologist said that the spasms of IBS, oddi, and angina are all related. You were the first person I saw mention the pain, so I was curious if anyone knew more about it. Thanks for sharing that.</description>
		<content:encoded><![CDATA[<p>That is interesting. My cardiologist said that the spasms of IBS, oddi, and angina are all related. You were the first person I saw mention the pain, so I was curious if anyone knew more about it. Thanks for sharing that.</p>
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		<title>By: Brett</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21951</link>
		<dc:creator>Brett</dc:creator>
		<pubDate>Wed, 03 Feb 2010 02:30:50 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21951</guid>
		<description>It&#039;s good to read your case Robin. It sounds like you have very definite signs of SOD with elevated enzymes and you get worse with fiber/granola raw fruit etc. Do you get diarrhea as well?

One of my doc thinks the worsening with fiber is a definite sign it&#039;s not SOD. Reading you reports and others I&#039;m not so sure now.</description>
		<content:encoded><![CDATA[<p>It&#8217;s good to read your case Robin. It sounds like you have very definite signs of SOD with elevated enzymes and you get worse with fiber/granola raw fruit etc. Do you get diarrhea as well?</p>
<p>One of my doc thinks the worsening with fiber is a definite sign it&#8217;s not SOD. Reading you reports and others I&#8217;m not so sure now.</p>
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		<title>By: Michele A.</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21950</link>
		<dc:creator>Michele A.</dc:creator>
		<pubDate>Wed, 03 Feb 2010 02:30:37 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21950</guid>
		<description>I think a lot of GI disorders can manifest with chest pain.   Would not be surprised if SOD were one of them.  Sorry I can&#039; t be of more help on that one, but I am glad you are OK.</description>
		<content:encoded><![CDATA[<p>I think a lot of GI disorders can manifest with chest pain.   Would not be surprised if SOD were one of them.  Sorry I can&#8217; t be of more help on that one, but I am glad you are OK.</p>
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		<title>By: Brett</title>
		<link>http://www.judisohn.com/2005/10/that_dang_sphincter_of_oddi_ag/comment-page-18/#comment-21949</link>
		<dc:creator>Brett</dc:creator>
		<pubDate>Wed, 03 Feb 2010 02:25:30 +0000</pubDate>
		<guid isPermaLink="false">http://blog.momathome.com/2005/10/05/that_dang_sphincter_of_oddi_again/#comment-21949</guid>
		<description>Sphincterotomy is the procedure of choice these days because you don&#039;t need to be opened up and spend days on an IV feed.

It has pretty much replaced sphincteroplasty. Depending on where you read though the plasty  does seem to have a higher success rate and a much lower chance of closure.

They tend to use sphincteroplasty now when sphincterotomy leads to continued reclosure though my doc believes serial stenting is preferable.</description>
		<content:encoded><![CDATA[<p>Sphincterotomy is the procedure of choice these days because you don&#8217;t need to be opened up and spend days on an IV feed.</p>
<p>It has pretty much replaced sphincteroplasty. Depending on where you read though the plasty  does seem to have a higher success rate and a much lower chance of closure.</p>
<p>They tend to use sphincteroplasty now when sphincterotomy leads to continued reclosure though my doc believes serial stenting is preferable.</p>
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