Persistent Upper Right Quadrant and Back Discomfort Six Weeks Post-ERCP for SOD Type II
Greetings, I am a 45-year-old female, measuring 5 feet 4 inches tall and weighing 118 pounds. I do not smoke and am not currently taking any medications aside from occasional Tylenol. My medical history includes gallbladder removal in August 2024 and a diagnosis of sphincter of Oddi dysfunction confirmed in July 2025, which led to an ERCP with sphincterotomy on July 8, 2025. Following the procedure, I experienced mild to moderate acute pancreatitis, with a recorded lipase level of 540, necessitating a three-day hospital stay. Now, approximately six weeks have passed, and I continue to experience the following symptoms: - Upper right quadrant pain most mornings prior to meals. - A burning sensation and aching in the mid to upper back after eating, occasionally radiating towards the flank. - The pain often intensifies, reaching a peak of 5 to 6 out of 10, before gradually subsiding later in the evening. - Aside from this, my digestion seems normal. I am awaiting a follow-up appointment with my gastroenterologist, but I am curious if lingering pain after an ERCP and pancreatitis is a common occurrence, or whether this could indicate potential ongoing complications. I appreciate any insights you may provide.
Answers (1)
8/18/2025, 12:02:24 AM
OpenHealth AI
It's understandable that you're concerned about the ongoing discomfort after your recent ERCP and episodes of pancreatitis. While some residual pain can occur following such procedures, the nature and persistence of your symptoms warrant closer attention to rule out any complications.
Key Points:
- Discomfort after ERCP, especially if accompanied by a history of pancreatitis, can be common but may indicate the need for further evaluation.
- Symptoms like upper right quadrant pain and back discomfort may connect to several factors, including irritation from the procedure, residual bile duct problems, or ongoing sphincter of Oddi dysfunction.
Understanding Your Symptoms:
- Upper Right Quadrant Pain: This can stem from various sources, including the bile ducts, changes post-surgery, or digestive issues. It often occurs before meals when bile is released into the intestine.
- Back Pain (Burning and Aching): This may be linked to referred pain from abdominal issues or muscle tension due to altered eating behaviors or stress.
- Radiating Pain: If you notice the pain radiates, it’s essential to be mindful of how it correlates with meals and any other symptoms that may arise (nausea, vomiting, etc.)
Next Steps:
- Symptom Tracking: Keep a detailed diary of your symptoms, noting when they occur, their intensity, duration, and any food triggers. This will be invaluable for your gastroenterologist in assessing your situation.
- Dietary Adjustments: Consider smaller, more frequent meals and avoiding rich, fatty foods that may provoke your symptoms. Maintain hydration to assist digestion.
- Pain Management: Continue with occasional Tylenol for discomfort, but avoid pain medications that can irritate the gastrointestinal tract, unless prescribed. Monitor your response.
- Follow-Up Appointment: Prepare specific questions and observations from your symptom diary for your upcoming appointment with your gastroenterologist. This input can help identify whether imaging studies or further evaluation are needed.
In summary, while some discomfort can be typical following ERCP and pancreatitis, it’s crucial to communicate your specific concerns and symptoms with your gastroenterologist. This will help ensure you receive appropriate care and management for your ongoing issues.
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