What Causes Nausea And Vomiting When Suffering From Sphincter Of Oddi Dysfunction?

Posted on Sat, 29 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 29 Mar 2014 Answered on

Sat, 19 Apr 2014 Last reviewed on

Question : I have been diagnosed with sphincter of oddi dysfunction. Got suddon onset of severe pain, nausea, vomitting, and 100.4 fever. Should i go to the ER?

Answered by Dr. Enrique Molina (-4 hours later)

Brief Answer: yes Detailed Answer: you should go and get checked by an ER doctor, and get basic laboratory testing. Sphincter of oddi dysfunction (SOD) is a difficult diagnosis to make, and sometimes is made by exclusion of other things. There are many types of SOD, and i don't know how they diagnosed that in your case. The gold standard is by an ERCP with manometry of the sphincter of oddi. In any case, having fever and severe abdominal pain is potentially XXXXXXX and that is why a doctor should evaluate you ASAP, and make sure you don't have elevated liver tests, abnormal white cell count, etc. You may require antibiotics, and imaging studies. Let me know if you have any further questions or concerns.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Enrique Molina (34 minutes later)

It was diagnosed by an mrcp. Waiting for the surgery on the 8th. Ive vomitted 6 or 7 times in the last hour. Fever is 101.0 now. I dont kbow what to do .

Answered by Dr. Enrique Molina (12 minutes later)

Brief Answer: go to er Detailed Answer: definitely go to the er, as the temperature is going up, you are vomiting too much. the bile ducts may get infected, and cause "cholangitis" particularly if you have a stone or something blocking the drainage of the bile. This may have been missed on a prior mrcp. I highly suggest you going ASAP before anything gets worse. Hopefully that helped, i wish you good health

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar