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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For Severe Spasms Below The Sternum In One Post Gall Bladder Removal And Subsequent Choledocojejunostomy ?

I m suffering from severe epigastric/biliary spasms. I have a lengthy history as a result of a complicated gallbladder removal and subsequent choledocojejunostomy. Since then I get these gallbladder - like attacks just under my sternum, radiating to my right shoulder and arm . Last week I experienced the worst one I ve ever had. Normally I take buscopan as soon as they start, so they never get that severe, with the exception of a few times over the last 14 years. My CT Scan , and XRays are normal, but my LFT s are elevated. I m having another spasm now, but the buscopan is not working, I ve also taken my prescribed pain medication, but no relief. What can I do to stop the spasm?? Please help me
Mon, 16 Apr 2012
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General & Family Physician 's  Response
Hi...you should first get yourself tested for Hepatitis B/C serology given the chronicity and elevated LFTs ..you can try dicyclomine tablets instead of buscopan combined with an anti acid like omeprazole...this woul give relief to the lower esophageal sphincter and biliary stump as well.try modifying your diet with more carbs more protein n less fat
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General & Family Physician Dr. Kamal Kishore Bandil's  Response
Hello Sib,

Welcome on HCM.
Your problem is suggestive of not following dietary habit as advised by the surgeon to you.
In normal with gall bladder the gall bladder stores Bile pigments in it so when you take food this released to digest fats in the food.
Now this bile is not stored in your body so you should take less fats and small diet at a time.
In place of two meals a day you should divide it in to 6 to 8 meals a day.
Your problem will be solved.

Thanks
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What Is The Remedy For Severe Spasms Below The Sternum In One Post Gall Bladder Removal And Subsequent Choledocojejunostomy ?

Hi...you should first get yourself tested for Hepatitis B/C serology given the chronicity and elevated LFTs ..you can try dicyclomine tablets instead of buscopan combined with an anti acid like omeprazole...this woul give relief to the lower esophageal sphincter and biliary stump as well.try modifying your diet with more carbs more protein n less fat