Sphincter of oddi weight gain

For many, cholecystectomy or gallbladder removal is the only promise of relief from all their gallbladder pain and trouble. This makes the procedure one of the most frequently performed surgeries. Deciding to have it was even made easier with the development of laparoscopic cholecystectomy.

Due to its less invasive nature, healing time and recovery is much quicker, with most patients out of the hospital and back to their normal lives in no time.

However, just as they think all their worries are over, many discover that they need to face a new kind of challenge — weight gain after gallbladder removal. The fear of gaining a few pounds is common especially during the holiday season. Unfortunately for many people with gallbladder concerns including those who have had cholecystectomy, the struggle of weight gain after gallbladder removal is constant the whole year round. You may be one of many who are hoping to know the reasons behind this.

Some causes are directly related to the surgery while others are less direct. To help you understand the problem of weight gain during gallbladder surgery recovery or even long after the procedure, we have researched and listed five possible causes of weight gain after gallbladder removal.

Although surgical removal of the gallbladder is not as incapacitating as taking out other organs, its absence can still have a significant impact on our bodies. In some experiments using animal subjects, it showed that cholecystectomy results in elevated triglycerides in both the blood and the liver, and VLDL the bad cholesterol production. It also increases bile acids recirculation rates resulting in increased tissue exposure to bile acids. This affects energy balance, body weight, glucose levels and insulin sensitivity.

The removal of gallbladder even increases biliary bile acids and cholesterol secretion rates. These changes in the body suggests that people who have had their gallbladders removed may have a higher risk of developing metabolic syndromes and other complications such as type 2 diabetes, heart diseases and the accumulation of fat in the liver. When the gallbladder fails to work properly, the quality of the bile produced and circulated is affected significantly.

It can get too thick or can turn into sludge, causing stagnation. Over time, this can lead to gallstones that may impair the emptying of the gallbladder. When this happens, the much-needed fats and fat-soluble vitamins are not absorbed by the body.

In order to cope with less fat, our bodies go into starvation mode, preserving and holding on to the fat they already have. This can be a reason for weight gain for those with gallbladder problems. For those who have undergone cholecystectomy, the body still experiences drastic changes. The bile produced by the body may be insufficient in amount or too diluted to do its job efficiently leading to faulty digestion and metabolism of fat.

Apart from weight gain, this can also manifest in either diarrhea or constipation.

Sphincter of Oddi dysfunction

Diet plays a major role when it comes to weight management.Digestion, through which the body transforms the food we eat into the energy we need, is a complex process. The liver, the pancreas, and the sphincter of Oddi all play important roles.

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The liver provides a chemical called bile to the digestive process, and the pancreas provides pancreatic juice. These chemicals flow into the small intestine to help with digestion. The flow of these chemicals is controlled by a muscle called the sphincter of Oddi. A sphincter is a muscle usually round that can open and close. When it's working properly, the sphincter of Oddi opens to allow bile and pancreatic juice to flow through, and then closes again.

However, in a condition called sphincter of Oddi dysfunction, the sphincter muscle does not open when it should. This prevents the bile and pancreatic juice from flowing through, and causes a backup of digestive juices. The backup can cause severe pain in the abdomen. People who have had their gallbladders removed are most likely to develop sphincter of Oddi dysfunction. The procedure to remove the gallbladder is called cholecystectomy, and sphincter of Oddi dysfunction is often referred to as "post- cholecystectomy syndrome.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Sphincter of Oddi dysfunction The sphincter of Oddi is a muscle that opens and closes to allow bile and pancreatic juice to flow between the pancreas and the small intestine.

In sphincter of Oddi dysfunction, the sphincter muscle does not open when it should, which causes a backup of digestive juices and severe pain in the abdomen. This condition is treated with medications or a procedure called a sphincterotomy.

Appointments Overview Diagnosis and Tests Management and Treatment. Sphincter of Oddi What is sphincter of Oddi dysfunction? There are two basic types of sphincter of Oddi dysfunction: Biliary dysfunction the digestive juices are backing up in the bile ducts from the liver ; Pancreatitis the backup is occurring in the pancreas, and the pancreas is becoming inflamed.I have Sphincter of Oddi Dysfunction or SOD, a female-dominant health condition that caused me to give up a successful career as a not-for-profit director, lobbyist, and advocate.

I could not parent and spent a year vomiting, in severe pain, and on a feeding tube. I was 90 pounds and the emergency and hospital rooms became my second home.

On several occasions, my gastroenterologist said postpartum depression and stress were causing these extreme symptoms.

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As I was dying I was told to shake it off, just eat, and reduce my stress. Not only was I very ill, I was blamed and shamed for being ill. Though my tests were normal, I knew my body and this was definitely not psychological in nature. Having never heard of this disorder, I scoured the Internet for information and bingo!

Everything finally made sense. The year was I had my gallbladder removed and soon after developed a severe and constant pain in my right side under my rib. After a few tests proved negative results, I was diagnosed with IBS and given a medication that did not work. Since pain medication barely touched the pain, I went without and learned to live with it.

Fast forward to Septemberthree months after giving birth to my third son. I could not keep food down. The pain shifted to the area below my sternum. Later identified as pancreatic pain, it was searing and relentless. Weight was flying off of my pound 5 feet 4 inch frame. For a year, I suffered; until I took matters into my own hands.

I traveled from New York to the University of Minnesota to put a name to the mystery condition slowly killing me. Sure enough, the doctor told me I had a terrible case of SOD. The frustrating part of this was my doctors back home could have performed this test but insisted on the psychiatric diagnosis.

SOD is a condition where the sphincter valves controlling the flow of bile and pancreatic fluids do not open and close properly. SOD occurs most frequently following gallbladder removal post-cholecystectomy. Symptoms include but are not limited to :.

Sufferers often go undiagnosed or misdiagnosed as it is common for SOD patients to have normal bloodwork, scans, and procedural workups.

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SOD is most prevalent among women for unclear reasons. As such, I read and listen to countless stories of doctors telling SOD patients not only that their symptoms are psychological, but that SOD does not even exist!Sphincter Of Oddi Dysfunction A Very Common Cause of Right Upper Abdominal Pain After Meals Sphincter of Oddi dysfunction is the abnormal relaxation of a muscle ring that controls the release of bile and pancreas into the first part of the small intestine called duodenum.

It is a very common cause of upper abdominal pain especially after meals. It is often confused with gallbladder pain. If you have had your gallbladder removed, and still suffer with symptoms of gallbladder pain, it is very likely that you have SOD. See the causes, symptoms, how to diagnose and treat this condition.

What Is Sphincter of Oddi? The sphincter of Oddi is a very small but power ring of muscle found at the junction where the tube that carry bile from the gallbladder and the tube that brings pancreatic juice from the pancreas meets. Its function is to regulate the flow of these substances into the first part of the small intestine called the duodenum. After meals, especially rich or fatty meals, your gallbladder contracts to release bile - that green bitter liquid that helps in breaking down or emulsifying fat in our food to aid its proper digestion.

sphincter of oddi weight gain

The sphincter of Oddi relaxes to allow the flow of bile into the duodenum. Any abnormality in the muscle affecting the proper relaxation of this muscle or sphincter causes the bile to accumulate and flow back until it becomes stagnant, leading to forceful contraction of the distended tube.

5 Reasons for Weight Gain After Gallbladder Removal

The same problem could affect the flow of pancreatic secretions into the duodenum. The sphincter of Oddi dysfunction occurs if there is stiffness of the muscle ring at the junction where the common bile duct and the pancreatic duct meets.

The resulting back up of secretions from the gallbladder and or pancreas that are unable to flow pass the the sphincter causes severe abdominal pain.

Sphincter of Oddi dysfunction or SOD for short, can occur on its own or after an operation to remove the gallbladder. Any of the above types of dysfunction could lead to one or both of the following conditions, causing pain:.

The exact cause or causes of dysfunction of the sphincter of Oddi is not known. However, it is believed that chronic inflammation affecting the ducts and the muscle ring around the ducts could be responsible. Some other doctors believe that intermittent spasm from the muscle could be responsible. Pancreatitis, chronic gall bladder infection, inadvertent injury of the sphincter during surgery, diverticular disease of the duodenum close to the site of the sphincter of Oddi, and tumor affecting the sphincter are all possible causes of SOD.

sphincter of oddi weight gain

This condition could occur in anyone and at any age. It is however more common in women in their 30s, 40s and 50s. So, if you suffer with a right upper abdominal or central upper abdominal pain that tends to come on after eating, and spreads to the right side or back, with associated nausea, it is important you see your doctor to send you for a scan to exclude gallstones.

If the scan result comes back and says that everything is fine and there are no stones in your gallbladder, it is almost certain that you may be suffering with SOD or acalculous cholecystitis. If you, on the other hand has had a surgery to remove your gallbladder but still suffer with the same type of pain that made you have the surgery in the first place, then it is almost certain that you are suffering with sphincter of Oddi dysfunction or postcholecystectomy syndrome.

Request that you be sent for test to diagnose or exclude this condition. The diagnosis of the dysfunction of sphincter of Oddi is usually based on a good description of the pattern of pain by the patient which would lead to your doctor requesting the appropriate test for this condition. So if you suspect that you have this condition, take the time to write down exactly how the pain comes on, where it is, what you have noticed that makes it worse, does it spread anywhere, and what makes it better.

Also include any other symptoms that you may experience including whether you have chills and rigors, feels nauseated and actually vomits. Are you losing weight - not everyone would have all the symptoms listed above. The SOD has been classified into three diagnostic and patient types, based on the difficulties that may be encountered with diagnosis, which in fact, relates to what is happening in the sphincter.

They are:.

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The take home message here is that if you suspect that you have SOD and all other tests come back normal, if you can afford it and are happy to undergo a manometry test, request for one. It may be the only way of diagnosing your condition. Even if it comes back normal, your doctor may decide that you get treated to see if your symptoms would disappear and get your life back.

This involves the use of certain types of medications that have the ability to relax the muscle ring or the sphincter of Oddi. Such medicines for sphincter oddi dysfunction include:. This involves the use of an endoscope to pass a balloon into the stiff muscle ring and blow it wide, stretching the muscle and opening it up. It is an invasive process, but no cutting is needed. This is the best treatment available.Sphincter of Oddi dysfunction is a rare condition affecting the digestive system.

It can cause considerable discomfort in the abdomen, but it is possible to manage symptoms with lifestyle changes and medication. This article will discuss what sphincter of Oddi dysfunction SOD is, along with its symptoms and causes. It also covers diet and treatment. SOD occurs when the sphincter of Oddi does not open and close properly.

This can happen for many reasons, including:. SOD creates a buildup of digestive juices in the pancreas and liver, which leads to intense abdominal pain. The pancreas produces pancreatic juices, and the liver produces bile, which are chemicals that help to digest food in the intestines. Usually, these chemicals enter the small intestines through a duct, which is opened and closed by a surrounding muscle called the sphincter of Oddi.

People with SOD typically experience severe abdominal pain. The pain may be recurrent and can vary in intensity. Other symptoms of SOD can include:.

Sphincter of Oddi 1

Experts do not fully understand what causes SOD to develop, but they have proposed several theories. For example, it may be related to biliary microlithiasis, which is a condition where small gallstones form in the bile ducts.

Another theory suggests that SOD could be related to duodenitis, which is an inflammation of the duodenum, the first part of the small intestines. More research is required to determine what initially causes SOD. Some research suggests that SOD most commonly develops in women between 30 and 50 years old who have had their gallbladders removed.

Some people may find that eating certain foods trigger their symptoms. However, there is not yet sufficient research to outline which specific foods people with SOD should avoid. Trigger foods will vary from person to person, and those with SOD may find it best to use trial and error to determine which foods trigger their symptoms.

A person can also start a food diary to help keep track of how dietary changes influence their symptoms.By proceeding, I accept the Terms and Conditions.

And need to be used to minimum or better stopped. Now the sphincter of oddi dysfunction may reduce the weight but weight gain has never been correlated yet with it.

Well the management of that SOD is very simple. SPhincterotomy followed antispasmodics and avoidance of opioids analgesics and sedatives because both of them cause Sphincter of oddi dysfunction. Rest as far as weight gain is concerned, 7 kg can be easily lost with a good healthy lifestyle and exercise. Let me explain weight losing guidelines to you. A good start is always a modification in diet and lifestyle. Sign up to a weight loss program under an FDA approved clinician with realistic goals and expectations regarding weight loss.

Before signing up to programs evaluation for psychiatric morbidities is a must do procedure to sort out depression, eating disorders, not complying will lead to drastic effects and changes in lifestyle and personality which one would regret for long time.

Now what should be the goal and target? Remember losing weight is easy. Diet induced weight loss increases the hunger and appetite and creates a challenge for the patient and the perseverance and patience is tested otherwise rep lapse occurs and all effort goes in vane. And this applies to every age group but children more specific as their lifespan matters the most here.

Energy expenditures are obsolete these days as metabolism varies, usually 22 kilo calories are required for every kg to be maintained therefore weight loss reduces the expenditure and dampen the pace of loss which most of the time disappoints the patient and then they commit the cheap publicity damaging stunts to be a super man in one daytime when they lose it. What to eat, what not to eat how to eat how much to eat and when to eat are some very import an questions need to be answered. These have adequate and enough amounts of the major diet components based on the food pyramid from the US Department of Agriculture and recommended daily allowances RDAs.

These sources also have adequate micro components of nutrition and trace elements like vitamins and minerals etc. Alcohol, sodas, most fruit juices, and highly concentrated sweets are generally calorie dense and nutrient deficient so-called empty calories. Last but not the least way is exercise.

Intensive exercise programs work like charm but cardiac and respiratory profiles need to be evaluated first before prescribing them.

Aerobic isotonic exercises are the best amongst all.

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Anaerobic isometric exercises, resistant training can be used as side technique but with a lot of monitoring. Modify behaviour before its to late, never sleep for more than 7 to 8 hours. Now the list of medications prescribed in obesity but to be used only after consulting a physicians and let them choose what is best.

Herbal ingredients frequently include ma huang Ephedra sinicaSt. Bariatric Surgeries are new development and advised to BMIs above 40 or people in old age where exercise is not an option for weight loss I hope it helps. Take good care and don't forget to close the dysfunction please. Regards S Khan. Coronavirus Doctor Consultation Are you a Doctor?

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