Suggest treatment for pain due to dysfunction of sphincter of oddi
Patient: I have a chronic pain condition known as disfuction of the sphincter of oddi. I was being treated with IV dilaudid that I did on my own at home. I felt being on the dilaudis all the time was not good for me. I came off the dilaudid. Started on gabapentin 600mg 4x/day and cymbalta 60mg bid Welbutrin XL 300mg bid. I went from 133 lbs to 180 lbs in about a month. I was so blown up and full of fluid I went to the ER. The ER doctor said I was toxic from the gabapentin and needed to come off slowly so I don't have seizures. As I have decreased the gabapentin and the welbutrin XL.  I have developed a rash. My FP doctor believes the rash is from stess. Also, she no longer feels comfortable treating my chronic pain issue. I am having trouble getting a pain Dr. to see me. Doctor: Hai.ur really into a chronic and troublesome problem.already u have taken the maximum dose of gabapentin als, , which brings you down.Please go for a tsh (thyroid stimulating hormone) to check out the levels dueto the chronic problemPlease reduce ur stress.The ultimate relief for pain u can go for is with the neurolytic blocks ., fentayl patches under supervision takig care of respiratory depression. Take care good luck