What is the remedy for severe spasms below the sternum in one post gall bladder removal and subsequent choledocojejunostomy ?
Patient: 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 Doctor: 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