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Hello all-- Long time lurker. 35 year old male, good physical shape, bike ride/run 30-50 miles per week. Thought it was time to post something to see if there are any suggestions or stories of similar experiences. 20 months ago I developed a sudden pain under my right rib (and upper right back) and severe intolerance to caffeine and fatty foods. I can't even have decaf coffee or it sets me off. I have had 2 CT scans (spaced by a year), endoscope, colonoscopy, 6 liver panels (and pancreas), gallbladder removed (6 months ago), and a MRCP. All came back negative for anything.
My intolerance to fatty food and caffeine got worse after the gallbladder removal, and I haven't been able to get back to eating what I could before that surgery. I am currently trying to eat under 20 grams of fat per day, but this is pretty hard. If I do this my pain is very minimal or pretty much absent. I am thinking at this point I am dealing with sphincter of oddi dysfunction or chronic pancreatitis. I was a social drinker for a number of years (probably 10), and would have a few beers most nights, although I wasn't drinking at the levels I read about that lead to chronic pancreatitis, but I guess for some people it doesn't take much. When this all started I hadn't had a beer in a few weeks actually.
I'm currently at a loss on what to do now. I think my GP and GI docs think I'm crazy, but if I eat a burger I am screwed and fill like crap for at least a week. I have noticed that lemon juice can help ease the pressure/pain. Does anybody have mild chronic pancreatitis in which they only have pain when they screw up on their diet? Pain is usually a couple hours after eating and is around a 4-5 on the pain scale. This usually also leads to a muscle-like stabbing pain on my upper right back beside my shoulder blade. Anybody have pain like this, only on the right side? I don't know if its SOD or chronic pancreatitis but would really value peoples insights. The only other tests I can go for are ERCP and/or EUS. Also-- stress has a huge impact on how bad my "flare-ups" are.
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