### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HELP!!!! I suffer with gallblader attacks, Im having my gallblader removed in the new year, Im having attacks once a week really bad ones, I have been to A&E  a few times but by the time I get there the pain is gone, this is after I have been in pain all day, the pain gets so severe I think Im going to die there is nothing I can do to stop the pain, I was prescribed buscopan and cocodamol to take when Im in pain, these do not work for instance, my pain started at 1 pm I took 20 mg of buscopan and 1000 mg of paracetamol and then the same at 4pm the pain is getting worse and I know where this us heading again. What do I do????? I even got prescribed tramadol which the consultant said not to take and just to take paracetamol and buscopan.

### output:

His went through your history. Although you haven't mentioned your age and gender, but your history is consistent with SOD (sphincter of odd dysfunction) until and unless proven otherwise. Despite your gall bladder surgery, you can have such type of abdominal pains in SOD. Sphincter of odd is a valve present at the end of CBD (common bile duct) that relaxes once you start eating so that bile juice can reach small intestine. In SOD the valve pressure is high, and it does not relax, and therefore you experience pain. To confirm the diagnosis you have to perform your Lots and an MRI known as MRCP. If both Lots and MRCP are abnormal, you should consult a gastroenterologist to undergo a type of endoscopy, ERCP which will be curative as well. If either Lots or MRCP is abnormal, you have to undergo a confirmatory test that is called manometry. And if its abnormal you will need ERCP with sphincterotomy, which will be the definite treatment. Hope I have tried to explain your condition to you in simple wordsRegards