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My Angry Panky & HeebyGB (aka Pancreas and Gallbladder) – and the “Sphincter of Oddi”

If you’re spike poisoned bad, you’re going to feel like you’re dying – because that’s what the spike is trying to do to you. It’s infiltrated every single one of your organs and key systems, and is now poking and prodding each of them, simultaneously, inflaming them – and whatever the weakest link in your chain is will give first. Unfortunately, it doesn’t stop there. Celiac was my “weakest link,” but more stuff came down the pipe, sure enough.

One of the ensuing problem areas that came down the pipe was pancreas, gallbladder, and liver inflammation. Here’s how it manifested in me: since August 2021 (when Covid-Delta hit me with hyper-celiac) I had a “burning stomach” pain, almost like I ate too much hot sauce. The pain (which is still there) was in the center of my stomach area high above the bellybutton, right in the center triangle area formed by my ribs, starting about an inch or so under the base of my sternum bone (“xiphoid”). It kind of feels like I went and drank too much hot sauce – just a lingering, burning sensation deep somewhere in there. This threw me off for the longest time – was it my transverse colon? My duodenum?…?

It was my pancreas – my “angry panky,” as I’ve affectionately taken to referring to it. But wait – there’s more.

There was a reason I had an angry panky – something caused it. Yes, I’m certain I have plenty of spike embedded in there, slicing things up etc etc., but, as I recently found out, that wasn’t the primary cause – the spike in the panky were contributing causes. The primary cause was an annoying (well, it’s annoying right now) little-mentioned valve that dumps the secretions of the liver (and gallbladder) and the pancreas into the small intestine – called the “sphincter of Oddi” after the guy who first wrote about it.

What clued me in was two things: first, I had strange back pain, radiating from spine (at the same height/area as the burning pain) that would increase when my “hot sauce” pain increased (almost always after eating, hint hint). Second, I finally talked to a GI Nurse, who said, “well, nothing came up on your scans, and your [pancreas enzyme] levels weren’t elevated – this sounds like gallbladder to me.”

I knew it wasn’t gallbladder – at least just gallbladder, because I’d eat meals with zippo fat, and the pain would still happen. But then I noticed something else – it was the gallbladder – it seemed like it was both, because I’d get back pain that radiated to my right shoulder, and pain under my front right rib. That’s when I knew I needed to dig deeper.

I’ll explain how this works, because – at least prior to all this – I had no idea what the gallbladder, liver, and pancreas even do. The short story is that they release enzymes so you can digest your food – no liver or pancreas = no food = dead. You gallbladder is part of your liver – it’s a little sack on the bottom-ish area of it. You liver releases (amongst other things) something called “bile” that emulsifies fat and makes it bioavailable. Your gallbladder is like a little storehouse for that bile. That’s why people can have their gallbladder removed and still function – because technically your liver can either hold some bile, or leak out what it holds (your body then recycles it after it hits the gut – back up to the liver). The pancreas, on the other hand, is a big one – no panky, no life. The pancreas basically digests everything – carbs, proteins, and fats – and fats far and away make the panky work the hardest (the proteins, then carbs – I’ll bet this is why some people like to start the day by eating some carbs – it’s like an easy warmup for your panky. If you have a strong panky, you don’t need to worry about this. Anyways). Pancreas trouble is scary – basically, the advice you’ll collectively get when you start reading about pancreatitis diets is: “avoid fats… and protiens… oh, and avoid carbs too!” Yeah, basically.

But, here’s the catch. If any one of those are inflamed, or there’s a blockage somewhere along the way, those digestive juices will back up in the pipes – and start digesting the organ that they came from (especially the pancreas, which secretes trypsin to digest proteins). Ouch. If that starts happening, you’ll get pain – you guessed it – in your high-center stomach area that radiates to the back… sounds familiar. This can cause scarring, more blockage, and lots of bad bad stuff – and lots of pain. And it’s very difficult to catch.

But here’s the deal: in my case, nothing was showing up on the scans (MRI, CT, sonogram) and nothing was showing up on the bloodwork (that checked for enzyme levels) – because my pancreas was hurting but not blocked – yet. (Hopefully now you understand why I term my pancreas “angry panky,” and my gallbladder “heebyGB.”).

But then came the curveball – the “sphincter of Oddi” (aka “SOD”).

If you look at the image above, you’ll see this sphincter (which I’ve taken to calling the “SOB” sphincter, thank you very much) is the gateway from the liver/gallbladder and pancreas to the small intestine – it’s the doorway that dumps the good stuff from those organs into the small intestine, and makes sure the small intestine’s content’s don’t come back in.

The problem: remember what celiac attacks? Your small intestine. So, I’m making an educated guess that after my small intestine got ripped up, one of the casualties was my SOB valve. If my SOB valve was acting up – spasming, or just simply not opening, or opening and letting stuff come back up – that was bad juju for my panky and heebyGB – hence the pain.

So now that you understand how this all works, I can now tell you what worked for me to compensate for my body’s injury, and help the body heal. Here’s a perfect example, I think, of healing – I’m looking for something that doesn’t make the body rely on my intervention, but rather trains my body to help itself. Eventually I won’t have to do any of this (hopefully) because I’m working with my body – not overpowering my body with a chemical in a way that trains my body to leave it to that chemical.

So, without further ado, here’s what I’ve found works, in no particular order:

  1. I give my panky and GB a break – I take days off from eating fat, and eat a few days of low fat.
  2. At the start of eating (if I’m eating protein and fat), if it’s angry panky (you’ll be able to tell – panky is center pain, heebyGB is center pain + right shoulder/base of the right rib pain) I take bromelain and NOW Porcine Enzymes (NOT NOW “Super Enzymes” – I hurt myself there, because they have bile salts, and I have malabsorption issues from celiac – a bad combo.
  3. And, the #1 star of the show? Breathing. It’s been so dramatically helpful that I’ve created a whole separate post describing it. I’ve found that I can successfully eat limitless fats (more or less, let’s not get carried away!) and not have Angry Panky or HeebyGB when I do prone-breathing after eating. HUGE.

89 replies on “My Angry Panky & HeebyGB (aka Pancreas and Gallbladder) – and the “Sphincter of Oddi””

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