Both. Birth control pills, fertility drugs, and changing hormones in peri-menopause can cause bile to thicken and make it more difficult to pass to the small intestine. That's one of the reasons that the typical gallbladder patient is "Female, Fertile (or fat) and Forty".
thank you for your response. It has been a big help. but i do have a question ? did you mean the fertility hormones can thicken up the bile or just anything in general can make sludge?? thank you ....kimmy
I don't think the hormones directly impact the functioning of sphincter of oddi, but it sure can thicken up your bile. Even though you no longer have a gallbladder to store bile, it can get thick and sludgy enough that it just can't flow properly to the small intestine. It's certainly worth talking about to a gastro doc, but you'd be looking at another ERCP. I'm really sorry you got the pancreatitis from the last one. Absolutely miserable, isn't it?