Virtual Reality in SOD

Inclusion Criteria: * Diagnosis of chronic biliary type abdominal pain (RUQ pain, pain radiates to the right flank, scapula, or shoulder, or pain that stimulates gallbladder symptoms) * Pancreatic pain (epigastric or left upper quadrant pain, pain that is exacerbated by some food, or pain that radiates to the back) for at least 3 months prior to the study * absence of abnormal liver and pancreas chemistry or abnormal abdominal imaging * average pain score of greater than or equal to 3 out of 10 on the numeric rating scale (NRS) for at least the average of 3 episodes each week * Subjects on antidepressants for pain control should take the medication for a minimum of one month prior to the baseline assessment. * Patients with SOD with depressive and/or anxiety disorders who receive psychopharmacologic treatment must be on stable medication dose for at least 6 weeks. * Patients with access to a cell phone, able to speak, read, and write English will be enrolled. Exclusion Criteria: * Patients with evidence for acute or chronic pancreatitis, biliary stones, or bile duct strictures. * Patients who have had prior sphincterotomy must have had the procedure at 3 months prior to the start of the study. * Patients with a history of motion sickness and vertigo and anyone experiencing active nausea or vomiting (including pregnant women) will be excluded. * Patients with a history of seizures or epilepsy will also be excluded to limit the theoretical risk of inducing seizures with VR. …