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Chronic pancreatitis and alcohol addiction - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3560 Questions
User :   Hallo, my boyfriend is an alcoholic and suffers from reoccuring pancreatitis. He has just been out from the hospital for 5 days and has started drinking again. He already has had his gallblader removed previous 2 years ago. What dangers could happen to him? And is it safe for him to be drinking so early?
Doctor :   Hi
Doctor :  
Let me read your query
Doctor :  
Absolutely not safe
Doctor :  
If he has an attack of pancreatitis and just recuperating from it
Doctor :  
he shgould abstain from alcohol altogether for life
Doctor :  
Alcohol shall damage the gastric lining and the hinders the structure of the pancreatitis
User :   If it keeps reoccurring what may happen?
Doctor :  
He may land up in chronic pancreatitis
Doctor :  
anmd then cancer of pancreas
Doctor :  
he may get into alcoholic liver disease soon
User :   He has suffered pancreatitis for at least 5 years. How can you tell the difference between acute and chronic?
Doctor :  
CT scan of the abdomen
User :   He wouldnt tell me about his scan. When he has pancreatitis, he has back pain, chronic stomache pain, like acid burning, sweating, diarehea, yellow complexion and cant sit down
Doctor :  
Yes
Doctor :  
these are features of pancreatitis
Doctor :  
and if it is there for 5 yrs
Doctor :  
then it is likely an acute on chronic pancreatitis
User :   Oh so he continues drinking and chronic pancreatitis will develop. He could already have it though as the symptons are simular, isnt that so? His medical file from being in hospital before I met him is as thick as your arm.
Doctor :  
Oh
Doctor :  
Yes
Doctor :  
he seems to have chronic one
Doctor :  
all people with chronic pancreatitis should avoid drinking alcohol. Avoiding all food and receiving only intravenous fluids can rest the pancreas and intestine and may relieve a painful flare-up
User :   If you loose your pancreas, would you survive/
Doctor :   reatment of chronic pancreatic pain is often unsatisfactory
Doctor :   pancreas transplant is available
Doctor :  
very recently
Doctor :  
but less success
User :   Oh. Thankyou very much for your helpful advice.
Doctor :  
eating four or five meals a day consisting of food low in fat may help reduce the frequency and intensity of the flare-ups. If pain continues, a doctor searches for complications, such as an inflammatory mass in the head of the pancreas or a pseudocyst
User :   The mass was over 3000.
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