Concerned with pancreatic cancer. Can it cause back pain? - Online Doctor Chats
I have a question about lower back or left side back pain
What kind of doctor are you sir?
I am a general physician associated with department of neurology.
I believe I can be able to help you with your query.
Proceed with your query.
I was just concerned with pancreatic cancer
I have read back pain could be caused by that
I have bilirubin of 2.1
and ALT of 90
No other symptoms
May I know what was your direct bilirubin level?
Since when do you have this back pain?
has been going on for about 3 weeks
I do not see direct bilirubin
it just says total 2.1 md/dl
I have no other symptoms
just wondering if my level are high enough for concern
Common liver function test contain total bilirubin level along with direct bilirubin levels in them.
Oh here it is
it is 0.4
As bilirubin levels are affected in multiple medical conditions, these 2 values helps us to narrow down the problem.
Thank you for providing me the values. Can you tell me more about the back pain?
Is the pain related to food intake?
not at all
its just there
sometimes it goes into the upper left glute muscle
but it is on the left side
May I know your age?
i am 34
Let me explain.
I just read about back pain and that pancreatic thing
Back pain is caused by multiple causes.
like below shoulder blade
however they cause obstructive type of jaundice, where there is rise in both total bilirubin and direct bilirubin levels.
yes, the pain is more located below the shoulder blade radiating across the abdomen.
I should say that almost every blood work up I have had, I had a elevated billirubin
The symptoms that you have and your blood reports do not match with that of a pancreatic cause.
back in 2009 I am viewing one with a direct bili of 0.5 and a total of 2.5
Your reports suggest that you probably may have a liver inflammation and not pancreas cancer.
If your pancreas was of issue would your bilirubin levels be REALLY high?
The pain that you may have is probably related to spine or renal condition which needs to be evaluated independently.
How old are you doctor?
If they are risen, it is due to obstruction where in the levels would be very high (in terms of more than 10 -12 mg/dl with elevated direct bilirubin levels).
I am 30 year old with clinical experience of 10 years.
Based on your reports, your symptoms are highly unlikely to be due to a pancreas issue.
I am afraig to take antiinflammatory for my back because it upsets my stomach. Should I still continue if it is helping my back
I can assure you of this.
I was told to take antiinflmmatory med for my back
should I just fight through the stomach upsets
I will have to look into it
thanks for your time doctor
In addition, if the pain is severe, you can counter the gastric side effects by using proton pump inhibitors like omeprazole
ok will do
thanks for your time
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