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Suffering from Chronic pancreatitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   hi ! i have chronic pancreatitis with diabetes. my amylase and lipase levels are always normal in blood tests. is that a good sign ?? or a separate problem ??
Secondly, in the recent USG it says "there is a hypoechoic structure with hyperechoic specks." what does this mean??
Doctor :   Hi
Doctor :   May I ask you a few more questions to help you better ?
User :   yup
Doctor :   May I know your age please ?
User :   33
Doctor :   Since when are you having CP /
User :   8 yrs
Doctor :   Ok.
Doctor :   If Serum Amylase,Lipase and trypsinogen are fine You must be alright as of now.
User :   i feel alright
User :   only slight abdomen pain occasionaly
Doctor :   And your Abdominal ultrasound report states that there are some areas in the pancreas which are slightly inflammed - hyperechoic specks & the rest of teh pancreas is normal as per the USG.
User :   in the recent USG it says "there is a hypoechoic structure with hyperechoic specks." what does this mean??
Doctor :   Hope you are managing your diet well ?
User :   hypoechoic means normal ???
Doctor :   It means that it is a not as functional as the normal pancreatic tissues as some part of the pancreas also become non-functional due to the inflammation that had already taken place,after a while due to autoimmune or ductal or other reasons.
Doctor :   What was the etiology behind your disease, could they diagnose ?
User :   u mean reason ??
Doctor :   Yes.
User :   alcohol
Doctor :   Hope you have been regulating your diet well now.
User :   yup i have
Doctor :   That is very encouraging, as your reports state that you are fine now.
User :   if some part has been damaged, but there is no inflammation now and reports are normal, can i drink in normal limits ?
Doctor :   Your lipase is fine,amylase is fine.
Doctor :   I would say a big No to Alcohol.
Doctor :   It can aggravate your situation in no time.
Doctor :   Please dont ever do that.
User :   but it happened coz i was drinking like 1 1/2 bottles of whisky daily, with practically no food
Doctor :   This is a serious disease that may lead to disability. You can reduce the risk by avoiding alcohol.
User :   now if i drink like 2-3 drinks once a week?
Doctor :   I dont want to say this but I have to that This is a serious disease that may lead to even death and you have to avoid alcohol totally.
Doctor :   You are just 33 and you have a great life ahead.
User :   ok
User :   because of the diabetes, i got myopia ! i.e. distatnt power ! doc gave glasses, but
Doctor :   Ok.
User :   the power of the eyes used to go up and down due to sugar fluctuations. so i dont wear glasses as difficult to change lens so frequently
Doctor :   Ok.
User :   however, now sugar is stable but still distant objects like alphabets are blurred ! i dont mind that and i dont wanna wear glasses. ! doc says thats up to me ! if i dont wanna see distant things clearly, no need for glasses
Doctor :   Ok.
User :   but for the past 3 weeks i am having bad headaches everyday. especially above the eyes, eyebrow region. can it be because of the eyes??
User :   i dont have migrane, sinus etc
Doctor :   Ok.
Doctor :   Defects in the vision can cause real bad headaches and sometimes even small nodules in the eye lids or in the conjuctiva, It is better to get a refractive index checked and lens changed if the vision is affected too much, for not more than 1 to 1.5 , as above it causes all the problems that I have mentioned.
Doctor :   Sometimes the problem gets aggravated if not corrected early if the defect is above 1.
User :   it was -0.75 once !! but then late is was -2.75 in one eye
User :   then it came down to -1.25
Doctor :   Ok,
Doctor :   So the difference has been fluctuating for more than 1, which could be a valid reason for headache.
Doctor :   Please use a new pair of lens for your problem.
Doctor :   I do understand that it is difficult , but try to get it done.
Doctor :   As treating the root cause is more important than just giving you an advil tab. for your headache, Hope you have understood my point.
Doctor :   Or just living with the headche.
Doctor :   I shall encourage you to follow some recommenadations that are made world across for Chronic Pancretitis : Doctor :   Eating the right diet is important for people with chronic pancreatitis. A nutritionist can help you create the best diet to maintain a healthy weight and receive the correct vitamins and minerals.
Doctor :   Drinking plenty of liquids
Eating a low-fat diet
Eating small, frequent meals (this helps reduce digestive symptoms)
Getting enough vitamins and calcium in the diet, or as extra supplements
Limiting caffeine
User :   ok
Doctor :   The doctor may prescribe pancreatic enzymes, which you must take with every meal. The enzymes will help you digest food better and gain weight.
Avoid smoking and drinking alcoholic beverages, even if your pancreatitis is mild.
Doctor :   Taking insulin to control blood sugar (glucose) levels
User :   ok thanx ! since there is time a totally diff Q
Doctor :   Ok, Please go ahead.
User :   i have this dark elbows and knees ! no skin problem, just dirty !! i tried various home remedies like lemon etc, but no use
User :   so sum1 told me to use
Doctor :   That is basically because of Diabetes
User :   glycolic acid and retionic acid cream
Doctor :   As you have poor bllod circulation to your peripheral limbs.
Doctor :   Yes absolutely right, please go ahead and also
Doctor :   Warm water and Olive oil massages would help you a lot.
Doctor :   A cocoa butter massage and hot watr sponging would increase vasodilatation and increased blood flow.
User :   these creams help in the diabetic darkenning also ??
Doctor :   Yes, especially retinoic acid.
Doctor :   Do you have anything else to ask?
User :   how long do u think they will take to show effect
User :   trying for 10 days now
Doctor :   4-5 weeks
Doctor :   till you get a news kin layer.
Doctor :   Thank you for conulting me.
Doctor :   take acre.
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