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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diverticulum In Duodenum And Occult Blood In Stools. Have GERD. Help Myself?

Hello. My problem is that I have a 2.0 cm diverticulum in the 2-3rd portion of my duodenum and i also have some occult blood in my stools . my colon has diverticulum there also. i have GERD and a history of chronic pancreatitis but without drinking and smoking. my latest ca 19 number was 33. i also have blunting of my villi and go not seem to absorb food and medicines vvery well at times, i was put on creon but i can not take the constiaption from that either. what should i do, my stomach has pain every day and i take prontonix 40 mgs x2 daily. how do i fix my self? i can not eat many foods it seems i can only eat soft foods. they did a scan on my pancreas and said the head has atrophied very much. could this be auto-immune or from some virus? thank you ( going on now for 3 years)
Mon, 25 Nov 2013
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General & Family Physician 's  Response
Ocult blood may be due to diverticulum in the colon which is not related with pancreatitis which is a different problem.

If bleeding is too much and is reducing your hemoglobin level then surgrical resection of diverticula is required
chronic pancreatitis can be auto-immune or from some virus which can be differinciated by blood tests however there is no definitive treatment of that supportive and preventive care is avaliable
You should keep in touch of a gasteroenterologist for all these issues and perticularly for bleeding.
Periodic screening for malignent transformation of colon pathology is required (which you are already doing)
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Have Diverticulum In Duodenum And Occult Blood In Stools. Have GERD. Help Myself?

Ocult blood may be due to diverticulum in the colon which is not related with pancreatitis which is a different problem. If bleeding is too much and is reducing your hemoglobin level then surgrical resection of diverticula is required chronic pancreatitis can be auto-immune or from some virus which can be differinciated by blood tests however there is no definitive treatment of that supportive and preventive care is avaliable You should keep in touch of a gasteroenterologist for all these issues and perticularly for bleeding. Periodic screening for malignent transformation of colon pathology is required (which you are already doing)