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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Diarrhea In Patients With Acute Pancreatitis?

I was recently hospitalized with acute pancritis,I had a ct scan and ultra sound I was taken off my metfhormen for 48hrs after the ct scan and I hadent had any 8 hrs before because of pain and no food intake. I;m home three days know still elevated sugar levels and experiencing diarrhea about hour after eating. No more pain and eating love fat more consistently.Managing my food better so should I be concerened about my bowels. I also am very overweight and take a blood pressure pill I,ve never been diiy or chess pain or numb ness. Should I be concerned?
Wed, 17 Aug 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the question of causes of diarrhea in patients with acute pancreatitis.
Also noted the history of recently admitted for acute pancreatitis, had CT scan and ultrasound, got discharged, have elevated blood sugar levels and have diarrhea too, eating low fat, are overweight and also taking blood pressure medications.
The causes are obviously the irritation that is caused by pancreatitis, having high sugar can cause diarrhea due to infection and intolerance to food as there may not be any pancreatic enzymes to digest the foods and beverages that you are taking.
I would advise you the following in such a situation:
Tests of blood sugar, amylase and lipase, liver and kidney functions as a review to find out whether there is any derangement.
Tests of stool to see for any infection or intolerance. And to change to the foods that need less digestive enzymes.
Addition of pancreatic enzyme supplements with food can dramatically improve your condition.
You will also need multivitamins and probiotics.
Consult your Gastroenterologist for further management and investigations as needed.
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What Causes Diarrhea In Patients With Acute Pancreatitis?

Hi. Thanks for your query. Noted the question of causes of diarrhea in patients with acute pancreatitis. Also noted the history of recently admitted for acute pancreatitis, had CT scan and ultrasound, got discharged, have elevated blood sugar levels and have diarrhea too, eating low fat, are overweight and also taking blood pressure medications. The causes are obviously the irritation that is caused by pancreatitis, having high sugar can cause diarrhea due to infection and intolerance to food as there may not be any pancreatic enzymes to digest the foods and beverages that you are taking. I would advise you the following in such a situation: Tests of blood sugar, amylase and lipase, liver and kidney functions as a review to find out whether there is any derangement. Tests of stool to see for any infection or intolerance. And to change to the foods that need less digestive enzymes. Addition of pancreatic enzyme supplements with food can dramatically improve your condition. You will also need multivitamins and probiotics. Consult your Gastroenterologist for further management and investigations as needed.