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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spot On The Pancreas Along With Weight Gain And Neuropathy?

Since I have screws in my knee I had a Pelvic CT scan last week. Doc called me that afternoon and said they detected a spot on the Pancreas. They don t know if this is Bugs & Spiders or the real thing so they rescheduled with a Contrast more so than the first one. I have unexpected weight gain, nueroprathy (spelling, I know!) in both feet. Been told I AM NOT Diabetic. Also edema lower legs/feet, skin discoloration. Taking Ultram and Cymbalta and as needed, Percocets for Feet Pain. Other than that, eat a normal diet with one to two meals a day. Moderate ethanol and smoke a few cigars. No other drugs...etc....
Tue, 23 Feb 2016
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Dietitian & Nutritionist 's  Response
Welcome to HCM!
I have reviewed your concerns and can try to explain a few things that might be happening to your body, but ultimately cannot override the treatment of your physician.

The pancreatic beta cells may not be functioning well. Your doctor said you do not have diabetes, well, perhaps not be the definition of a blood sugar level. The process of diabetes (development of neuropathy, kidney disease, vascular problems, foot problems) may develop years before your blood sugar warns the doctor of your pre-diabetes (100-125) or diabetes (>125).

The spot on the pancreas may be responsible, they are still running tests. But if you were my patient, that is what I would recommend - indepth inquiry into the nature of the pattern of your symptoms.

If you are having weight gain, that can be handled in a normal fashion. Exercise 150 minutes per week and follow a calorie restricted diet.

Per your edema in your legs, I suggest a low sodium diet of less than 2300 mg of sodium, the amount in 1 tsp of table salt (sodium chloride). That may help the edema. Keep your legs raised when they get discolored and swell up.

Eliminate sugar from your diet completely due to the edema and pending diabetic evaluations to help relieve some of your symptoms.

Discuss other options for neuropathic pain as Percocet is just a pain medication. You will have better results taking something specifically for neuropathy. If you take cymbalta, you need to take it consistently. It is not the type of pill you take when you feel like it. Ultram take whenever you want. Cymbalta and Percocet - potential for interaction. I ran it through my multi-drug checker and a red warning came up for taking these two together. Please discuss this with your local pharmacist for verification.

I hope I have helped somewhat. When your tests return, please feel free to check back with us with further inquiries. Regards, Kathryn Shattler, MS,RDN
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What Causes Spot On The Pancreas Along With Weight Gain And Neuropathy?

Welcome to HCM! I have reviewed your concerns and can try to explain a few things that might be happening to your body, but ultimately cannot override the treatment of your physician. The pancreatic beta cells may not be functioning well. Your doctor said you do not have diabetes, well, perhaps not be the definition of a blood sugar level. The process of diabetes (development of neuropathy, kidney disease, vascular problems, foot problems) may develop years before your blood sugar warns the doctor of your pre-diabetes (100-125) or diabetes ( 125). The spot on the pancreas may be responsible, they are still running tests. But if you were my patient, that is what I would recommend - indepth inquiry into the nature of the pattern of your symptoms. If you are having weight gain, that can be handled in a normal fashion. Exercise 150 minutes per week and follow a calorie restricted diet. Per your edema in your legs, I suggest a low sodium diet of less than 2300 mg of sodium, the amount in 1 tsp of table salt (sodium chloride). That may help the edema. Keep your legs raised when they get discolored and swell up. Eliminate sugar from your diet completely due to the edema and pending diabetic evaluations to help relieve some of your symptoms. Discuss other options for neuropathic pain as Percocet is just a pain medication. You will have better results taking something specifically for neuropathy. If you take cymbalta, you need to take it consistently. It is not the type of pill you take when you feel like it. Ultram take whenever you want. Cymbalta and Percocet - potential for interaction. I ran it through my multi-drug checker and a red warning came up for taking these two together. Please discuss this with your local pharmacist for verification. I hope I have helped somewhat. When your tests return, please feel free to check back with us with further inquiries. Regards, Kathryn Shattler, MS,RDN