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Concerned with pancreatic cancer. Can it cause back pain? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:I have a question about lower back or left side back pain
User:What kind of doctor are you sir?
Doctor:I am a general physician associated with department of neurology.
Doctor:I believe I can be able to help you with your query.
User:Oh ok
Doctor:Proceed with your query.
User:I was just concerned with pancreatic cancer
User:I have read back pain could be caused by that
User:I have bilirubin of 2.1
User:and ALT of 90
User:No other symptoms
Doctor:May I know what was your direct bilirubin level?
Doctor:Since when do you have this back pain?
User:has been going on for about 3 weeks
User:I do not see direct bilirubin
User:it just says total 2.1 md/dl
User:I have no other symptoms
User:just wondering if my level are high enough for concern
Doctor:Common liver function test contain total bilirubin level along with direct bilirubin levels in them.
User:Oh here it is
User:it is 0.4
Doctor:As bilirubin levels are affected in multiple medical conditions, these 2 values helps us to narrow down the problem.
Doctor:Thank you for providing me the values. Can you tell me more about the back pain?
Doctor:Is the pain related to food intake?
User:not at all
User:its just there
User:sometimes it goes into the upper left glute muscle
User:but it is on the left side
Doctor:May I know your age?
User:i am 34
Doctor:Let me explain.
User:I just read about back pain and that pancreatic thing
Doctor:Back pain is caused by multiple causes.
Doctor:pancreas inflammation and pancreatic cancers are associated with upper left side back pain,
User:How high
User:like below shoulder blade
Doctor:however they cause obstructive type of jaundice, where there is rise in both total bilirubin and direct bilirubin levels.
Doctor:yes, the pain is more located below the shoulder blade radiating across the abdomen.
User:I should say that almost every blood work up I have had, I had a elevated billirubin
Doctor:The symptoms that you have and your blood reports do not match with that of a pancreatic cause.
User:back in 2009 I am viewing one with a direct bili of 0.5 and a total of 2.5
Doctor:Your reports suggest that you probably may have a liver inflammation and not pancreas cancer.
User:If your pancreas was of issue would your bilirubin levels be REALLY high?
User:How high?
Doctor:The pain that you may have is probably related to spine or renal condition which needs to be evaluated independently.
User:like pancreaitis
Doctor:Pancreatitis rarely cause high bilirubin levels
User:How old are you doctor?
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).
User:oh ok
Doctor:I am 30 year old with clinical experience of 10 years.
Doctor:Based on your reports, your symptoms are highly unlikely to be due to a pancreas issue.
User:I am afraig to take antiinflammatory for my back because it upsets my stomach. Should I still continue if it is helping my back
Doctor:I can assure you of this.
User:I was told to take antiinflmmatory med for my back
User:should I just fight through the stomach upsets
Doctor:Anti inflammatory agents can worsen gastritis, this can be minimized by use of anti inflammatory agents like etoricoxib's or opioid group of drugs.
User:Opiod group
User:I will have to look into it
User:thanks for your time doctor
Doctor:In addition, if the pain is severe, you can counter the gastric side effects by using proton pump inhibitors like omeprazole
User:ok will do
User:thanks for your time
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