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Suggest treatment for chronic diarrhea with history of pancreatitis

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Posted on Thu, 17 Jul 2014
Question: After removal of my gall bladder about a year ago, a hernia soon developed; I had surgery to repair the hernia four months later. I always feel bloated, my stomach hasn't returned to 'normal,'(at times, I look as if I'm 9 months pregnant!), and I've had chronic diarrhea; although, I haven't had any significant weight loss (5'4", 140 lbs., 70 year old Caucasian Grandmommy). Chronic Pancreatitis is present, and I was given Creon (I think it was for the pancreas) to take three times daily for six months but ceased after two months. Should I see my surgeon?, begin taking the Creon again? or be too concerned? Something just doesn't seem right after all this time. What do you think? Appreciate hearing from you.
doctor
Answered by Dr. M Y Shareef (18 minutes later)
Brief Answer:
Few more information could be helpful.

Detailed Answer:
Hi XXXXXX ! Good evening. I am Dr Shareef answering your query.

A few more information could be utilized to help you better:

1) Your dietary habits: Do you eat from outside, specially fried and fast food kind of thing ?
2) Does any particular kind of diet makes the symptoms worse ?
3) Do you ever consume alcohol, or do you smoke ?
4) About your daily routine : Do you go for a routine exercise like a walk depending on your medical fitness ?

Hoping to listen from you. Thanks for using health care magic portal for the query on your health. and take care.

Dr Shareef.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. M Y Shareef (17 hours later)
Dr. Shareef, you did not answer my question at all. Note the following answers to the four questions you asked me: 1. Occasionally fast food;
2. No particular diet; semi- healthy, though; 3. Never any alcohol and smoke one-half pack of cigarettes daily, if that; 4. Walking and lots of gardening. If you cannot answer any better than this, I want credit for what this has cost. Thanks for giving this your attention.
doctor
Answered by Dr. M Y Shareef (34 minutes later)
Brief Answer:
My regrets. These points might be helpful.

Detailed Answer:
Hi XXXXXX! Good morning.

Yes, you are right. I did not answer any of your query as I needed more information as now narrated by you. My regrets for the same.Thanks for all these information. Now the following might help you:

1) Even though you might be eating occasionally from outside, with a previous history of pancreatitis, it would be better if you could avoid it. Many a times some constituents of the food what we eat with special reference to fast food could give rise to allergy to the intestinal mucosa causing irritation and inflammation resulting in chronic diarrhoea, e:g:, gluten sensitivity and lactose intolerance. Apart from this, any kind of intestinal infection could come by the food from outside, which go on causing the symptoms of bloating and diarrhoea.
Therefore if I were your doctor, I would take the help of a dietician to see if exclusion of any such constituents in your diet either from outside or at home could help in relieving your symptoms. Also I would suggest a routine stool test for ova and cyst to rule out chances of any infection and if positive, then treat the same.
2) It is good that you do not consume any alcoholic beverages. However, also I would insist on you to say a BIG NO to smoking cigarettes as well if you could, and I am sure your concern for your health would definitely lead you to success in this. Smoking could precipitate your chronic pancreatitis problem apart from stimulating high acid output in the stomach. I do not have to describe more serious complications of smoking as I am sure you know all about this.
3) Please add more of roughage and liquids in your daily dietary routine.
4) It is also good that you are maintaining a healthy life style with daily walking and lots of gardening.
5) I would also suggest you to continue Creon for the pancreatitis for the total duration of six months as advised by your doctor.
6) I do not think it to be a very serious matter to be concerned about, excepting for detailed investigations as above by your family physician. In case of no relief or continuing symptoms consultation with your surgeon/gastro enterologist might be helpful.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (17 hours later)
Dr. Shareef, Thank you for providing more detailed information concerning my inquiry. I will pay visits to my surgeon and gastro doctors when we return from vacation; seek the advice of a dietitian; try once again to quit smoking after numerous attempts; and begin taking Creon again, but "I will worry about that tomorrow!" I am encouraged that the problem doesn't seem serious and will enjoy my grandchildren more when we go see them in NC next week. Thanks again.
XXXXXXX
doctor
Answered by Dr. M Y Shareef (3 hours later)
Brief Answer:
Enjoy your vacation.

Detailed Answer:
Hi XXXXXXX ! Good morning. It was nice to listen from you, and it was re assuring for me rather that I could at least be a part of non smoking campaign through you once you leave it, and I am also sure that you could do it this time.

Enjoy your vacation and all the best.

Thanks and regards.

Dr Shareef.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

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Suggest treatment for chronic diarrhea with history of pancreatitis

Brief Answer: Few more information could be helpful. Detailed Answer: Hi XXXXXX ! Good evening. I am Dr Shareef answering your query. A few more information could be utilized to help you better: 1) Your dietary habits: Do you eat from outside, specially fried and fast food kind of thing ? 2) Does any particular kind of diet makes the symptoms worse ? 3) Do you ever consume alcohol, or do you smoke ? 4) About your daily routine : Do you go for a routine exercise like a walk depending on your medical fitness ? Hoping to listen from you. Thanks for using health care magic portal for the query on your health. and take care. Dr Shareef.